EDI Documentation

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At Coventry Health Care, we value the providers who take care of our members. Our improved website offers you new tools and more effective electronic solutions to assist with patient care.

Explore the supporting EDI documents below to find out all the options that are available to you.

Electronic Solutions

Claims Submission
PDF | 137 KB
Claims Submission Frequently Asked Questions
COB Info - Inst Claims
PDF | 120 KB
COB Information for Institutional Claims
COB Info - Prof Claims
PDF | 118 KB
COB Information for Professional Claims
EDI Claims
PDF | 376 KB
EDI Claims Submission Guide
ERA
PDF | 174 KB
Electronic Remittance Advice
Coventry Plan IDs and Logo Grid
PDF I 966 KB
Guide includes Coventry Logos and Emdeon Payer IDs
Resource Center
PDF | 108 KB
Emdeon Electronic Claims Resource Center
NPI
PDF | 106 KB
NPI Update
OCA Requests
PDF | 114 KB
Online Claim Adjustment Requests
Auth Sub Inq
PDF | 113 KB
Real-time Authorization Submission Inquiries
Claims Inq
PDF | 113 KB
Real-time Claims Inquiries
Eligibility Inq
PDF | 113 KB
Real-time Eligibility - Benefits Inquiries
Moving Toward 5010 and ICD-10: Where We Are
PDF | 12 KB
Information and timeframes on the 5010 and ICD-10 implementation.

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