EDI Certification Notices and Forms

ATTENTION PROVIDERS AND SUBMITTERS OF ELECTRONIC CLAIMS: The deadline for receiving the 2025 Annual Certification Forms is December 31, 2024. If you have not submitted a Certification Form for your submitter number (beginning with 450), immediate action is required. Submitters who do not submit the required form will be deactivated February 1, 2025. Providers should verify with their submitter that this requirement has been met to ensure no delays in claims payment.

Submitters must mail the Annual Certification Forms to Gainwell Technologies at the following address:

Gainwell Technologies - EDI Department
PO Box 91025
Baton Rouge, LA 70821-9025

2025 Annual EDI Certification Letter

2025 EDI Annual Certification Form

2025 Magellan Annual Certification Form

2025 Prepaid EDI Annual Certification Form

2025 Dental EDI Annual Certification Form

ATTENTION: Providers and Submitters of Electronic Claims—Urgent Message

Attention Users of the 5010 837P Claim Transaction

ATTENTION PROVIDERS AND SUBMITTERS OF ELECTRONIC CLAIMS

EDI Submitter Self-Test System Maintenance

Read the Frequently Asked Questions memo before contacting EDI for help.