EDI

Electronic Transactions (EDI) support for HIPAA transactions is provided for the health plan by Centene Corporation.  Centene is currently receiving professional, institutional, and encounter transactions electronically, as well as generating an electronic remittance advice/explanation of payment (ERA/EOP).  To conduct other HIPAA transactions not listed below please contact our EDI Department at (800) 225-2573, ext.  25525.

The list below contains contact information for the trading partners currently active with our health plan. All providers are encouraged to contact one of these trading partners to utilize our electronic transaction options.

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Trading Partner Payer ID Telephone 
Availity/THIN Medical 68057 (800)-282-4548
Emdeon/WebMD/Envoy Medical 68057 (800) 845-6592 # 2
Gateway EDI Medical 68057 (800) 969-3666
MEDAVANT  Medical 68057 (800)-792-5256
SSI  Medical 68057 ((800)-880-3032
Smart Data Solutions Medical 68069 (855) 650-6590
Smart Data Solutions Cenpatico 68068 (855) 650-6590
 

Documentation (PDF)

Centene 5010 – 837 Companion Guide
Centene 5010 – 837 Companion Guide – Addendum A
EDI Rejection Error Codes
835 Companion Guide
Centene 5010 COB Mapping
Direct Submission Instructions
Direct Submission Testing:  http://www.centene.com/edifecs