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Information for New York

EDI Companion Guide

The companion guide provides supplemental instructions for EDI transmissions specific to Empire.  All new submitters will use the Availity EDI Gateway for their Empire EDI transactions.

Section A: EDI User Guide

For employer groups: 834 User Guide

For all other transactions: Availity EDI Connection Guide

Section B: Transaction-specific Documents

Health Care Claim: 837I | 837I (Encounters) | 837P | 837P (Encounters)

Health Care Claim Payment/Advice: 835

Benefit Enrollment and Maintenance: 834

Prior Authorization: 278

Claim Status: 276/277 (Batch) | 276/277 (Real-time)

Eligibility: 270/271 (Batch) | 270/271 (Real-time)

Medical Attachments: 275

Inpatient Admission and Discharge Notification: 278N

Review Notification & Acknowledgement - Referrals: 278N

Review Notification & Acknowledgement - UM Decisions: 278N

Availity Companion Guide

In addition to our companion documents listed above, Availity also offers a companion guide to communicate Availity-specific requirements and other supplemental information.
 
Access Availity's Companion Guide
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