Electronic Data Interchange (EDI) is the computer-to-computer transfer of transactions and information using a variety of communication methods. BlueCross BlueShield of Western New York encourages you to submit your claims electronically for improved productivity and cost efficiency.
Below are the electronic tools available for medical providers and administrators to use.
EDI allows medical providers to save time and money, and eliminate delays in claims processing. Medical providers are able to access timely information in today's health care environment. Successful health care organizations are finding ways to automate routine tasks and deploy resources to value added opportunities.
ERA is an electronic file that explains claim payment and remittance information. The ERA is received after a claim is finalized. The HIPAA compliant format can be automatically posted to your patient accounting system.
EFT is a secure method of claims payment. BlueCross BlueShield of Western New York electronically transfers funds directly into the bank account of your choice for added security and prompt payments.
Advantages of Electronic Funds Transmission (EFT) and Electronic Remittance Advice (ERA):
Optimize the delivery of patient information (eligibility, claims status, referrals) to the health care community by leveraging our shared infrastructure, technology, and intellectual capital. HEALTHeNET website.