Key Administrative Information



Electronic Data Interchange (EDI)

Unity supports all HIPAA-compliant electronic transactions. The companion documents listed on this page are not intended to replace the HIPAA guides; rather they clarify which segments, elements and codes are meaningful to our internal systems. All fields required by the HIPAA guides should be submitted even if the companion documents do not reference them specifically. If you have questions or would like more information regarding the companion documents, please contact Joseph Boerboom at 608-643-1531 or Sally Turk at 608-643-1430.

If you are a new trade partner and would like to submit claims directly to Unity please use the Unity Trade Partner Agreement .

EDI Transaction Companion Documents

 Transaction

 Transaction Number

 Unity 270 Eligibilty Request

 270

 Unity 276 Claim Status Request

 276

 Unity 820 Premium Payment

 820

 Unity 834 Enrollment

 834

 Unity 837 Dental Claim

 837

 Unity 837 Institutional Claim

 837

 Unity 837 Professional Claim

 837

If you would like to sign up for EDI services, please use our EDI Sign Up Form and NPI Appendix A