Delaware Medicaid

Please follow the Enrollment Instructions below to become an electronic submitter for Delaware Medicaid.

Required Documents for those applying for new Submitter IDs


The following enrollment process is required  and must be completed, signed and submitted to the Delaware Medicaid office prior to initiation of electronic claims submission or inquiry.

Please click the following link to begin their online Trading Partner Enrollment Process:


  1. Online Trading Enrollment


If the above link does not work properly please click this link to go to their Home Page:

Next click the link on the left for "Trading Partner Enrollment" then "Enrollment Application" on the following page.

If you have any questions regarding any of the options on their online portal, please call the Delaware Medicaid EDI Technology Support Center at 1-800-999-3371.


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.


Electronic Claim Submission (ECS) Provider Agreement



  • Please press "Continue" once done reading their welcome page

Profile Information

  • Please enter your Provider or Business name as the Trading Parnter Name

  • Please enter your address

  • For Type of Business enter Provider if you are billing on your own behalf or Billing Company if you are a billing service billing on behalf of the provider

  • Please enter enrollment and EDI contact information

  • Please press "Continue"

Transaction Sets

  • Please select "837I Health Care Claim: Institutional" if you send institutional claims (UB 04)

  • Please select "837P Health Care Claim: Professional" if you send professional claims (CMS 1500)

  • Please select "835 Health Care Claim Payment/Advice" if you wish to receive electronic remits

  • Press "Continue" once done

Electronic Signature Agreement

  • Click the box to "Accept"

  • Enter your Name in the box to electronically sign the document

  • Please press "Submit" to submit your application

Summary Page

  • Please print out this page for your records


Submitting your Forms


It is recommended that you keep a copy of the enrollment summary page for tracking purposes.


It is very important that you complete the entire process as described above. Incomplete applications will not be processed.


Waiting for a Response

Once the complete provider enrollment application has been submitted it will be processed. Processing will take approximately two weeks from the date of receipt.

After processing, a confirmation will be sent to you as notification to begin filing claims electronically. If confirmation is not received after two weeks, contact the Technology Support Center toll-free at 1-800-999-3371.



Once you have received your Submitter ID and Password from Delaware Medicaid, please call the ClaimShuttle Support Team at 602-439-2525 and set an appointment for a Mailbox setup.

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