SolAce Electronic Medical Claims - Commercial

Hawaii Mainland Administrators (HMA)

cneely — Wed, 24 Feb 2016 22:56:19 +0000

Please complete the following enrollment instructions if you wish to submit electronic claims directly to HMA (Payer ID 86066)

In order to send electronic claims to HMA, you must obtain a Login and Password for this site: www.hcrdata.com

You will need to call 702-735-5525 and request an account with a log in and password for HCRnet. Let them know you will be using it to send electronic claims directly to HMA, Payer ID 86066. Please make sure to indicate to them whether you will be sending Professional (837P) or Insitutional (837I) claims.

No Testing is required for this Payer. Please call the SolAce support team at 602-439-2525 Option 1, once you have the login and password. We will assist you with setting up the Mailbox and submitting your first batch of claims to them.

Page Category:

Commercial

Direct

Highmark West Virginia

cneely — Fri, 04 Apr 2014 20:16:41 +0000

Please follow the Enrollment Instructions below to become an electronic submitter for Highmark Payer IDs: 54828, 71768,

These instructions include Highmark West Virginia, HHIC, and Senior Solutions.

Please Note: If you need to submit to other Highmark payer IDs please see: http://solace-emc.com/highmark-plans

If you need to submit claims to Highmark with Payer ID 54771 & Payer ID 15460 please see: http://solace-emc.com/pennsylvania

Required Documents for those applying for new Submitter IDs

The following documents are required enrollment documents that must be completed, signed and returned to the Highmark office prior to initiation of electronic claims submission or inquiry.

1. New Trading Partner Application

If the above link does not work properly, follow these steps:

To apply for a Highmark BCBSWV Submitter ID please go to the following site:

www.highmark.com/edi-wv

-Click on Continue to Application

If you have any questions regarding any of the documents in this package, please phone the BCBS EDI Technology Support Center at 1-888-222-5950.

We can now process 276/277 requests (claim status). If this is a transaction you would like to utilize please make sure to enroll with the payer.

Our Vendor Information

Vendor Name - AXIOM Systems, Inc.

Contact - EDI Team

Vendor Code - N/A

Phone - 602-439-2525

Fax - 602-439-0808

Address - 241 East 4th Street, Suite 200
Frederick, MD 21701

Software Name - SolAce EMC

E-mail - Support@SolAce-emc.com

EDI Transaction Application to Create New Trading Partner

Requester Information (You are the Requester)

Enter your name and title

The name of the company you are representing

Enter your phone number

Trading Partner Information

Enter your business, group practice, or provider name

Complete your demographic information

Enter the name of the main contact person for your office

Enter the contact person's email address, phone, and fax numbers

Enter the tax ID/ssn

Trading Partner Type

Select the Trading Partner type that best fits YOUR line of business (Professional, Institutional, or Billing Service…)

Transmission Mode

Select Internet/FTP

Software Vendor Information

For software vendor information please enter the information provided in the table above.

Transaction Testing

If you have purchased our SolAce software information please call us for testing requirements. If you use any other system you must call them to see if testing is required.

HHIC Set Up

Check this box if you also submit to HHIC and want a login ID and password for that Line of Business.

Acceptance and Submission Section

Please check the box to accept their terms

Review your information and Submit

Waiting for a Response

Once the complete provider enrollment packet has been received, the documents will be processed. Processing will take approximately three to five business days from the date of receipt

After processing, a confirmation will be emailed to you as notification to begin filing claims electronically. If neither confirmation nor a returned packet is received after two weeks, contact the BCBS EDI Technology Support Center at 1-888-222-5950.

Testing

Once you have received your Submitter ID and Password from BCBS, please call the SolAce Support Team and set an appointment for a Mailbox setup and Test Transmission to BCBS.

Please have 25 test claims ready for testing. Test files should consist of a variety of claims that represent the type of claims you will be submitting once production status is achieved. Test claims will not be processed for payment but will be validated against production files; therefore, they must contain valid patient procedure, diagnosis, and provider information.

Page Category:

BC/BS

Commercial

Direct

Highmark Plans

cneely — Fri, 04 Apr 2014 19:33:55 +0000

Highmark Blue Cross Blue Shield has different enrollment applications for their various Payer IDs. Please see the links on the right hand side and follow the enrollment instructions for the plans you need to submit electronic claims to.

If you need to submit claims to Highmark with Payer ID 54771 & Payer ID 15460 please see: http://solace-emc.com/pennsylvania-blue-shield-highmark

Page Category:

Commercial

Direct

WellCare Plans: Administep

cneely — Tue, 11 Jun 2013 22:01:23 +0000

Please follow the instructions below to submit your WellCare Health Plan claims through Administep

To add a mailbox for the Administep Clearinghouse please send an email to support@solace-emc.com

Include the following in your message:

To EDI Team,

Please add a mailbox to my account for the Administep Clearinghouse:

Name:

TAX ID:

Billing Professional or Institutional claims?:

We will contact you once we are ready to set up your mailbox in SolAce.

The following are WellCare plans you can submit claims to electronically via Administep:

Aloha Care
First Choice
Harmony Health Plan of IL
Harmony Health Plan of IN
Healthease
Ohana Health Plan
Staywell Health Plan
University Alliance
WellCare HMO
WellCare of Georgia
and WellCare CT

We can now process 276/277 requests (claim status). If this is a transaction you would like to utilize please make sure to enroll with the payer.

Page Category:

Commercial

Direct

Spectera

solace_admin — Mon, 29 Oct 2012 21:29:01 +0000

To submit claims to Spectera through our service, please contact Spectera and request a login and password to be able to submit claims directly via sftp.enshealth.com

Once you have the login and password please call the SolAce Support Team at 602-439-2525 option 1

Page Category:

Commercial

Direct

Partnership Health Plan of California

solace_admin — Mon, 29 Oct 2012 21:22:35 +0000

Please follow the Enrollment Instructions below to become an electronic submitter for Partnership Health Plan of California. Please be advised, direct connections to Partnership Health Plan of CA are only available to providers or vendors with a substantial monthly volume. If you will not be sending a large number of claims, please register to submit your PHP claims via Availity. You can access the instructions on how to sign up for an Availity account here: SolAce - Electronic Medical Claims - Availity Clearinghouse (solace-emc.com)

To bill claims electronically directly to Partnership Health Plan (PHP) using SolAce EMC, please contact the EDI Department of Partnership Health Plan of California at 707-863-4527 or email them at edi-production-support@partnershiphp.org. Let them know you will be using SolAce EMC to transmit claims, you will be a direct submitter, and you need a Submitter ID, SFTP Login ID and Password.

We can now process 276/277 requests (claim status). If this is a transaction you would like to utilize please make sure to enroll with the payer.

Our Vendor Information

Vendor Name – AXIOM Systems, Inc

Contact – EDI Team

Vendor Code – n/a

Phone – 602-439-2525

Fax – 602-439-0808

Address – 241 East 4th Street, Suite 200 Frederick, MD 21701

Software Name– SolAce EMC

E-mail – Support@SolAce-emc.com

Testing

Once you have received your Submitter ID and Password, please call the SolAce Support Team and set an appointment for a Mailbox setup and Test Transmission.

Please have 25 test claims ready for testing. Test files should consist of a variety of claims that represent the type of claims you will be submitting once production status is achieved. Test claims will not be processed for payment but will be validated against production files; therefore, they must contain valid patient procedure, diagnosis, and provider information.

Page Category:

Commercial

Direct

Availity Clearinghouse

solace_admin — Mon, 29 Oct 2012 21:22:35 +0000

Commercial Claims

Availity LLC is one of the largest EDI Clearinghouses in the Nation. Availity optimizes information exchange between multiple health care stakeholders through a single, secure network.

If we cannot provide you with a direct connection to a payer, we will help you enroll with Availity so you can still submit your claims via SolAce directly to Availity, who will then forward your claims to the appropriate receiver.

It is very easy to send electronic claims to Commercial Payers using SolAce EMC. Just give us a call at 602-439-2525 and we'll guide you through the process.

The link below will take you to Availity's official payer list.

Commercial Payer List Web Portal Version

AXIOM Systems, Inc. Software Vendor Information

Software Vendor Information
Vendor Name - AXIOM Systems, Inc.
Contact - EDI Team
Vendor Code - N/A
Phone - 602-439-2525
Fax - 602-439-0808
Address - 241 East 4th Street, Suite 200 Frederick, MD 21701
Software Name - SolAce EMC
Email - Support@SolAce-emc.com

Please follow these instructions to enroll with the Availity Clearinghouse.

Please Note: You are not applying for a Submitter ID with Availity. You are applying for a Logon ID and Password for their Online Portal.

Availity Enrollment

To apply for a Logon Id with Availity please go to www.availity.com

Click "Register" at the top

Select either Provider or Billing Service as your organization type, then "Register"

Do you have an Availity account? Select "No, I am New to Availity"
Check the box to agree to their terms then click "Sign Up"
Enter your First and Last name, phone, phone type, and your primary responsibility or role in your office
Enter your email address
Create a User ID (Please make sure you write this down, we will need this when we set up your mailbox)
Enter your Organization's Tax ID and NPI
Enter your Organizations Name, Phone, and Address
Enter your Taxonomy code and Payer Regions
Select "No, not at this time" in response to the SFTP Mailbox question
You will need to enter two patient's information as part of their verification process
Select "None of These" if you do not have check information to provide
Review your information then press "Looks good! Continue"
Print and Sign any documents that need to be sent back to Availity in order to complete your sign up

Waiting for a Response

Once the complete provider enrollment application has been received, the application will be processed. Processing will take approximately 24-48 hours from the date of receipt.

After processing, a confirmation email will be sent to you with your web portal password and further instructions. If neither confirmation nor a denial of your application is received, contact the Technology Support Center toll-free at 1-800-282-4548, option 2.

What to do next

Step 1

Once you have received your web portal password from Availity, please log in to their website at www.availity.com. You will be prompted to read three agreements, create three security questions, and change your password. Please make a note of your new password. Once you have completed those steps the main page will open. On the left-hand side click on "Account Administration", then click on "View Overall Security Profile". In this screen you will find your Organization Identifier (it should be your tax id.)

Note: If you submit claims to BCBS of Florida you should see a "BCBSF SENDER ID" here. Write it down and give it to the SolAce Support Tech that you will need to work with for Step 3. Confirm your profile is correct and log off.

Step 2

Please call the SolAce Support Team and set an appointment for a Mailbox setup.

Signing up for EOB's with Availity

To view which payers are able to route ERAs through Availity, you must search for the Payer ID or Name on the Availity Payer List. You will need to logon to your Availity Portal at www.availity.com to enroll for Electronic Remits.

There may be Payer Specific Forms that you will have to choose from in order to receive ERA’s from a certain payer via Availity instead of the Multi-payer form.

It is very important that you state what your Availity Login ID is on the EOB forms you complete. To find your Availity Login ID, login to SolAce and go to Setup/Mailboxes and double click on your Availity mailbox. Click on the connection tab and write down the ID in the Login ID box. Click cancel to close the box and close at the top right side of the screen. If the form requires you to enter your Genkey (now called a Customer ID), you can find your Customer ID in your Availity portal account, on the top of the page, under your Name, you should click on "who Controls my Access." A box should appear, and you should then see your customer ID. You can also contact Availity and ask for your customer ID.

If you have any questions regarding registration, please call the Availity EDI Technology Support Center at 1-800-282-4548, option 2.

The names of other companies, products and services are the property of their respective owners.

Page Category:

Commercial

Direct

American Specialty Health - ASHLink

solace_admin — Mon, 29 Oct 2012 21:22:35 +0000

Please follow the Enrollment Instructions below to become an electronic submitter for American Specialty Health.

In order to bill claims electronically to the American Specialty Health ASHLink network, providers must call 1-800-972-4226 and request a User ID, Password and Pin for the ASHLink Clearinghouse.

Once you receive your log in information for www.ashlink.com you must do the following:

Login to your account
Click Batch Claims at the top and complete the Questionnaire
- For your Practice Management System, choose Other and enter SolAce
- Yes SolAce is able to submit batch claims
- Choose both on the question asking how you currently submit claims
- Choose Yes to receive more information about testing for batch claims with ASH
- Submit your Questionnaire
- Check your Message Center (Inbox) in your Ashlink account to make sure you have been approved for Testing.
- Once you have been approved for Testing, call your SolAce Support team for assistance in setting up your new ASH Link mailbox for testing at 602-439-2525 option 1.

Testing

Please have 5 test claims ready for testing. Test files should consist of a variety of claims that represent the type of claims you will be submitting once production status is achieved. Test claims will not be processed for payment but will be validated against production files; therefore, they must contain valid patient procedure, diagnosis, and provider information.

You may need the following information regarding delimiters:

Segment Terminator: ~ (tilde)
Element Separator: * (asterisk)
Component (Sub element) Separator: : (colon)
Do not include a Carriage Return
Choose the Dial up (BBS) option for connection

We can now process 276/277 requests (claim status). If this is a transaction you would like to utilize please make sure to enroll with the payer.

Our Vendor Information

Vendor Name - AXIOM Systems, Inc

Contact - EDI Team

Vendor Code - N/A

Phone - 602-439-2525

Fax - 602-439-0808

Address - 241 East 4th Street, Suite 200
Frederick, MD 21701

Software Name - SolAce EMC

Email - Support@SolAce-emc.com

Page Category:

Commercial

Direct

GuildNet

solace_admin — Mon, 29 Oct 2012 21:22:35 +0000

Please follow the instructions below if you wish to submit your claims electronically to Guildnet.

Note: This is for Participating Providers Only

To Enroll for a Submitter ID with GuildNet for direct submission of 837P and/or 837I files through PCS, please email their Provider Relations Department at PCS_ProviderRelations@lighthouseguild.org. In the body of your e-mail let them know you are interested in applying for a Submitter ID so you can send your electronic claims directly to them.

We can now process 276/277 requests (claim status). If this is a transaction you would like to utilize please make sure to enroll with the payer.

Our Vendor Information

Vendor Name - AXIOM Systems, Inc.

Contact - EDI Team

Vendor Code - N/A

Phone - 602-439-2525

Fax - 602-439-0808

Address - 241 East 4th Street, Suite 200
Frederick, MD 21701

Software Name - SolAce EMC

E-mail - Support@SolAce-emc.com

Testing

Once you have received your Submitter ID and password from Guildnet, please call the SolAce Support Team at 602-439-2525 and set an appointment for a Mailbox setup and Test Transmission.

Please have 20 test claims ready for testing. Test files should consist of a variety of claims that represent the type of claims you will be submitting once production status is achieved. Test claims will not be processed for payment but will be validated against production files; therefore, they must contain valid patient procedure, diagnosis, and provider information.

Page Category:

Commercial

Direct

Colorado Access

solace_admin — Mon, 29 Oct 2012 21:22:35 +0000

Please follow the enrollment instructions below to become an electronic submitter for Colorado Access.

To enroll for a Submitter ID with Colorado Access please contact their EDI Operations Team by sending an email to EDI_Coordinator@coaccess.com. Let them know you are interested in applying for a Submitter ID so you can send your electronic claims directly to them.

Please let them know the following information:
- You will be a direct submitter
- You need an SFTP Connection
- You are NOT using a Clearinghouse
- You are either sending 837P, Professional and/or 837I, Institutional Claims
- Let them also know your billing software is called SolAce EMC by AXIOM Systems Inc. formerly Ivertex.
- If you wish to receive electronic remittance advice please indicate that in the email and they will provide further instructions for 835 retrievals.

They will assign you a Submitter ID, an SFTP Login ID and an SFTP Password. You must then call our SolAce Support Team so we can help you send your first test file (see below for more information on testing requirements).

We can now process 276/277 requests (claim status). If this is a transaction you would like to utilize please make sure to enroll with the payer.

Our Vendor Information

Vendor Name - AXIOM Systems, Inc.

Contact - EDI Team

Vendor Code - N/A

Phone - 602-439-2525

Fax - 602-439-0808

Address - 241 East 4th Street, Suite 200
Frederick, MD 21701

Software Name - SolAce EMC

E-mail - Support@SolAce-emc.com

Testing

Once you have received your Submitter ID and Password from Colorado Access, please call the SolAce Support Team and set an appointment for a Mailbox setup and Test Transmission.

Please have 20 test claims ready for testing. Test files should consist of a variety of claims that represent the type of claims you will be submitting once production status is achieved. Test claims will not be processed for payment but will be validated against production files; therefore, they must contain valid patient procedure, diagnosis, and provider information.

Page Category:

Commercial

Direct