Enrollment Instructions

Thank you for your interest in Electronic Data Interchange (EDI).

Required Documents for those applying for new Submitter IDs

The following documents are required enrollment documents that must be completed, signed, and returned tot he Wisconsin Medicaid office prior to initiation of electronic claims submission or inquiry. 1. Trading Partner Profile (Submit Online) Click on Trading Partner Profile then click on Submit Online If you have any questions regarding any of the documents in this package, please call the Wisconsin Medicaid EDI Technology Support Center at 1-866-416-4979.

If you are interested in submitting claims electronically to CL Frates, please call the SolAce Support Team at 602-439-2525. We will need to conference call this payer with you on the phone in order to get you set up as a direct submitter, apply for your Submitter ID, and go through their testing process.

Enrollment Instructions

Thank you for your interest in Electronic Data Interchange (EDI).

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 ACS office prior to initiation of electronic claims submission or inquiry. Providers, please print and fill out these forms: 1. Provider Submission Agreement 2. Electronic Remittance (835) Authorization Form Billing Services please print and fill out this form:

Enrollment Instructions

Thank you for your interest in Electronic Data Interchange (EDI).

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 claims submission or inquiry. 1. IHP Trading Partner Profile (must be completed online) 2. IHP Trading Partner Agreement (must be printed and mailed in) If the above links do not work properly, please download the forms here:

Enrollment Instructions

Thank you for your interest in Electronic Data Interchange (EDI).

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 MassHealth office prior to initiation of electronic claims submission or inquiry. 1. Trading Partner Agreement If you have difficulty accessing the link above, please go here to download the form: http://www.mass.gov/eohhs/gov/laws-regs/privacy-security/masshealth/edi/masshealth-trading-partner-agreement.html

Enrollment Instructions

Thank you for your interest in Electronic Data Interchange (EDI).

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 LA BCBS office prior to initiation of electronic claims submission or inquiry. 1. Electronic Trading Partner Agreement (you will need to complete 2 copies of this form in ink) If the above link does not work properly, please go here to download the form: http://www.bcbsla.com

Enrollment Instructions

Thank you for your interest in Electronic Data Interchange (EDI).

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 EDS office prior to initiation of electronic claims submission or inquiry. 1. Kansas MMIS Electronic Data Interchange Application If the above link does not work properly, please download the form from: https://www.kmap-state-ks.us/
  • Choose EDI at the top then select EDI Application

Enrollment Instructions

Required Documents for those applying for new Submitter ID's

The following documents are required enrollment documents that must be completed, signed and returned to the ASK office prior to initiation of electronic claims submission or inquiry. 1. Enrollment Form (Claims) 2. Enrollment (Electronic Remittance) If you are an existing Submitter, but need to change your information please complete the following: 1. Change Form http://www.ask-edi.com/pdf-docs/EDI_Change_Form.pdf

Required Information

Enrollment Instructions

Thank you for your interest in Electronic Data Interchange (EDI).

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 Idaho Blue Cross office prior to initiation of electronic claims submission or inquiry. 1. EDI Registration Form If the link listed above does not work properly, please go here: https://www.bcidaho.com/edi_clearinghouse/index.asp Then scroll down to Provider Information and click on “”EDI Registration Form”

Enrollment Instructions

Thank you for your interest in Electronic Data Interchange (EDI).

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 HP office prior to initiation of electronic claims submission or inquiry. 1. Trading Partner Agreement (Provider) 2. SFTP Access Request Form

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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.

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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.

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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.

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From the office of Donald J. Boles Jr. MD PC
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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.

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Easy to use, Customer support has always been excellent, Thanks SolAce Team.

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THE WYNN GROUP, INC
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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.

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