MedicaidAdministrativeMedium impact
Submitting TPL Through EDI Guidance
Alaska Medicaid·AK·Program Update
We identified it
Jun 21, 2026
Summary
Alaska Medicaid now allows providers to submit third-party liability (TPL) information through electronic claims (EDI) instead of requiring paper EOB submissions for certain scenarios like deductible applications and service denials. Providers must use specific CAS, AMT, and PWK segments in 837 transactions and retain EOBs on file.
Action Required
Immediately: Billing team must update EDI submission processes to include required CAS, AMT, and PWK segments when submitting Alaska Medicaid claims with TPL information. Configure 837 transactions to report claim adjustment codes, monetary amounts, and EOB retention indicators. Establish file retention system for primary EOBs that must be available upon request. Monitor remittance advice for suspended claims requiring EOB submission.