EDI file submission methods

Availity provides the following modes for submitting batch files of EDI transactions:

Submit transaction files through EDI: If you work with a practice management system, health information system, or other automated system that supports an EDI connection, you can securely upload batch files of X12 EDI transactions to the Availity EDI site where they are automatically picked up by Availity and submitted to the appropriate health plans.

Important: Review c_cloud_migration.html for changes to FTP connections.
Submit transaction files through Availity Essentials: If you have batch files of X12 EDI transactions that you need to process and you don't have access to an EDI connection, you can manually upload the batch files through Availity Essentials.

You can submit batch files through one mode or alternate between modes. Consult with your EDI transactions system/software vendor.

Availity partners with many vendors. Refer to our Preferred Vendors list on the Availity website.
If you work with a vendor, follow their instructions for building and submitting batch files.
If you are a provider who has registered to send Medicare or Medicaid claims through Availity, you must configure your PMS, HIS, or other EDI system with the correct payer IDs and billing provider ID before you can send Medicare or Medicaid EDI claims through Availity. You might need to contact the vendor of your system for assistance with this process.
Florida providers must register with Florida Medicaid prior to registering to send Medicaid claims through Availity.

Note: If you want to submit real-time (B2B) transactions through Availity's Simple Object Access Protocol (SOAP) Web service, you will need to contact Availity Client Services to request a B2B setup.