Manage electronic transactions | Blue Shield of CA Provider

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href="/en/provider"> <span itemprop="name">Home</span> </a> <meta itemprop="position" content="1"/> </li> <li class="cmp-breadcrumb__item" itemprop="itemListElement" itemscope itemtype="http://schema.org/ListItem"> <a class="cmp-breadcrumb__item-link" itemprop="item" gtm-track-click="{'eventCategory': 'Provider', 'eventAction': '/content/bsca/language-masters/en/provider/claims.html', 'eventLabel': 'Claims', 'eventNonInteracton': 'false', 'event': 'eventTracker'}" href="/en/provider/claims"> <span itemprop="name">Claims</span> </a> <meta itemprop="position" content="2"/> </li> <li class="cmp-breadcrumb__item cmp-breadcrumb__item--active" aria-current="page" itemprop="itemListElement" itemscope itemtype="http://schema.org/ListItem"> <span itemprop="name">Manage electronic transactions</span> <meta itemprop="position" content="3"/> </li> </ol> </nav> <nav id="breadcrumb-6589ed6cc4-2" class="cmp-breadcrumb cmp-breadcrumb__mobile" aria-label="Breadcrumb"> <ol class="cmp-breadcrumb__list" itemscope itemtype="http://schema.org/BreadcrumbList">   <li class="cmp-breadcrumb__item" itemprop="itemListElement" itemscope itemtype="http://schema.org/ListItem"> <a class="cmp-breadcrumb__item-link" itemprop="item" href="/en/provider/claims"> <span itemprop="name">Claims</span> </a> <meta itemprop="position" content="2"/> </li>  </ol> </nav> </div> <div class="spacer aem-GridColumn aem-GridColumn--default--12"> <div class="cmp-spacer cmp-spacer__desktop cmp-spacer__horizontal cmp-spacer__16"></div> <div class="cmp-spacer cmp-spacer__mobile cmp-spacer__horizontal cmp-spacer__8"></div> </div> <div class="title text-center aem-GridColumn aem-GridColumn--default--12"> <div id="title-4f36d51fd8" class="cmp-title"> <h1 class="cmp-text__H1">Manage electronic transactions</h1> </div> </div> <div class="spacer aem-GridColumn aem-GridColumn--default--12"> <div class="cmp-spacer cmp-spacer__desktop cmp-spacer__horizontal cmp-spacer__32"></div> <div class="cmp-spacer cmp-spacer__mobile cmp-spacer__horizontal cmp-spacer__16"></div> </div> <div class="text narrow-text aem-GridColumn aem-GridColumn--default--12"> <div id="text-ca76ae9893" class="rte-content cmp-text "> <p><span class="cmp-text__bodytext">You can submit all of your claims and receive your payments electronically for faster processing and payment using electronic data interchange (EDI).<br>  </span></p> <h2>How to get started with EDI</h2> <p><span class="cmp-text__bodytext">To find out if your organization already receives electronic payments, <a href="/providerwebapp/accountManagement/providerPractitionerProfiles" title="Check my payment policies">check my payment preferences</a>.</span></p> <p><span class="cmp-text__bodytext">Next, find out <a href="/en/provider/claims/electronic-transactions/enroll-in-edi" title="How to enroll in EDI">how to enroll in EDI</a>.<br>  </span></p> <h2>Benefits of using EDI</h2> <p><span class="cmp-text__bodytext">EDI allows paperless billing and payment for healthcare services and supplies and automates many types of routine inquiries.</span></p> <p><span class="cmp-text__bodytext">The benefits of using EDI include:</span></p> <ul> <li><span class="cmp-text__bodytext">Reduced administrative costs. The average physician’s office can save up to $46,000 annually using electronic transactions for common administrative tasks, according to a <a href="/content/dam/bsca/en/provider/documents/2024/claims/PRV_Milliman_Electronic_Transaction_Savings_Opportunities.pdf" title="report by The Milliman Group" target="_blank">report by The Milliman Group</a> (PDF, 96 KB).</span></li> <li><span class="cmp-text__bodytext">Improved accuracy of billing/posting information.</span></li> <li><span class="cmp-text__bodytext">Reduced paperwork for your office.</span></li> <li><span class="cmp-text__bodytext">Improved cash flow.</span></li> <li><span class="cmp-text__bodytext">Faster claims processing.</span></li> <li><span class="cmp-text__bodytext">Improved security for protected information.</span></li> </ul> <p><span class="cmp-text__bodytext">Using EDI, you can automatically post electronic remittance advice (ERA) to your practice management system, reducing data entry, speeding up patient billing and freeing up staff for more important tasks.</span></p> <p><span class="cmp-text__bodytext">Electronic funds transfer (EFT) allows you to have your claims payments automatically deposited directly in your business account, minimizing your risk of lost checks or lock-box delays.</span></p> <p><span class="cmp-text__bodytext">Maximize your success in 'going electronic' for faster claims processing and payment by using EDI eligibility & benefits and claim status inquiries. By using these inquiries, you will reduce the need to call Customer Service for patient coverage verification and claim status, saving you valuable time, decreasing claim rejections, preventing future denials, and reducing duplicate claims submissions.</span></p> </div> <script async defer src="/etc.clientlibs/bsca/components/common/text/clientlibs.lc-1732168223965-lc.min.js"></script> </div> <div class="spacer aem-GridColumn aem-GridColumn--default--12"> <div class="cmp-spacer cmp-spacer__desktop cmp-spacer__horizontal cmp-spacer__16"></div> <div class="cmp-spacer cmp-spacer__mobile cmp-spacer__horizontal cmp-spacer__8"></div> </div> <div class="custom__flex customflex_center flex__equalHeight aem-GridColumn aem-GridColumn--default--12"> <div class="cmp-primarycard cmp-primarycard__nobg" data-component="primary" data-title="EDI companion guides"> <h2 class="cmp-primarycard__heading"> EDI companion guides </h2> <div class="cmp-primarycard__description"><p><span class="cmp-text__bodytext">Access our companion guides for trading partners who exchange electronic transactions with us.</span></p> </div> <div class="btn-bottomalign"> <a data-title="EDI companion guides" class="button arrowleft arrowxlleft" aria-label="Get the guides" href="/en/provider/claims/electronic-transactions/edi-companion-guides" gtm-track-click="{'eventCategory': 'Click', 'eventAction': 'Card-Secondary Link', 'eventLabel': 'Get the guides', 'eventNonInteracton': 'false', 'event': 'eventTracker'}" data-gtm-track-click="{'eventCategory': 'Click', 'eventAction': 'Image Card-Secondary Link', 'eventLabel': '', 'eventNonInteracton': 'false', 'event': 'eventTracker'}" target="_self">Get the guides</a> </div> </div> <div class="cmp-primarycard cmp-primarycard__nobg" data-component="primary" data-title="EDI, ERA and EFT frequently asked questions"> <h2 class="cmp-primarycard__heading"> EDI, ERA and EFT frequently asked questions </h2> <div class="cmp-primarycard__description"><p><span class="cmp-text__bodytext">Get answers to questions about using electronic data interchange (EDI), electronic remittance advices (ERA) and electronic funds transfer (EFT).</span></p> </div> <div class="btn-bottomalign"> <a data-title="EDI, ERA and EFT frequently asked questions" class="button arrowleft arrowxlleft" aria-label="Read FAQs" href="/en/provider/claims/electronic-transactions/edi-era-eft-faqs" gtm-track-click="{'eventCategory': 'Click', 'eventAction': 'Card-Secondary Link', 'eventLabel': 'Read FAQs', 'eventNonInteracton': 'false', 'event': 'eventTracker'}" data-gtm-track-click="{'eventCategory': 'Click', 'eventAction': 'Image Card-Secondary Link', 'eventLabel': '', 'eventNonInteracton': 'false', 'event': 'eventTracker'}" target="_self">Read FAQs</a> </div> </div> <div class="cmp-primarycard cmp-primarycard__nobg" data-component="primary" data-title="HIPAA 5010 and ICD-10 implementation"> <h2 class="cmp-primarycard__heading"> HIPAA 5010 and ICD-10 implementation </h2> <div class="cmp-primarycard__description"><p><span class="cmp-text__bodytext">If you conduct business electronically, read about these two significant changes to HIPAA standard transactions and code sets.</span></p> </div> <div class="btn-bottomalign"> <a data-title="HIPAA 5010 and ICD-10 implementation" class="button arrowleft arrowxlleft" aria-label="Read about the changes in codes" href="/en/provider/claims/electronic-transactions/hipaa-5010-icd-10-implementation" gtm-track-click="{'eventCategory': 'Click', 'eventAction': 'Card-Secondary Link', 'eventLabel': 'Read about the changes in codes', 'eventNonInteracton': 'false', 'event': 'eventTracker'}" data-gtm-track-click="{'eventCategory': 'Click', 'eventAction': 'Image Card-Secondary Link', 'eventLabel': '', 'eventNonInteracton': 'false', 'event': 'eventTracker'}" target="_self">Read about the changes in codes</a> </div> </div> <div class="cmp-primarycard cmp-primarycard__nobg" data-component="primary" data-title="Encounter resources"> <h2 class="cmp-primarycard__heading"> Encounter resources </h2> <div class="cmp-primarycard__description"><p><span class="cmp-text__bodytext">Learn about submission requirements, monthly performance summary reports, and more.</span></p> </div> <div class="btn-bottomalign"> <a data-title="Encounter resources" class="button arrowleft arrowxlleft" aria-label="Learn about encounter resources" href="/en/provider/claims/electronic-transactions/encounter-resources" gtm-track-click="{'eventCategory': 'Click', 'eventAction': 'Card-Secondary Link', 'eventLabel': 'Learn about encounter resources', 'eventNonInteracton': 'false', 'event': 'eventTracker'}" data-gtm-track-click="{'eventCategory': 'Click', 'eventAction': 'Image Card-Secondary Link', 'eventLabel': '', 'eventNonInteracton': 'false', 'event': 'eventTracker'}" target="_self">Learn about encounter resources</a> </div> </div> </div> <div class="spacer aem-GridColumn 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