EDI means easy submissions, fast claims payments.

Providers who submit claims electronically to BMC HealthNet Plan have reduced their administrative costs, and their claims are paid up to a week faster than before. Nearly 65% percent of our network medical, behavioral health and hospital providers are submitting claims electronically, and here’s why you should be one of them.

• Faster claims turnaround
• Quicker payments
• Fewer keying errors
• Reduced administrative costs
• You can submit claim corrections electronically too

Since 2003, BMC HealthNet Plan has been accepting and processing provider claims electronically using clearinghouses such as Emdeon (WebMD/Envoy/McKesson), ProxyMed/MedAvant, or the SSI Group. We also accept EDI claims from providers who send claims through NEHEN, and providers who can submit claims directly to us. In addition, BMC HealthNet Plan can provide electronic remittance advices to those providers submitting electronic claims directly.

If you have a relationship with Emdeon, NEHEN, ProxyMed, The SSI Group, or any other clearinghouse or billing agency, contact your representative at the respective clearinghouse or agency to say that you would like to start submitting your claims electronically to BMC HealthNet Plan.

We also encourage direct submission of claims for any provider using the 837 claims submission format. Only those providers submitting claims directly to BMC HealthNet Plan can receive the 835 Electronic Remittance Advice at this time.

For more information see our EDI FAQ.

Remember,  EDI means less expensive, more accurate claims processing and faster payments, so don’t wait – start submitting your claims electronically today.