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 organizations (MCO), valued-added network (VAN), and software developers. Helpful hints are for both providers and EDI vendors.

Information about the submission of National Provider Identifier (NPI) can be found in the IHCP Companion Guides and the What's New for EDI Vendors documents.

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 direct data entry (DDE) functions.
Paper-to-Electronic Map for NPI Fields	Tables listing NPI-related fields on paper claims and how they relate to version 4010A1 X12 fields for Indiana Medicaid claims processing.

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	Timeline allowed for EDI vendors to make system modification for upcoming enhancements.
Upcoming Companion Guide Changes	Documents containing upcoming changes to the Companion Guides.
Paper-to-Electronic Map for NPI Fields	Tables listing NPI-related fields on paper claims and how they relate to version 4010A1 X12 fields for Indiana Medicaid claims processing.

Helpful hints

Common Compliance Errors	Most common reasons why transactions are failing compliance and how to correct.
997 Functional Acknowledgement	Information on how to read a 997.
Frequently Asked Questions (FAQs)	Answers to the most frequently asked HIPAA/X12 format questions.
Billing of Crossover Claims Directly to the IHCP	Contains instructions for billing claims to the IHCP for dually eligible members that are initiated by the provider.
837 Billing of TPL Claims	Contains instructions for billing claims to the IHCP with third-party liability (TPL) coverage.

The IHCP support help desk for EDI can be contacted at (317) 488-5160, 1-877-877-5182 or via email at INXIXTradingPartner@eds.com.