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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 "For Providers" links are intended for Indiana Health Coverage Programs (IHCP) providers. The "For EDI Vendors" links are addressed to clearinghouses, billing services, managed care entities (MCEs) and software developers. The "Helpful Hints" links are for providers as well as EDI vendors.

For Providers

Trading Partner Registration ProcedureStep-by-step procedures for becoming a trading partner with the IHCP
IHCP Trading Partner ProfileTool required for trading partner setup
IHCP Trading Partner AgreementAgreement required for trading partner setup
IHCP Approved Software Developers - 5010Contact list of all software vendors and clearinghouses approved for version 5010 transactions
Provider Healthcare PortalAlternative means for IHCP providers to perform DDE functions

For EDI Vendors

Software Testing ProceduresStep-by-step procedures for EDI vendors that have not yet been approved by the IHCP
IHCP Companion GuidesProduction versions of the IHCP companion guides as well as notification of upcoming changes when system updates are forthcoming

Helpful Hints

Common Compliance Errors Detected by the IHCP TranslatorMost common reasons why transactions are failing compliance and how to correct
Frequently Asked Questions (FAQs) - EDIAnswers to the most frequently asked Health Insurance Portability and Accountability Act (HIPAA) X12 format questions

The EDI technical assistance line can be contacted at 800-457-4584 (option 3, then option 1) or via email at INXIXTradingPartner@gainwelltechnologies.com.

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