Enrollment Instructions

Thank you for your interest in Electronic Data Interchange (EDI). All providers must first register for Noridian’s Total Onboarding System in order to become an electronic submitter. Guides can be found at http://www.edissweb.com/cgp/forms/onboard.html Once you have established your Total On Boarding Account, please log into your account.

• On the first page, click the “Manage NPIs” button and choose your billing NPI.
• Select the transaction types you want to enroll your Billing NPI for:
  • For Professional claims, click “Enroll” for 837P (5010A1)
  • For Institutional claims, click “Enroll” for 837I (5010A1)
  • To receive your EOBs electronically, click “Enroll” for 835 (5010A1)

Enrollment Instructions

Thank you for your interest in Electronic Data Interchange (EDI). All providers must first register for Noridian’s Total Onboarding System in order to become an electronic submitter. Guides can be found at http://www.edissweb.com/cgp/forms/onboard.html Once you have established your Total On Boarding Account, please log into your account.

• On the first page, click the “Manage NPIs” button and choose your billing NPI.
• Select the transaction types you want to enroll your Billing NPI for:
  • For Professional claims, click “Enroll” for 837P (5010A1)
  • For Institutional claims, click “Enroll” for 837I (5010A1)
  • To receive your EOBs electronically, click “Enroll” for 835 (5010A1)

Enrollment Instructions

Thank you for your interest in Electronic Data Interchange (EDI). All providers must first register for Noridian’s Total Onboarding System in order to become an electronic submitter. Guides can be found at http://www.edissweb.com/cgp/forms/onboard.html Once you have established your Total On Boarding Account, please log into your account.

• On the first page, click the “Manage NPIs” button and choose your billing NPI.
• Select the transaction types you want to enroll your Billing NPI for:
  • For Professional claims, click “Enroll” for 837P (5010A1)
  • For Institutional claims, click “Enroll” for 837I (5010A1)
  • To receive your EOBs electronically, click “Enroll” for 835 (5010A1)

Enrollment Instructions

Thank you for your interest in Electronic Data Interchange (EDI). All providers must first register for Noridian’s Total Onboarding System in order to become an electronic submitter. Guides can be found at http://www.edissweb.com/cgp/forms/onboard.html Once you have established your Total On Boarding Account, please log into your account.

• On the first page, click the “Manage NPIs” button and choose your billing NPI.
• Select the transaction types you want to enroll your Billing NPI for:
  • For Professional claims, click “Enroll” for 837P (5010A1)
  • For Institutional claims, click “Enroll” for 837I (5010A1)
  • To receive your EOBs electronically, click “Enroll” for 835 (5010A1)

Enrollment Instructions

Thank you for your interest in Electronic Data Interchange (EDI). All providers must first register for Noridian’s Total Onboarding System in order to become an electronic submitter. Guides can be found at http://www.edissweb.com/cgp/forms/onboard.html Once you have established your Total On Boarding Account, please log into your account.

• On the first page, click the “Manage NPIs” button and choose your billing NPI.
• Select the transaction types you want to enroll your Billing NPI for:
  • For Professional claims, click “Enroll” for 837P (5010A1)
  • For Institutional claims, click “Enroll” for 837I (5010A1)
  • To receive your EOBs electronically, click “Enroll” for 835 (5010A1)

Enrollment Instructions

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

Required Process for those applying for new Submitter IDs

The following procedure has been established for electronic HIPAA Claims submission: (Link for instructions: http://dhmh.maryland.gov/hipaa/SitePages/testinstruct.aspx ) A provider who would like to submit claims electronically must successfully complete two phases of testing. 1. Phase One testing is through the EDIFECS Commerce Desk. 2. Phase Two testing is through the Maryland Medicaid Electronic Exchange (MMEE) Portal. This phase will be processed through the MMIS-II test region. Phase 1 - EDIFECS Commerce Desk New applicants must submit an e-mail to HIPAAEDITEST@DHMH.STATE.MD.US

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 MA BCBS office prior to initiation of electronic claims submission or inquiry. 1. EDI Trading Partner Enrollment Form 2. Secure FTP Account Request Form In order to receive these forms you will need to call MA BCBS directly and let them know you need the forms listed above because you are applying for a Submitter ID in order to become a Direct Submitter using SolAce EMC.

Enrollment Instructions

Thank you for your interest in Electronic Data Interchange (EDI). To apply for an electronic Submitter ID and Password for TX Medicaid’s billing system please call 888-863-3638 and ask for the EDI helpdesk. Once you have a representative on the phone please give them your Provider number and ask if they can set you up for electronic billing. They should assign you a user name and password. They will also ask for your software vendor information, which is provided in the table below.

Required Information

We recommend that you have the following information ready before filling out your forms:

Pages

Your Submitter Information	Software Vendor Information

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