The companion guide provides supplemental instructions for EDI transmissions specific to Anthem. All new submitters will use the Availity EDI Gateway for their Anthem EDI transactions.
Section A: EDI User Guide
For employer groups: 834 User Guide
For all other transactions: Availity EDI Connection Guide
Section B: Transaction-specific Documents
Health Care Claim: 837I | 837P | 837D
Health Care Claim Payment/Advice: 835
Benefit Enrollment and Maintenance: 834 | 834 (Compass Life & Disability)
Payroll Deducted & Other Group Premium Payment for Insurance Products: 820
Prior Authorization: 278
Claim Status: 276/277 (Batch) | 276/277 (Real-time)
Eligibility: 270/271 (Batch) | 270/271 (Real-time)
Medical Attachments: 275
Inpatient Admission and Discharge Notification: 278N
Review Notification & Acknowledgement - Referrals: 278N
Review Notification & Acknowledgement - UM Decisions: 278N
Section C: Appendices
Claims: 151 - PWK Form
In addition to our companion documents listed above, Availity also offers a companion guide to communicate Availity-specific requirements and other supplemental information.
