Medicaid Providers

Electronic data interchange

Availity serves as our electronic data interchange (EDI) partner for all electronic data and transactions.

Methods to exchange EDI transmissions with the Availity EDI gateway:

  1. If you are already exchanging EDI files, you can use your existing clearinghouse or billing company for your Healthy Blue transmissions. Please work with them to ensure connectivity to the Availity EDI gateway.
  2. Become a direct trading partner with the Availity EDI gateway.
  3. Use a direct, single claim entry through the Availity Portal.

Providers, billing services and clearinghouses who are not currently exchanging EDI transactions can register with Availity.

The Availity Welcome Application is your map to setting up your business for exchanging EDI transactions with Availity.

Already registered with Availity?

Use your existing login and choose My Providers > Enrollments Center.

Additionally, the following will guide you through the transition and provide detailed instructions:

Your organization can exchange the following transactions through the Availity EDI gateway:

  • 837 — Institutional claims
  • 837 — Professional claims
  • 837 — Dental claims
  • 835 — Electronic remittance advice
  • 276/277 — Claim status (batch)
  • 270/271 — Eligibility request (batch)

Payer name and ID
Your payer name is Healthy Blue North Carolina, and the payer ID is 00602.

Electronic funds transfer (EFT)

Electronic claims payment through electronic funds transfer (EFT) is a secure and fast way to receive payment, reducing administrative processes. EFT deposits are assigned a trace number that is matched to the 835 Electronic Remittance Advice (ERA) for simple payment reconciliation.

As of November 1, 2021, use enrollsafe.payeehub.org to register and manage EFT account changes.

Electronic remittance advice (835)

The 835 eliminates the need for paper remittance reconciliation.

Use Availity to register and manage ERA account changes with these easy steps:

  • Log in to Availity .
  • Select My Providers > Enrollment Center > ERA Enrollment.

Note: If you use a clearinghouse or vendor, please work with them on ERA registration and receiving your ERAs.

Contacting Availity

Please contact Availity Client Services with any questions at 1-800-AVAILITY (1-800-282-4548) Monday to Friday, 8 a.m. to 7:30 p.m. (Eastern Time).

Contacting Availity

For questions, please contact Availity Client Services at 1-800-Availity (1-800-282-4548) Monday through Friday 8 a.m. to 7:30 p.m. Eastern time.

Provider tools & resources

Interested in becoming a provider in the Healthy Blue network?

We look forward to working with you to provide quality services to our members.