EDI Certification Notices and Forms
ATTENTION PROVIDERS AND SUBMITTERS OF ELECTRONIC CLAIMS: The deadline for receiving the 2019 Annual Certification Forms is December 31, 2018. 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, 2019. 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 DXC Technology at the following address:
DXC Technology - EDI Department
PO Box 91025
Baton Rouge, LA 70821-9025
Read the Frequently Asked Questions memo before contacting EDI for help.
Please refer to the EDI Certification Notices and Forms Archive page for forms from previous years.
5010 EDI General Companion Guide 5/25/17