Using Electronic Data Interchange (EDI)

Electronic Data Interchange (EDI) provides the ability to quickly and efficiently exchange healthcare information such as submitting claims, electronic remittance, eligibility, claims payment and other information in a safe, secure and cost effective way.  

Most importantly, successful electronic claims are loaded into L.A. Care’s adjudication system within one business day of receipt resulting in faster payment than paper submissions.

 

Advantages of using EDI

Several immediate advantages can be realized by exchanging documents electronically here are a few:

Ability to submit 24/7

L.A. Care accepts all claims electronically, including professional and institutional related submissions 24 hours a day, seven days a week.
 

Reduction of data entry and payment errors

Claims submitted electronically benefit from earlier detection of billing errors.  If your claim fails due to any pre-pass edit, the claim is returned back to your office for correction.  This editing reduces the likelihood of your claim being rejected or denied for payment once it enters the processing system.
 

Immediate verification of claims received

Receive immediate acknowledgement of claims received and confirmation through your clearinghouse within two days as to if claims have been accepted  or rejected.

Medical Biller
Approved Clearinghouses

Submitting your claims electronically reduces common administrative expenses associated with postage and paperwork.  In order to take advantage of EDI, you'll need to register with one of the following clearinghouses and  reference L.A. Care’s Payer ID “LACAR”.