Electronic Data Interchange (EDI) Claims Submission

APS Healthcare, now accepts both institution and professional HIPAA compliant electronic claims through 3 clearinghouses: ProxyMed, The Health Information Network (THIN) and WebMD Envoy.

If you already use any of these clearinghouses, there is no need for you to test with us prior to starting your electronic claims submission.

APS makes it easy for you! Whether you are submitting claims through ProxyMed, THIN or WebMD, the APS payer ID is always 54160.

Claim Submission Guidelines

When submitting claims electronically to us, the following information must be contained with each claim record.

• Tax ID Number - Please notify your APS Provider Services Representative of any TIN changes
• Name of provider rendering service
• Member's name and ID number
• Member's gender and date of birth
• ICD-9 Diagnosis code
• Dates of service
• Procedure code
• Place of service
• Type of bill for institutional claims

Please note: Please remember to use only standard code sets.

For a copy of the APS Healthcare 837 Professional Companion Guide click here.

An EDI Provider Relations Representative Is Available To Help You. If you need assistance, an EDI Representative is available to assist you in the startup process and can be reached at 301-563-5718.