TriZetto EDI

EDI Connection Library Settings for Claims and Reports

Use the ‘TRIZETTO’ Secure File Transfer’ Type when setting up the EDI connection library.

ANSI 837 (Claims) Submitter/Receiver Library Entry

    Submitter ID = TriZetto assigned Site ID number, 4 alphanumeric

    Receiver ID (NM109) = 431420764

    Receiver ID (ISA07 and ISA 08) = 431420764

 

ANSI 270 (Eligibility) Submitter/Receiver Library Entry

The important fields are the ‘Authorization’ information in the ISA section.  Use the same login and password you use for TriZetto SFTP access.  (Go to Tools > ‘Program Set up’ – Patient Eligibility for additional set up).

TRIZETTO “CHILD SITE” CLIENTS:  Use the 4-digit site ID assigned to the specific company (also called a child site).  The parent site ID assigned to you is for TriZetto use ONLY and is never entered anywhere in the Premier program. 

After the “Eligibility Inquiry 270” Submitter/Receiver library entry has been created, it will be selectable under Tools > Program Setup > Patient Eligibility: