Western Highland
Please follow the Enrollment Instructions below to become an electronic submitter for Western Highland.
Required Documents for those applying for new Submitter IDs
The following documents are required documents that must be completed and returned to the Western Highlands office prior to initiation of electronic claim submission or inquiry.
1. Trading Partner Agreement
2. Care Coordination Information Systems (CCIS) User ID Assignment Request
3. 835 Request or Termination Form (to be completed and sent after receipt of submitter id)
If the above links do not work properly, please download the forms from here:
www.westernhighlands.org
If you have any questions about the enrollment forms or process, please call the EDI Operations Team at 828-225-2785 ext 2173 and ask for Diane Overman. You can also send an email to wheditesting@westernhighlands.org
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 - 241 East 4th Street, Suite 200 Frederick, MD 21701 |
| Software Name - SolAce EMC |
| E-mail - Support@SolAce-emc.com |
Trading Partner Agreement
Please Note: You may fax this form in for expedited processing, however you must ALSO submit two signed copies by mail to Western Highland 356 Biltmore Avenue, Asheville, NC 28801
On Page Four, Select the Following Transactions:
- Professional Claim: ASC X12N 837 for Professional Claim Submission
- Institutional Claim: ASC X23N 837 for Institutional Claim Submission
- Health Care Payment and Remittance Advice: ASC X12N 835 for Electronic EOB’s
- Implementation Acknowledgment for Health Care Insurance: ASC X12 999
- Health Care Claim Acknowledgment: ASC X12 277CA
On Page Five, Fill out the Signature Section on the Left
CCIS User ID Assignment Request
Complete the applicable sections as follows:
- Enter your company Name, Address, Phone and your Provider ID on the left
- If you are using a Billing Agency enter their information on the right side
- Enter your Name and Contact info as well as your role
- On the last section sign and date, and have a supervisor enter their signature and phone number
- Part II is for WHIS only
835 Request or Termination Form
(Fill out this form after receipt of your Submitter ID to receive your ERAs electronically)
- Check Request 835 Set Up
- Check 835 Direct to Provider
- If using a billing service enter their information in step 2
- Enter the Date, you Submitter ID and your Medicaid Provider number
- Enter your Providers name and the Contact name and email for your office
- Enter the demographic and contact information and have the provider print their name and sign the application.
- Return by fax to Western Highlands Network at 828-258-1225.
Submitting your Forms
It is recommended you keep a copy of all forms for your records. Please fax the enrollment forms to:
828-258-1225
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. Processing will take approximately two weeks from the date of receipt. (Remember that mailing time can take as much as five days.)
After processing, you will receive a phone call as notification to begin filing claims electronically. If neither confirmation nor a returned packet is received after two weeks, contact the EDI Technology Support Center at 828-225-2785 ext. 2173 and ask for Diane Overman.
Testing
Once you have received your Submitter ID and Password from Western Highland, please call the SolAce Support Team and set an appointment for a Mailbox setup and Test Transmission.
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.
