My Vision Express allows you to generate electronic insurance claim files that can be submitted directly to TriZetto® Provider Solutions (formerly known as Gateway EDI®). Once they process your claims, you can get Electronic Remittance Advice (ERA) files that facilitate the posting of insurance payments into My Vision Express.
How the Interface with TriZetto / Gateway EDI WorksAfter creating a claim using the Insurance module, you can create and submit an electronic claim at the click of a button. If you prefer, you can submit and upload claims in batch. You can also download your ERA files in American National Standards Institute (ANSI) Accredited Standards Committee (ACS) 837P format.
- Generate single or batch insurance claims.
- Submit claims in ANSI ASC X12N 837P (005010A1) format.
- Process ERA files in ASC X12N 835 (005010X221A1) format.