Compatible ANSI and Clearinghouse Formats

EDI file formats that are compatible with EZClaim

Premier can generate and/or parse and display the following ANSI formats:

  • 270 – Eligibility Benefit Inquiry (via Eligibility checking only, it is not possible to view in the EDI reports screen)
  • 271 – Eligibility Benefit Response (via Eligibility checking only, it is not possible to view in the EDI reports screen)
  • 278 – Authorization – Used to import authorizations into the billing Authorization Library
  • 277 – Claim Status
  • 277CA – Claims Acknowledgement
  • 835 – Health Care Claim: Payment/Advice
  • 837 – Health Care Claim: Professional (via Send Claim)
  • 837 – Health Care Claim: Institutional (via Send Claim)
  • 864 – Text Message
  • 997 – Functional Acknowledgement
  • 999 – Implementation Acknowledgement
  • TriZetto CSR – Claim Status Report