For Payers, Brokers and Employers

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Electronic Claims

Because Midlands Choice works with more than 150 payers, we practice a tiered approach to determine how a payer will be set up to receive re-priced claims via Electronic Data Interchange (EDI).

To get started, download and complete an EDI Implementation Guide and forward it to our EDI Specialist.  We will contact you to discuss implementation.

We have vendor partnerships with the clearinghouses listed below.  If you have a relationship with one of these organizations and are ready to receive claims electronically, our EDI Specialist can assist with coordinating the testing process.

Clearinghouse
Name
Contact
Emdeon
(formerly Web MD)
Jason Sebaugh
314-785-4017
Jason Funke
440-720-0700
ENS Lori Clark
719-457-8327
HealtheConnex Western Region: Michael Friar
888-874-1447 Ext. 6042
Central Region: Dave Williams
888-874-1447 Ext. 6040
ECOM Alvin Bowser
214-561-6340
ClaimsBridge®
(Innovative Healthware
Services, Inc.)
Jessica Picarde
(410) 349-3222