EDI Overview

Electronic Data Interchange (EDI) is the global term used to represent the electronic transfer of data. For the Kansas Medical Assistance Program (KMAP), the term EDI encompasses the electronic transfer of claims data.


EDI CONTACT INFORMATION

ksxix-edikmap@gainwelltechnologies.com

1-800-933-6593

EDI INFORMATION

For answers to frequently asked questions, reference the EDI category on the FAQs page.

For additional EDI information, reference the Electronic Billing and EDI Transactions page of the CMS website.



CLAIM ADJUSTMENT AND CLAIM STATUS CATEGORY CODES

Click Here for External Code Lists from the American National Standards Institute.



ROUTINE MAINTENANCE SCHEDULE:

EDI service maintenance occurs every Sunday from 12:00 AM – 4:00 AM. During maintenance there will be interruptions in transactions.



EDI APPLICATION

An EDI Application is required to submit or receive EDI transactions. The application and instructions can be found on the Forms page at the link under Provider Information --> EDI – Electronic Claims Submission Application.



CORE CONNECTIVITY GUIDE

KMAP allows for 270 eligibility requests to be sent via SOAP and MIME requests. Please refer to the CORE Connectivity Guide below for details.

CORE Connectivity Guide