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EDI
Electronic data interchange (EDI) is the computer-to-computer exchange of business documents in a structured format. EDI provides a faster and cleaner method for delivering time-dependent data, saving you time compared to filing paper claims.
Provider Disputes
You have the right to dispute a claim decision. You may initiate a dispute on your own behalf or on behalf of a covered Individual.
Reimbursement Policies
Reimbursement policies are policies outlining the basic terms for reimbursement of services covered under our members’ benefits plans. You can also find definitions for terms used in the policies and disclaimer for the policies’ use.