How to Send ESPDT Information on EDI Claim?

  1. Click the “EPSDT” check box in Charge Entry/Charge Master screens.
  2. On the Claim Note, specify the Condition Indicators. The format should be:

EPSDT:<condition indicator code>

e.g. EPSDT:AV

Table 1 displays the valid Condition Indicators

Condition Indicator Code  Description
AV Available
NU Not Used
S2 Under Treatment
ST New Services Requested