PASSPORT Provider Billing Formats

Electronic Data Interchange, or EDI, is a way to send paper-based invoices as electronic documents. In addition to enhancing the payment process and providing automation for a labor-intensive process, EDI offers easy and inexpensive transmission of structured information.

EDI depends on an information technology infrastructure that includes data processing, data management and networking capabilities. The end result is that the capture of data into electronic form, the processing and retention of data, controlled access to it and efficient and reliable data transmission between remote sites requires little human intervention. A common connection point is needed for all participants, together with a set of electronic mailboxes (so that the organizations' computers are not interrupted by one another) and security and communications management features.

In use since the early 1970s, EDI came to the forefront in the 1990s, with many large distribution companies and government organizations embracing the technology. EDI offers organizations better information flow, reduced costs and more accurate accounting. EDI also may save money because it can eliminate the overhead of printing and mailing paper documents. On the administration level, EDI can reduce or eliminate keypunching error, therefore providing additional savings.

The transmission of EDI documents is not as simple as transferring data files back and forth via a modem. EDI is based on a set of ANSI ASC X12 standards that are used for document content and structuring. Please review the informational links and documentation below for more information about EDI and how it works.

To participate in EDI, please review the documentation in the EDI Documentation and Information column and complete the EDI Trading Partner Agreement. Once complete, contact the EDI Coordinator to schedule your implementation.

Direct Data Entry (DDE) is an alternative to EDI. PASSPORT providers enter and submit PIMS invoices to PASSPORT Administrative Agencies. We are offering this information on DDE for providers who want to use this billing functionality. Contact your area agency on aging if you are interested in using DDE.