Texas Medicaid
Please follow the Enrollment Instructions below to become an electronic submitter for Texas Medicaid.
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 Medicaid office prior to initiation of electronic claim submission or inquiry.
- Trading Partner Application and Enrollment Form
- EDI Trading Partner Agreement
- EDI Agreement (for LTC Providers Only)
If you have any questions regarding any of the documents in this package, please call the TX Medicaid EDI Technology Support Center at 888-863-3638
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 - 122 E Patrick St #105 Frederick, MD 21701 |
| Software Name - SolAce EMC |
| E-mail - Support@SolAce-emc.com |
Trading Partner Application and Enrollment Form
Contact Information
- Please enter your contact name
- Please enter your address
- Please enter your email address and phone number
- Please enter your state
Entity Type
- Please select "Billing Agent, Business Agent, or Third-Party Billing Vendor"
Subcontractor
- Please check the box "Not Applicable"
Access Type
- Please select your type of business
Subcontractor Information
- Please check the box "Not Applicable"
Data Collection, Use, and Retention
- Please check the box "Yes"
- Please enter "6 Years, for the purpose of audits and compliance with federal and state regulations"
Access to Information
- Please check the box "No"
EDI Trading Partner Agreement
Section 3
- Please enter your NPI and Provider Name
Section 4
- Please enter your Provider or Company Name
- Please enter your address
- Please enter your Contact Name
- Please enter your phone number
- Please enter your email address
Section 5
- Please Sign your name next to "By:"
- Please print your name
- Please enter your Title
- Please enter today's date
EDI Agreement for LTC Providers
- On page 5 please enter the date, the legal name of provider, and your TX Medicaid Provider Number
- On page 6 please enter the legal name of Provider, Sign, Print Name/title, then enter your address
- Please re-enter the same information on pages 7 and 8
- On page 9 please enter provider name, address, provider number and phone number
- On page 10 please check the box for "I will use some other software" then enter "Axiom Systems" for our name
- Please check the box for 837 Institutional if you bill UB 04 claims or 837 Professional if you bill on a CMS 1500
- Please sign, print your name, title and today's date
- On page 11 please enter your provider number, name, address, phone, fax, email address then sign and date
Submitting your Forms
It is recommended that you keep a copy of all the forms you will be submitting for your records. Mail the original trading partner agreement and EDI Enrollment forms reflecting original signatures to:
Texas Medicaid & Healthcare Partnership
Attn: EDI
PO Box 204270
Mail stop — EDI-B14
Austin, TX 78720-4270
It is very important that you complete and return the entire enrollment packet as described above. Incomplete packets will not be processed and will be returned to the submitter.
Waiting for a Response
Once the complete provider enrollment packet has been received, the documents will be processed. Please allow up to 30 days for processing.
After processing, a Submitter ID will be assigned for end-to-end system testing. If neither confirmation nor a returned packet is received after 30 days, please contact the TX Medicaid EDI Technology Support Center at 888-863-3638.
Once you've been assigned a Submitter ID, please send an email to: ediconnectivitysupport@tmhp.com providing your company name, tax ID, NPI, TX Provider ID, and newly assigned Submitter ID and let them know you wish to send via SFTP. They will provide the credentials for submitting via SFTP.
Testing
Once you have received your Submitter ID and SFTP Login ID and Password from TX Medicaid, please call the SolAce Support Team at 602-439-2525 and set an appointment for a Mailbox setup and Test Transmission to Medicaid.
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.
customer Testimonial
From our customers
I am very pleased with our SolAce billing software and how easy it is to navigate. They have a great team who can train you to do billing even if you don’t have billing experience. Special thanks to Cathy, Gigi, and Skyler who always helps me out every time I have issues.
SolAce is awesome software. I absolutely LOVE it. For over three years I have used this software daily for multiple long term care facilities to submit claims to various MACs, Medicaid, and Medicare Advantage and Supplemental Insurance carriers. It is convenient, simple to use and far less costly than any Clearing House software I had explored. The ability to import from my Practice Management Software and Therapy Providers has reduced any RTP claims edits and denials are a thing of the past. Customer Support is “Johnny on the spot”, but terrific as they may be, it gets better - RARELY do I need to call. LOVE IT, LOVE IT, AND LOVE IT.
I think our medical office was one of the first to use SolAce in the mid 1990’s and we are still using it today for all of our electronic billing because it works ! It was simple for our staff to learn and it integrated easily with our accounting/billing program. It has been especially nice to know that the Axiom staff is there when Medicare changes something and they are right on it. They made the 5010 change a simple process plus made educational seminars available to us. Thank you to all the Axiom/ Ivertex professionals who have helped us for the last 15+ years.
SolAce has been a valuable tool that has been a life saver for my billing service for years. It has allowed me to bill professional and institutional claims with ease. Customer service @ SolAce is top rated in my opinion. The SolAce product is very user friendly and affordable. Thank you SolAce team for a great product.
Easy to use, Customer support has always been excellent, Thanks SolAce Team.
I am a new client and was having a tough time getting everything set up just right. I had to make calls to CEDI and when I called back the rep I spoke with prior even helped the 2nd rep to make sure I got all the info I needed. They definitely work as a team. Within a short period of time they had my system up and running. I never could've done it without them.
Awesome customer service every time!
I can't tell you how wonderful it is to work with your agency. They are courteous, knowledgeable,friendly, and a joy to work with - I can't say enough. Thank you!!
The service was very good. Phone answered promptly even though it was around 6 p.m. my time. Very courteous and helpful. So far I have had really good experiences with your support team.
The follow-up is outstanding - whenever there is an issue I am contacted to be sure that all is working well and to my satisfaction.
Everyone in your company is very helpful and pleasant, and they always have the quickest response time on fixing the situation.
Tech was very helpful, very patient and very professional. She knew of the issue quickly and stayed at hand until issue was resolved. Very satisifed with the service.
