Enrollment Instructions

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

Required Documents for those applying for new EDI Submitter IDs

The following documents are required enrollment documents that must be completed, signed and returned to the KY Medicaid office prior to initiation of electronic claims submission or inquiry. If you are a Provider 1. BBS EDI Application 5010 (to be completed first) 2. Electronic Media Addendum (MAP 380) (only submit after receipt of submitter ID) 3. 835 Request 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 HMSA office prior to initiation of electronic claims submission or inquiry. 1. Electronic Trading Partner Agreement If the above link does not work properly, please download the form from: www.hmsa.com/portal

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 CT Medicaid office prior to initiation of electronic claims submission or inquiry. 1. Trading Partner Agreement 2. To fill out this online form, please go 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 Palmetto GBA office prior to initiation of electronic claims submission or inquiry. 1. J1 Palmetto GBA EDI Enrollment Packet If you have trouble accessing the link listed above, please download the packet from here:

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

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. If you would like to become a Michigan Medicaid Billing Agent, you MUST complete the Billing Agent enrollment application within the CHAMPS system. The CHAMPS Web Application resides within the Michigan Department of Community Health (MDCH) Single Sign-On (SSO) website.

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 Blue Cross Blue Shield office prior to initiation of electronic claims submission or inquiry. 1. BCBSMS Electronic Submissions of Claims Agreement If the link above does not work properly, please download the form from here: http://www.bcbsms.com You will find the form under the Administrative section at the very bottom of the page

SolAce EMC users are automatically approved for Alabama Blue Cross Blue Shield direct billing!

To begin submitting claims directly to BCBS of AL please contact our helpdesk at 602.439.2525 option 1 and request this connection.

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 DHS office prior to initiation of electronic claims submission or inquiry. 1. EDI Registration Form 2. Application for Authorization Form 3. Trading Partner Agreement

Required Documents for those with existing Submitter Ids but need to make changes to their account:

Enrollment Instructions

Thank you for your interest in Electronic Data Interchange (EDI). If you are a contracted provider and have not received your Internet Pin letter, please call our Internet Help Desk at (405)522-6205 or (800)522-0114, select option 2, then option 1 to request your Pin.

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 EDS office prior to initiation of electronic claims submission or inquiry. 1. DI/ERA Application for Providers

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customers 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.

Shani Madaminova,
Administrator
Best Home Care, Inc
Jersey City, NJ

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.

Susie Doran Carter, Westcare Management, Inc.
LTC Medicare Consultant and Billing Service
Salem, OR

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.

Carolyn Boles
From the office of Donald J. Boles Jr. MD PC
Tempe, AZ

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.

S. Bowling
Idabel, Oklahoma

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

Carl Shepherd
IT Administrator
THE WYNN GROUP, INC
Dublin, GA

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.

Denise
Margate, FL

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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!!

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Bemidj, MN

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.

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Mahornet, IL

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.

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