EDI companion guides
Our Electronic Data Interchange (EDI) Companion Guides describe specific requirements for trading partners who exchange electronic transactions directly with Blue Shield of California or Blue Shield of California Promise Health Plan. Our companion guides contain only supplementary instructions to the ASC X12 national implementation guides and do not replace or modify the implementation guides.
Follow the instructions found in these companion guides to ensure effective and efficient processing of your transactions.
For Blue Shield of California Promise Health Plan providers
Find specific requirements for trading partners who exchange electronic transactions directly with Blue Shield of California Promise Health Plan (not through a vendor or clearinghouse).
For Blue Shield of California providers
You can find and download the companion guides for the appropriate transactions in the list below.
| HIPAA transaction type | Companion Guide (5010 version) |
|---|---|
| 837 Electronic Claim Submission | BSC 837 EDI Companion Guide (PDF 535 KB) |
| 835 Electronic Remittance Advice | 835 Companion Guide (PDF 882 KB) |
| 270/271 Eligibility and Benefits Inquiry/Response | 270/271 Companion Guide (PDF 1.2 MB) |
| 276/277 Claim Status Inquiry/Response | 276/277 Companion Guide (PDF 1.1 MB) |
| 277CA Claim Status Information – Secondary | Secondary 277CA – Adjudicated Encounter Companion Guide (PDF 528 KB) |
| N/A | |
| 278 Authorization | 278 Companion Guide (PDF 361 KB) |
How to enroll in EDI
Follow these easy steps to enroll in EDI for your organization.
EDI, ERA and EFT frequently asked questions
Get answers to questions about using electronic data interchange (EDI), electronic remittance advices (ERA) and electronic funds transfer (EFT).
HIPAA 5010 and ICD-10 implementation
If you conduct business electronically, read about these two significant changes to HIPAA standard transactions and code sets.
EDI Companion Guides for Blue Shield Promise providers
Find specific requirements for trading partners who exchange electronic transactions directly with Blue Shield of California Promise Health Plan.