Electronic Data Interchange (EDI) Solutions

The following links relay important information to all providers and software developers that communicate via electronic data interchange (EDI) format and direct data entry (DDE).

The "providers" links are intended for Indiana Health Coverage Programs (IHCP) providers. The "EDI vendors" links are addressed to clearinghouses, billing services, managed care entities (MCEs), value-added networks (VANs), and software developers. "Helpful hints" links are for providers and EDI vendors.

For providers

Provider EDI Implementation Procedures Step-by-step procedures for becoming a trading partner with the IHCP
IHCP Trading Partner Profile Form required for trading partner setup
IHCP Trading Partner Agreement Agreement required for trading partner setup
IHCP-Approved Software Developers - 5010 Contact list of all software vendors and clearinghouses approved for version 5010 transactions
Web interChange Alternative means for IHCP providers to perform DDE functions.
Medicare Payer ID List List of contractor payer IDs for Medicare Part A, Medicare Part B, and Durable Medical Equipment Medicare Administrative Contractors (DME MACs) Medicare crossover claims

For EDI vendors

What's New for EDI Vendors Information about upcoming IHCP system updates, release dates, internal and external impacts, and Upcoming Companion Guide Changes identifying modifications, known issues, corrections, and common compliance errors
Software Testing Procedures Step-by-step procedures for EDI vendors that have not yet been approved by the IHCP
IHCP Companion Guides Production versions of the Companion Guides
EDI Vendor Testing Timeline Time line allowed for EDI vendors to make system modification for upcoming enhancements

Helpful hints

Common Compliance Errors Most common reasons why transactions are failing compliance and how to correct
Frequently Asked Questions (FAQs) Answers to the most frequently asked Health Insurance Portability and Accountability Act (HIPAA)/X12 format questions

The IHCP support help desk for EDI can be contacted at 1-877-877-5182 or via email at INXIXTradingPartner@hpe.com.