MedicaidAdministrativeMedium impact
Submitting TPL Information Through EDI
Alaska Medicaid·AK·Program Update
We identified it
Jun 21, 2026
Summary
Alaska Medicaid has streamlined the process for submitting third-party liability (TPL) information through EDI, allowing providers to retain EOBs on file for most claims instead of faxing them. However, all dental claims and claims where primary insurance made no payment still require EOB submission and will suspend for processing.
Action Required
Immediately: Billing team must update EDI submission processes to include required TPL loops and segments (CAS01, CAS02, CAS03, AMT01, AMT02, PWK01, PWK02) for Alaska Medicaid claims. Configure system to automatically submit PWK segment with 'EB' indicator and 'AA' code when retaining EOBs on file. Ensure all dental claims and claims with zero primary payment continue to have EOBs faxed as these will suspend without documentation.