Electronic data interchange (EDI)
Effective December 1, 2018, the Availity Portal will serve as your EDI partner for all electronic data and transactions. Most of you know Availity as a web portal or claims clearinghouse, but Availity is also an intelligent EDI gateway for multiple payers and will be the single EDI connection for Simply Healthcare Plans, Inc. (Simply).
Your organization can submit and receive the following transactions through Availity’s EDI Gateway:
- Institutional claims — 837
- Professional claims — 837
- Dental claims — 837
- Electronic remittance advice — 835
- Claim status — 276/277
- Eligibility request — 270/271
Get set up with Availity
The Availity setup is easy. Use the link below and get the directions and information you need to start sending claims to the Availity EDI Gateway:
Payer ID for EDI transmissions to Availity
- Simply Healthcare – SMPLY
Contacting Availity
Please contact Availity Client Services with any questions at 1-800-AVAILITY (1-800-282-4548) Monday to Friday, 8 a.m. to 7:30 p.m. ET.
Electronic funds transfer (EFT)
Electronic claims payment through electronic funds transfer (EFT) is a secure and fast way to receive payment, reducing administrative processes. EFT deposits are assigned a trace number that is matched to the 835 Electronic Remittance Advice (ERA) for simple payment reconciliation.
As of November 1, 2021, use enrollsafe.payeehub.org to register and manage EFT account changes.
Electronic remittance advice (835)
The 835 eliminates the need for paper remittance reconciliation.
Use Availity to register and manage ERA account changes with these easy steps:
- Log in to Availity .
- Select My Providers > Enrollment Center > ERA Enrollment.
Note: If you use a clearinghouse or vendor, please work with them on ERA registration and receiving your ERAs.