The EDI Service will receive and deliver transaction data (claims, claim status, remittances, etc.) between AvMed Health Plans and its Trading Partners. To AvMed a Trading Partner is any external organization, physician or hospital that transacts business in our electronic environment.
Resources:
CAQH/CORE
CMS
WPC
AvMed remit codes explanations
AvMed Claim status codes used
5010 Transactions
AvMed's real-time based eligibility, benefits and claim status application follows the standard operating rules defined by Phase I and Phase II of the CAQH/CORE requirements. For further information on how to use the new application, please see the 270/271 and 276/277 Companion Guides
| Transaction | Description | Companion Guide |
| Transaction 270/271 | Description Eligibility Request and Response | Companion GuideGuide |
| Transaction 276/277 | Description Claim status Request and Response | Companion GuideGuide |
NOTE: To see the other 5010 transactions available see Contact Us.
Regular Scheduled Maintenance
The real-time transactions may not be available due to regular system maintenance during the following times:
- Every Sunday 8:00 PM - 9:00 PM (Eastern Time)
Unscheduled Maintenance or Emergency Downtime
- None at this time