Clearinghouse/Direct Connections for Electronic Data Exchange
Group Health Cooperative utilizes business-to-business electronic data interchange (EDI) to facilitate our claims processing, patient billing, and care management systems.
EDI exchanges include both ASC X12 formatted transactions and some non-X12 data exchanges. The X12 formatted transactions may be exchanged using a direct connection with Group Health or an affiliated clearinghouse. (PDF)
A direct connection is available if you can answer Yes to all three of these questions:
EDI Exchanges Available
To initiate or update an EDI exchange, submit a completed EDI Trading Partner Setup Request Form (Word).
Questions about our EDI exchanges may be e-mailed to email@example.com or contact the Provider Assistance Unit toll-free at 1-888-767-4670.
The Provider Manual is not intended for any use by any party other than as a resource for Group Health Cooperative's contracted providers in fulfilling their obligations under provider contracts. Group Health intends for the manual to be accurate for its intended purpose but doesnt guarantee accuracy. Providers should comply with the terms of their provider contracts and any legal requirements in the event of an inconsistency between the manual and a requirement in their provider contracts or the law.
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