TriZetto® Provider Solutions / Gateway EDI®

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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 Works

After 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.

Interface Features

  • Generate single or batch insurance claims.
  • Submit claims in ANSI ASC X12N 837P (005010A1) format.
  • Process ERA files in ASC X12N 835 (005010X221A1) format.

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