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DHHS EDI Trading Partners


DHHS EDI – Transaction and Code Sets 
 
Recent News and Updates:
 
01/13/2012 - New 5010 Companion Guide updated.
 
SEDI Portal Access
 
Providers will be required to submit electronic claim files (837s) via the DHHS SEDI Portal starting in mid February, 2009. To submit files, providers will need to secure Portal Access Accounts by submitting a signed "DHHS – Information Technology Services, SEDI – SSL VPN Remote Service End User Agreement" and a signed "Information Technology Security Policy" for each user wishing to access the portal. Providers will also be required to be EDI Certified by following the Provider 837 Submission Setup Process.
 
Features of the Portal Include:
 
  • Uploading of 837 transactions
  • Transaction status tracking
  • Email notifications of various transaction status and postings
  • 997 transaction postings
  • 835 transaction postings

Provider 837 Submission Setup Process

Providers wishing to submit electronic claim files (837) will be required to complete the New External Provider Inbound 837 Setup Process before DHHS will accept these transactions.  The process includes the completion and submission of security documents, working with the DHHS Fiscal and EDI teams through the Testing and Activation Procedures.

External providers please refer to Provider 837 Submissions Setup Process below.
Portal Account Setup Forms
Provider Setup Documentation for 837 Submissions
  • EDI Registration Forms
    Providers wishing to submit 837 transactions will have to complete the EDI Registration Forms. These will identify the type of transaction submission requested, type of remittance advice and provider contact information.
  • Testing and Activation Procedure Document for 837 Health Care Claim Professional
    All providers will be required to be “certified” before DHHS will accept production 837 transactions. The Testing and Activation Procedure Document outlines the testing process and requirements for obtaining.
Companion Guides


DHHS EDI Team Service Desk
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EDI-Dropbox@SacCounty.net

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