AdministrativeCommercialMedicare AdvantageMedicaidMarch 1, 2024

Using the correct Anthem EDI payer ID

On January 1, 2024, Empire became Anthem. With this change, there were no modifications to the Electronic Data Interchange (EDI) payer ID used for your electronic transactions.

Since this change, there have been claims received with incorrect EDI payer IDs that have caused rejections on the electronic response reports for invalid membership. We want to make sure your electronic transactions to Anthem are accepted and efficiently processed for your organization.

If your organization submits electronic transactions for Anthem membership, only the following New York EDI payer IDs should be used:

  • 00303 – Facility Claims
  • 00803 – Professional Claims

If the following payer IDs are submitted with your Anthem membership, it will cause a rejection on your electronic response report:

  • WLPNT (non-blue branded business)
  • 26375 (non-blue branded business)
  • 27514 (non-blue branded business)

Please work with your vendor or clearinghouse for questions and concerns regarding the correct payer ID to use or visit the Availity payer ID listing (https://apps.availity.com/public-web/payerlist-ui/payerlist-ui/#/).

Through genuine collaboration, we can simplify access to care and help you deliver high-quality, equitable healthcare.

Medicaid services provided by Anthem Blue Cross and Blue Shield HP, trade name of Anthem HP, LLC.
Medicare services provided by Anthem Blue Cross and Blue Shield, trade name of Anthem HealthChoice HMO, Inc. and Anthem HealthChoice Assurance, Inc., Anthem Blue Cross and Blue Shield HP, trade name of Anthem HP, LLC., or Anthem Blue Cross and Blue Shield Retiree Solutions, trade name of Anthem Insurance Companies, Inc.
Commercial services provided by Anthem Blue Cross and Blue Shield, trade name of Anthem HealthChoice HMO, Inc. and Anthem HealthChoice Assurance, Inc., or Anthem Blue Cross and Blue Shield HP, trade name of Anthem HP, LLC.
Independent licensees of the Blue Cross Blue Shield Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc.

NYBCBS-CDCRCM-051825-24

PUBLICATIONS: March 2024 Provider Newsletter