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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: User Guide

Communication protocol: HTTPS File Upload

Section B: Transaction-specific Documents

Health Care Claim: 837I | 837I (Encounters) | 837I (Outbound for Managed Care Services) | 837P | 837P (Encounters) | 837P (Outbound for Managed Care Services) | 837P (EAP) | 837D | 837D (Price and Ship)

Health Care Claim Payment/Advice: 835 | 835D | 835 (Inbound for Managed Care Services)

Benefit Enrollment and Maintenance: 834 | 834 (Compass Life & Disability)

Payroll Deducted & Other Group Premium Payment for Insurance Products: 820

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

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

Section C: Appendices

Claims: Attachment Face Sheet

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.