Payer List
Payer Enrollment Forms By State
| Commercial Claims | |
SolAce can also submit claims to two clearinghouses. Our preferred clearinghouse partner is Availity (formerly THIN).
|
 |
Payer Links and Enrollment Information
Ivertex™ allows providers to have the best of both worlds: "Direct Connections" and "Clearinghouse Connections". New clients will need to complete payer enrollment forms in order to receive the appropriate EDI submitter IDs for ANSI submissions. Ivertex makes this process as easy as possible.
Payers that allow direct transmission require you to enroll with their EDI (Electronic Data Interchange) department. Once enrolled you will be able to transmit claims directly to their system, and their system should send back acknowledgments and acceptance/exception reports.
Direct Connections in SolAce
• Require a separate enrollment form to be completed for that specific payer. Most of the time this enrollment process acts as a Trading Partner Agreement between you and that payer. Once a payer processes this enrollment form they will send you a logon/password and a submitter ID. Initially, some payers require that a test file of 10 or more claims be sent. This is a simple process using SolAce since we automate the transmission portion of the test. Testing is part of the normal process that everyone must follow and results are dependent on the payer's turn-around time.
• Once you have your submitter information it will be entered into SolAce and stored for transmission purposes.
Clearinghouse Connections in SolAce
• We support 2 clearinghouses in SolAce. The clearinghouses may have a few of the same connections that SolAce can reach directly; ideally any "Direct Connection" submission will be the best avenue. You will be required to sign a third party service agreement with the clearinghouse you choose and that clearinghouse may charge for additional services.
• Availity is the national clearinghouse supported in SolAce. Availity has over 1000 payers on their participating payer list, and they update their list often. Please note that Availity can charge for non-participating payers and will mail paper claims for the cost of a stamp. Most of our clients print their own claims using either their practice management system or the print features in SolAce. Generally, Availity is free other than paper claims and certain government claims.
• Ivertex recommends using the SolAce Support Team as your first line of support prior to calling Availity.
• Customers in Arizona can also choose to use the AZBCBS ECommerce Service. AZBCBS ECommerce Service is the second clearinghouse supported in SolAce.
Change of Vendor Forms
Do you currently submit claims directly to your payers electronically? If "yes", we will send you the appropriate Change of Vendor Instructions for those payers if appropriate. Please keep in mind that in most cases payers will have you complete new enrollment forms.
If you have any questions, please email enrollment@solace-emc.com.
The names of other companies, products and services are the property of their respective owners.
Availity Clearinghouse
Commercial Claims
It is very easy to send electronic claims to Commercial Payers using SolAce EMC. Just give us a call at
Our preferred national clearinghouse partner is Availity (formerly THIN). The payer list below is already built-in to SolAce EMC, as are the payer lists for some other clearinghouses. The link below will take you to Availity's official payer list in case you want a hard-copy list right now.
|
Commercial Payer List
|
|
Enrollment
If your office has high-speed internet and you would like to submit commercial claims to Availity using SolAce, please use the document below for enrollment instructions.
NOTE: If you are a BILLING SERVICE, Please download the file below named "Instructions4BillingServices_ONLY.pdf" in addition to the Availity FTP Enrollment.
If you do not have high-speed internet in your office and would like to submit commercial claims to Availity using your dial-up modem connection, please call us at 602-439-2525 and request to be setup with Availity via Dial-up.
Optional Print and Mail Service
Availity also offers print-and-mail service for your paper claims for a per claim charge equal to the cost of a stamp. Fill out and submit the All-Payer-Print form below to turn on this service.
All Payer Print (APP) Enrollment Form
Receiving Electronic EOBs through Availity
Please download the file below titled "EOBs_with_Availity.pdf"
So sign up and bill your commercial claims electronically now!
The names of other companies, products and services are the property of their respective owners.
Alabama Payers
Follow the links below to enroll with payers in Alabama.
Alabama Blue Cross Blue Shield
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with BlueCross BlueShield of Alabama.
Alabama Medicaid
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Alabama Medicaid.
Alabama Medicare : Cahaba
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Cahaba GBA.
Alaska Payers
Follow the links below to enroll with payers in Alaska.
Alaska Blue Cross Blue Shield
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Premera Blue Cross Blue Shield of Alaska.
Alaska Medicaid: ACS
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with ACS.
Alaska Medicare A or B: Noridian
Click the attachments below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Noridian Administrative Services.
American Samoa
If you are interested in sending claims directly to a payer in American Samoa,
please contact us at 602-439-2525.
Arizona Payers
Follow the links below to enroll with payers in Arizona.
American Specialty Health - ASHLink
If you are interested in submitting electronic claims to American Specialty Health (ASHLink) using the SolAce billing software, please download the attached .pdf file below.
Arizona Blue Cross Blue Shield
If you are interested in billing claims electronically to Arizona Blue Cross Blue Shield, click on the attachment below for complete instructions.
Arizona Foundation for Medical Care
Enrollment
If you are interested in billing claims electronically to Arizona Foundation (AZFMC) please read below for complete instructions.
To submit directly to Arizona Foundation using SolAce EMC, please visit their website and fill out
the online form on their web page at:
Once you have filled out the form, a representative from AZ Foundation will contact your office with further instructions.
Required Information
We recommend that you have the following information ready before filling out your forms:
| Your Submitter Information | Software Vendor Information |
|---|---|
| Name | Vendor Name – Ivertex |
| Address | Contact – EDI Team |
| Phone and Fax Numbers | Vendor Code – n/a |
| E-mail Address (if any) | Phone – 602-439-2525 |
| Contact Name (if other than name above) | Fax – 602-439-0808 |
| Provider PIN numbers for this payer | Address – PO Box 86609 Phoenix, AZ 85080 |
| Organization or Group PINs for this payer | Software Name– SolAce EMC |
| E-mail – Support@Ivertex.com |
Testing
Once you have received your Submitter ID and password from Arizona Foundation, please call the Ivertex 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.
Arizona Medicare A or B: Noridian
If you are interested in billing electronic professional claims to Noridian Administrative Services for Arizona Medicare Part A or Arizona Medicare Part B using SolAce EMC, click on the attachments below for complete instructions.
Pima Health System
If you are interested in billing electronic claims to Pima Health Systems please download the file attachment below for instructions.
Yavapai LTC
To apply for a Submitter ID with Yavapai LTC, please print the attachment below.
Arkansas Payers
Follow the links below to enroll with payers in Arkansas.
Arkansas Blue Cross Blue Shield
Click the attachments below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Arkansas BlueCross BlueShield.
Arkansas Medicaid
To apply for an Arkansas Medicaid electronic submitter ID and bill your claims electronically , please go to the following website and click the link for "Submitter Registration Form":
If you have any questions regarding any of the documents in this package, please phone the EDI Technology Support Center at the following numbers:
- In-state toll-free: (800) 457-4454
- Local and out-of-state: (501) 376-2211
Select option 0 for "Other inquiries" and then option 1 for "EDI Support Center" when prompted.
Click the attachments below to download our full set of instructions on how you can apply for a Submitter Id with Arkansas Medicaid.
Arkansas Medicare Part A & B: Pinnacle/AR BCBS
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Pinnacle Medicare Services (formerly known as Arkansas Blue Cross Blue Shield) for your Arkansas Medicare Part A & B claims.
California Payers
Follow the links below to enroll with payers in California.
California Alcohol and Drug Program
Click the attachments below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with California Medicaid's Alcohol and Drug Program (ADP).
California Blue Cross
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with California Blue Cross.
California MediCal
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with California Medi-Cal.
California Medicare : J1 Palmetto
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Palmetto for California Medicare.
Partnership Health Plan of California
Enrollment
Thank you for your interest in Electronic Data Interchange (EDI).
To bill claims electronically directly to Partnership Health Plan (PHP) using SolAce EMC, please contact Melissa Chavez of Partnership Health Plan of California at 707-863-4285. Let her know that you will be using SolAce EMC to transmit claims.
Required Information
We recommend that you have the following information ready before filling out your forms:
| Your Submitter Information | Software Vendor Information |
|---|---|
| Name | Vendor Name – Ivertex |
| Address | Contact – EDI Team |
| Phone and Fax Numbers | Vendor Code – n/a |
| E-mail Address (if any) | Phone – 602-439-2525 |
| Contact Name (if other than name above) | Fax – 602-439-0808 |
| Provider PIN numbers for this payer | Address – PO Box 86609 Phoenix, AZ 85080 |
| Organization or Group PINs for this payer | Software Name– SolAce EMC |
| E-mail – Support@Ivertex.com |
Testing
Once you have received your Submitter ID and password, please call the Ivertex 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.
Colorado Payers
Follow the links below to enroll with payers in Colorado.
Colorado Blue Cross Blue Shield: Anthem
Click the attachments below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Anthem for Colorado Blue Cross Blue Shield.
Colorado Medicaid: ACS
Click the attachments below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with ACS for Colorado Medicaid.
J4 Medicare: Trailblazer
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Trailblazer for Colorado Medicare.
NOTE:If you are an existing Trailblazer Submitter and would like to now apply to receive your ERA's electronically in SolAce, please download the file below named "J4_Trailblazer_ERAReqForm.pdf"
WPS Transition to Trailblazer
For those who currently submit Legacy Part A claims to WPS which was previously serviced by Mutual of Omaha, please download the file attached below to apply for a Submitter ID and Password with Trailblazer Health who will be the new receiver of your claims effective October 14, 2010.
Connecticut Payers
Follow the links below to enroll with payers in Connecticut.
Connecticut Blue Cross Blue Shield: Anthem
Click the attachments below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Anthem for Connecticut Blue Cross Blue Shield.
Connecticut Medicaid: EDS
To submit claims electronically to Connecticut Medicaid, please download the enrollment instruction file attached below.
J13 Medicare: NGS
Click the attachment below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with National Government Services (NGS) for Connecticut Medicare.
Delaware Payers
Follow the links below to enroll with payers in Delaware.
Delaware Medicaid
Please download the file below for instructions on how to apply for a Submitter ID with Delaware Medicaid.
J12 Medicare: HGSA
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Highmark Medicare Services (HGSA) for Delaware Medicare.
Department of Labor
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with ACS for your Department of Labor claims.
District of Columbia Payers
Follow the links below to enroll with payers in District Of Columbia.
District of Columbia Medicaid: ACS
SolAce has been tested in several other ACS Medicaid states but has not to date been used by a customer in District of Columbia.
If you would like to bill electronic claims directly to ACS for DC Medicaid, please contact our support team at (602)439-2525 or send us an email at support@ivertex.com.
J12 Medicare: HGSA
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Highmark Medicare Services (HGSA) for Distict of Columbia Medicare.
Durable Medical Equipment: DME
Please choose from the jurisdictions below.
DMERC: All Regions NGS
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with National Government Services (NGS) for your Durable Medical Equipment (DME) claims.
Florida Payers
Follow the links below to enroll with payers in Florida.
Florida Medicaid: EDS
Click the attachments below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Florida Medicaid (EDS).
Florida Medicare B: First Coast
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with First Coast for Florida Medicare.
Georgia Payers
Follow the links below to enroll with payers in Georgia.
Georgia Blue Cross Blue Shield
If you are interested in billing claims electronically to Georgia Blue Cross Blue Shield, click on the attachment below for complete instructions.
Georgia Medicaid: ACS
Click the attachments below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with ACS for Georgia Medicaid.
Georgia Medicare: Cahaba
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Cahaba for Georgia Medicare.
Guam
If you are interested in billing claims directly to a payer in Guam,
please contact us at 602-439-2525.
Hawaii Payers
Follow the links below to enroll with payers in Hawaii.
Hawaii Blue Cross Blue Shield: HMSA
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with HMSA for Hawaii Blue Cross Blue Shield.
Hawaii Medicaid: ACS
SolAce has been tested in several other ACS Medicaid states but has not to date been used by a customer in Hawaii.
If you would like to bill electronic claims directly to ACS for Hawaii Medicaid claims , please contact our support team at (602)439-2525 or send us an email at support@ivertex.com.
Hawaii Medicare : J1 Palmetto
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Palmetto for Hawaii Medicare.
Idaho Payers
Follow the links below to enroll with payers in Idaho.
Idaho Blue Cross
Enrollment
Thank you for your interest in Electronic Data Interchange (EDI).
You are on your way to billing your Idaho Blue cross claims electronically!
To enroll for electronic claim submission, please email Ken Russell from Idaho Blue Cross at krussell@bcidaho.com.
Please make sure your email includes the following:
· A short statement stating that you would like to apply for an electronic Submitter ID so you can send electronic claims to Blue Cross of Idaho
· Your Business/ Practice or Provider Name
· Your Tax ID
· Your Blue Cross Provider ID
· The name of the Software you will be using : SolAce EMC
· The name of the Vendor for your software: Ivertex
Once you've received your Idaho Blue Cross Submitter ID, please contact the SolAce Support team to schedule a time to setup your new Blue Cross mailbox.
Required Information
We recommend that you have the following information ready before filling out your forms:
| Your Submitter Information | Software Vendor Information |
|---|---|
| Name | Vendor Name – Ivertex |
| Address | Contact – EDI Team |
| Phone and Fax Numbers | Vendor Code – n/a |
| E-mail Address (if any) | Phone – 602-439-2525 |
| Contact Name (if other than name above) | Fax – 602-439-0808 |
| Provider PIN numbers for this payer | Address – PO Box 86609 Phoenix, AZ 85080 |
| Organization or Group PINs for this payer | Software Name– SolAce EMC |
| E-mail – Support@Ivertex.com |
Waiting for a response
If neither confirmation nor a returned packet is received after two weeks, contact Ken Russell at the ID Blue Cross Technology Support Center toll-free at 1-888-224-3341 option 3.
Testing
Once you have received your Submitter ID and password, please call the Ivertex 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.
Idaho Medicaid
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Idaho Medicaid.
Idaho Medicare Part A: Noridian
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Noridian for Idaho Medicare Part A.
Idaho Medicare Part B: CIGNA
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Cigna for Idaho Medicare Part B.
Illinois Payers
Follow the links below to enroll with payers in Illinois.
Illinois Early Intervention Program (EICBO)
CQuest America and their Central Billing Office (CBO) process Early Intervention claims for the Illinois Department of Human Services. Please contact the CQuest America Help Desk to get a submitter ID at 1-800-634-8540.
Click the link below to download our instructions on how you can apply for a Submitter Id and bill your claims electronically with EICBO if you have purchased a private SolAce license through Ivertex.
Illinois Medicaid
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Illinois Medicaid.
Illinois Medicare A: NGS/AdminaStar
Click the attachments below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with National Government Services "NGS" (formerly known as AdminaStar) for Illinois Medicare Part A.
Illinois Medicare B: WPS
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Wisconsin Physician Service (WPS) for Illinois Medicare Part B.
Indiana Payers
Follow the links below to enroll with payers in Indiana.
Indiana Blue Cross Blue Shield: Anthem
Click the attachments below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Anthem for Indiana Blue Cross Blue Shield.
Indiana Medicaid
Click the attachments below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Indiana Medicaid.
Indiana Medicare A: NGS/AdminaStar
Click the attachments below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with National Government Services "NGS" (formerly known as AdminaStar Federal) for Indiana Medicare Part A.
Indiana Medicare B: NGS/AdminaStar
Click the attachments below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with National Government Services "NGS" (formerly known as AdminaStar Federal) for Indiana Medicare Part B.
Iowa Payers
Follow the links below to enroll with payers in Iowa.
Iowa Blue Cross Blue Shield
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Wellmark BlueCross BlueShield for Iowa Blue Cross Blue Shield.
Iowa Medicaid: Noridian
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Noridian for Iowa Medicaid.
J5 Medicare: WPS
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Wisconsin Physician Service (WPS) for Iowa Medicare.
Kansas Payers
Follow the links below to enroll with payers in Kansas.
J5 Medicare: WPS
Click the attachment below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Wisconsin Physician Service (WPS) for Kansas Medicare.
Kansas Blue Cross Blue Shield
Click the attachments below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Blue Cross Blue Shield of Kansas.
Kansas Medicaid
Click the attachments below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Kansas Medicaid (EDS).
Kentucky Payers
Follow the links below to enroll with payers in Kentucky.
Kentucky Blue Cross Blue Shield: Anthem
Click the attachments below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Anthem for Kentucky Blue Cross Blue Shield.
Kentucky Medicaid
Click the attachments below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Kentucky Medicaid.
Kentucky Medicare A: NGS/AdminaStar
Click the attachments below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with National Government Services "NGS" (formerly known as AdminaStar Federal) for Kentucky Medicare Part A.
Kentucky Medicare B: J15 Cigna
Click the attachments below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Cigna Medicare.
Louisiana Payers
Follow the links below to enroll with payers in Louisiana.
Louisiana Blue Cross Blue Shield
Click the attachments below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Blue Cross and Blue Shield of Louisiana.
Louisiana Medicaid
Click the attachments below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Louisiana Medicaid.
Tips
Make sure you choose a file extension on the Mailbox Connection tab when setting up your mailbox in SolAce. This is a field that only shows up when Louisiana Medicaid receiver is selected, and it is required or things don't work.
They issue two different IDs. The first one starts with a T and is used for testing. Subsequently you get one that starts with a P that is used for production. Don't forget to change the ID on the mailbox settings in all FOUR places, the Submitter ID, Sender ID, Sender Code, and Logon ID. Version 3 and higher does prompt you to do this automatically.
Louisiana Medicare A: Palmetto GBA
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Palmetto for Louisiana Medicare Part A.
Louisiana Medicare B: Pinnacle/AR BCBS
Click the attachments below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Pinnacle for Louisiana Medicare Part B.
Maine Payers
Follow the links below to enroll with payers in Maine.
J14 Medicare: NHIC
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with NHIC for Maine Medicare Part B.
Maine Blue Cross Blue Shield : Anthem
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Anthem for Maine Blue Cross Blue Shield.
Maine Medicaid: Maine Care
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Maine Medicaid : Main Care
Mariana Islands
If you are interested in billing claims directly to a payer in Mariana Islands,
please contact us at 602-439-2525.
Maryland Payers
Follow the links below to enroll with payers in Maryland.
J12 Medicare: HGSA
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Highmark Medicare Services (HGSA) for Maryland Medicare.
Maryland Medicaid: DHMH
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with DHMH for Maryland Medicaid.
Massachusetts Payers
Follow the links below to enroll with payers in Massachusetts.
J14 Medicare: NHIC
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with NHIC for Massachusetts Medicare.
Massachusetts Blue Cross Blue Shield
BCBS Massachusetts no longer accepts claims directly. Please enroll for an Availity ID to send claims to this payer.
Massachusetts Medicaid: MassHealth
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with MassHealth for Massachusetts Medicaid.
Michigan Payers
Follow the links below to enroll with payers in Michigan.
Michigan Blue Cross Blue Shield
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Michigan Blue Cross Blue Shield.
Michigan Medicaid
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Michigan Medicaid.
Michigan Medicare Part A: NGS
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with NGS for Michigan Medicare Part A.
Michigan Medicare Part B: WPS
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Wisconsin Physician Service (WPS) for Michigan Medicare Part B.
Minnesota Payers
Follow the links below to enroll with payers in Minnesota.
Minnesota Blue Cross Blue Shield
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Minnesota Blue Cross Blue Shield.
Minnesota Medicaid
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Minnesota Medicaid.
Instructions for Billing Services
These instructions are for Billing Services who want to apply for a Submitter ID with California Blue Cross.
Instructions for Providers
These instructions are for Providers who want to apply for a Submitter ID with California Blue Cross.
Minnesota Medicare Part A: Noridian
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Noridian for Minnesota Medicare Part A.
Minnesota Medicare Part B: WPS
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Wisonsin Physician Service (WPS) for Minnesota Medicare Part B.
Mississippi Payers
Follow the links below to enroll with payers in Mississippi.
Mississippi Blue Cross Blue Shield
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Mississippi Blue Cross Blue Shield.
Mississippi Medicaid: ACS
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with ACS for Mississippi Medicaid.
Mississippi Medicare A: Palmetto GBA
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Palmetto for Mississippi Medicare A.
Mississippi Medicare Part A: Trispan
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Trispan for Mississippi Medicare Part A.
Mississippi Medicare Part B: Cahaba GBA
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Cahaba GBA for Mississippi Medicare Part B.
Missouri Payers
Follow the links below to enroll with payers in Missouri.
J5 Medicare: WPS
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Wisconsin Physician Service (WPS) for Missouri Medicare.
Missouri Blue Cross Blue Shield: Anthem
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Anthem for Missouri Blue Cross Blue Shield.
Missouri Department of Mental Health (CIMOR)
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with CIMOR for Missouri Department of Mental Health.
Missouri Medicaid: EMOMED
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with EMOMED for Missouri Medicaid.
Montana Payers
Follow the links below to enroll with payers in Montana.
J3 Medicare: Noridian
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Noridian for Montana Medicare.
Nebraska Payers
Follow the links below to enroll with payers in Nebraska.
J5 Medicare: WPS
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Wisconsin Physician Service (WPS) for Nebraska Medicare.
Nebraska Blue Cross Blue Shield
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Nebraska Blue Cross Blue Shield.
Nebraska Medicaid: HHS
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with HHS for Nebraska Medicaid.
Nevada Payers
Follow the links below to enroll with payers in Nevada.
Nevada Blue Cross Blue Shield: Anthem
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Anthem for Nevada Blue Cross Blue Shield.
Nevada Medicaid: FHSC
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with FHSC for Nevada Medicaid.
Nevada Medicare : J1 Palmetto
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Palmetto for Nevada Medicare.
New Hampshire Payers
Follow the links below to enroll with payers in New Hampshire.
J14 Medicare: NHIC
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with NHIC for New Hampshire Medicare Part B.
New Hampshire Blue Cross Blue Shield: Anthem
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Anthem for New Hampshire Blue Cross Blue Shield.
New Jersey Payers
Follow the links below to enroll with payers in New Jersey.
J12 Medicare: HGSA
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Highmark Medicare (HGSA) for New Jersey Medicare.
New Mexico Payers
Follow the links below to enroll with payers in New Mexico.
J4 Medicare: Trailblazer
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Trailblazer for New Mexico Medicare.
NOTE:If you are an existing Trailblazer Submitter and would like to now apply to receive your ERA's electronically in SolAce, please download the file below named "J4_Trailblazer_ERAReqForm.pdf"
WPS Transition to Trailblazer
For those who currently submit Legacy Part A claims to WPS which was previously serviced by Mutual of Omaha, please download the file attached below to apply for a Submitter ID and Password with Trailblazer Health who will be the new receiver of your claims effective October 14, 2010.
New Mexico Medicaid
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with New Mexico Medicaid.
New York Payers
Follow the links below to enroll with payers in New York.
J13 Medicare: NGS
Click the attachment below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with National Government Services (NGS) for New York Medicare for :Queens, Upstate, and Downstate NY.
New York Blue Cross Blue Shield: ASK
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Administrative Services of Kansas (ASK) for New York Blue Cross Blue Shield.
New York Blue Cross Blue Shield: Empire
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Empire for New York Blue Cross Blue Shield.
New York Blue Cross Blue Shield: Excellus
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Excellus for New York Blue Cross Blue Shield.
New York Medicaid: eMedNY
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with eMedNY for New York Medicaid.
New York Medicare Part B: Upstate
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Upstate for New York Medicare Part B.
New York Univera
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Univera.
North Carolina Payers
Follow the links below to enroll with payers in North Carolina.
North Carolina Blue Cross Blue Shield
Enrollment Instructions
Thank you for your interest in Electronic Data Interchange (EDI).
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 BCBS office prior to initiation of electronic claims submission or inquiry.
1. Trading Partner Agreement
2. Electronic Connectivity Request Form:
To obtain the forms above, please download them from:
http://www.bcbsnc.com/content/providers/edi/hipaainfo/agreements.htm
If you have any questions regarding any of the documents in this package, please call the BCBS EDI Technology Support Center at 1-888-333-8594.
Required Information
We Recommend you have the following documents ready before filling out your forms:
| Your Submitter Information | Software Vendor Information |
|---|---|
| Name | Vendor Name - Axiom Systems, Inc |
| Address | Contact - EDI Team |
| Phone and Fax Numbers | Vendor Code - N/A |
| E-mail Address (if any) | Phone - 602-439-2525 |
| Contact Name (if other than the name above) | Fax - 602-439-0808 |
| Provider Pin numbers for this payer | Address - PO Box 86609 Phoenix, AZ 85080 |
| Organization or Group PIN's for this payer | Software Name- SolAce EMC |
| Email support@solace-emc.com |
Follow these instructions to fill out forms for a New Submitter ID
Trading Partner Agreement
Page 1: Enter today's date and your Business/Practice or Provider Name.
Page 10: Please complete your mailing information.
Page 12-13: Please complete the Trading Partner section of this page.
Electronic Connectivity Request Form
Section 1: Please enter your Business/Practice or Provider Information.
Section 2: Please enter the Software Vendor information provided above. For Title please enter: Support.
If provider is using a Billing Service: (Note to Billing Services: Each provider you are billing for must complete this form and enter your Billing Service information on section 3).
Section 3: Please enter Billing Service information.
Section 4: For Transaction please select HTTPS and today's date for the following:
- 835 - for participating providers ONLY
- 837I or 837P (I = Institutional P = Professional)
Section 5: Please enter a mailbox password that you would like to use (must be 8 characters)
Sections 6 & 7: Type of Sender
- Providers/Group Practices/Organizations - Please select "Provider" and enter your Tax ID.
- Billing Services - please select "Billing Service" and enter your Tax ID.
Section 8: Transaction Flow
- Providers/Group Practices/Organizations using SolAce - please select "from Provider site directly to BCBSNC."
- If you are a provider using a Billing Service please select “from Provider site to Billing Service to BCBSNC."
- Billing Services using SolAce - please select "from Provider site directly to BCBSNC."
Section 9: Please Sign and Date the bottom of the form.
North Carolina Medicaid: DHHS
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with DHHS for North Carolina Medicaid.
North Carolina Medicare: Palmetto GBA
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Palmetto GBA for North Carolina Medicare Part A and North Carolina Medicare Part B.
North Dakota Payers
Follow the links below to enroll with payers in North Dakota.
North Dakota Medicare Part A & B: Noridian
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Noridian for North Dakota Medicare.
Ohio Payers
Follow the links below to enroll with payers in Ohio.
Ohio Blue Cross Blue Shield: Anthem
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Anthem for Ohio Blue Cross Blue Shield.
Ohio Medicad: ODJFS
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with ODJFS for Ohio Medicaid.
Ohio Medicare Part A: NGS/Adminastar
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with National Government Services "NGS" (formerly known as Adminastar) for Ohio Medicare Part A.
Ohio Medicare Part B: J15 Cigna
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Cigna for Ohio Medicare Part B.
Oklahoma Payers
Follow the links below to enroll with payers in Oklahoma.
J4 Medicare: Trailblazer
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Trailblazer for Oklahoma Medicare.
NOTE:If you are an existing Trailblazer Submitter and would like to now apply to receive your ERA's electronically in SolAce, please download the file below named "J4_Trailblazer_ERAReqForm.pdf"
WPS Transition to Trailblazer
For those who currently submit Legacy Part A claims to WPS which was previously serviced by Mutual of Omaha, please download the file attached below to apply for a Submitter ID and Password with Trailblazer Health who will be the new receiver of your claims effective October 14, 2010.
Oklahoma Blue Cross Blue Shield
To bill Oklahoma Blue Cross Blue Shield claims electronically, please apply for a Submitter ID with the Availity Clearinghouse.
Oklahoma Medicaid: EDS
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with EDS for Oklahoma Medicaid.
Oregon Payers
Follow the links below to enroll with payers in Oregon.
Oregon Blue Cross Blue Shield: Regence
To bill claims electronically for Oregon Blue Cross Blue Shield, please apply for a Submitter ID with the Availity Clearinghouse.
Oregon Medicaid: DHS
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 - https://apps.state.or.us/Forms/Served/oe2082.pdf
2. Application for Authorization Form - https://apps.state.or.us/Forms/Served/oe2081.pdf
3. Trading Partner Agreement - https://apps.state.or.us/Forms/Served/oe2080.pdf
Required Documents for those with existing Submitter Ids but need to make changes to their account:
Use this form to change mailing address, email address, contact information, authorized users and EDI vendors.
1. Exhibit C to update your EDI registration - https://apps.state.or.us/Forms/Served/oe2083.pdf
To obtain the forms above, please download them from:
http://www.oregon.gov/OHA/edi/reg_testing.shtml
If you have any questions regarding any of the documents in this package, please phone the DHS EDI Technology Support Center at 1-800-527-5772.
Required Information
We recommend that you have the following information ready before filling out your forms:
| Your Submitter Information | Software Vendor Information |
|---|---|
| Name | Vendor Name - AXIOM Systems, Inc |
| Address | Contact - EDI Team |
| Phone and Fax Numbers | Vendor Code - N/A |
| E-mail Address (if any) | Phone - 602-439-2525 |
| Contact Name (if other than name above) | Fax - 602-439-0808 |
| Provider PIN numbers for this payer | Address - PO Box 86609 Phoenix, AZ 85080 |
| Organization or Group PINs for this payer | Software Name– SolAce EMC |
| E-mail – support@solace-emc.com |
New EDI Submitters
Follow these instructions to fill out forms for a new EDI Submitter ID.
EDI Registration
Section 1
- Please select “A new registration”
- Enter today’s date as the Effective Date
- Enter your Business, Provider or Practice name
- Enter your mailing address, phone number and fax number
Section 2
- Enter your Medicaid Provider number and your NPI
- Enter your Taxonomy codes
NOTE: If you have more than one provider you must complete a separate Registration form for each.
Section 3, 4, 5 & 6
- Complete these sections with the designated contact persons for these items in your office.
- For Submitter Type: Choose “Billing provider” and “Self” if you are a provider using SolAce. (You are the EDI Submitter)
Note: If the provider is using a Billing Service fill in the Billing Service’s information in Section 5 & 6 and choose the “Billing Service” option for Submitter type.
Section 7
- Choose whether the transactions you will be billing are for FFS or Prepaid health plan
- Choose either 837P or 837I
- If you would like to receive your EOBs electronically, choose 835
- For response reports, choose 999
Section 8
- Please sign and date this section
Application for Authorization
Header
- Please select “New Application”
- Enter today’s date as the effective date
Section A.
- Enter your business name or provider name as the “trading partner”
- Please select all the boxes
- Complete the box at the bottom of Section A with your information (You are the trading partner)
Section B.
- Complete the box at the bottom of Section B with your information. (You are the EDI Submitter)
- New applicants may leave the submitter number blank.
Note: If a provider is using a Billing Service that uses SolAce, the Billing Service’s information must be filled in here. The Billing Service’s submitter number must be provided in this section.
Section C.
- Complete section C with your information (You are the Trading Partner and the EDI Submitter)
- New applicants may leave the submitter number blank.
Trading Partner Agreement
Section 1
- Please enter your Business, Practice, or Provider name
- Complete the last section of this form.
Updating an Existing EDI Submitter ID
Those with existing Submitter IDs that need to make changes to their account should fill out the following forms.
Exhibit C to update your EDI registration
Use this form to change mailing address, email address, contact information, authorized users, the addition or deletion of authorized transactions or any other changes that may affect the accuracy of, or authority for, an EDI transaction. (Change forms must include the signature of your authorized primary or secondary signer.)
Section 1
- Please enter your trading partner information
Section 2
- Enter your Provider/Plan number
- Enter your NPI and Taxonomy codes
(A separate Exhibit C must be completed for each provider number.)
Section 3
- Please enter your Trading partner authorized signer information (cannot be a billing service or clearinghouse).
- If the primary signer listed here is different from the one listed on your current TPA, you must complete a new TPA , Exhibit A and Exhibit B before we can update your EDI registration.
Section 4
- Please enter your Claims contact information (this should be someone from your office)
Section 5
- Please enter your information for the EDI submitter information
- If this is different from what is on your current Exhibit A (DMAP 2081) and Exhibit B (DMAP 2082), you will also need to complete and submit a new Exhibit A and B.
Note: If you are using a Billing Service, your Billing Service will be the EDI Submitter. - For Submitter Type, if you are using SolAce, choose “Self”. If you are using a Billing Service, choose “Billing Service”
Section 6
- If you are using SolAce, you are the EDI Submitter so please enter your information in this section.
- If you are using a Billing Service then your Billing Service will be the EDI Submitter.
Section 7
- Select whether the claims you bill are FFS or PHP
- Choose the transaction types that you want to either add or delete to your account.
- Choose 837P or 837I
- 835 for Electronic EOBs
- 999 for Response reports
Section 8
- Please sign and date this section.
Submitting your forms
It is recommended that you keep a copy of all the forms you will be submitting for your records. Mail the enrollment forms reflecting original signatures to:
Department of Human Services
Office of Medical Assistance Programs
Provider Enrollment Unit, E44
500 Summer St. NE
Salem, OR 97301-1079
503-945-6898 (fax): 1-888-690-9888 (phone)
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, a confirmation will be faxed to you as notification to begin filing claims electronically. If neither confirmation nor a returned packet is received after two weeks, contact the DHS EDI Technology Support Center at 1-800-527-5772.
Testing
Once you have received your Submitter ID and password from DHS, please call the AXIOM Systems 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.
Oregon Medicare Part A & B: Noridian
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Noridian for Oregon Medicare.
Pennsylvania Payers
Follow the links below to enroll with payers in Pennsylvania.
J12 Medicare: HGSA
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Highmark Medicare (HGSA) for Pennsylvania Medicare.
Pennsylvania Blue Shield: Highmark
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Highmark Medicare (HGSA) for Pennsylvania Blue Shield.
Pennsylvania Medicaid: OMAP
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with OMAP for Pennsylvania Medicaid.
Puerto Rico
Follow the links below to enroll with payers in Puerto Rico.
Puerto Rico Medicare Part A: COSVI
If you are interested in billing electronic claims to COSVI for Puerto Rico Medicare Part A, please click on the attachment below for complete enrollment instructions.
Puerto Rico Medicare Part B: Triple-S
Click the attachment below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Triple-S for Puerto Rico Medicare Part B.
Railroad Medicare
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Palmetto GBA for Railroad Medicare.
Railroad claims via Availity
If you're claims volume for Railroad Medicare is low and you would rather send your claims via your existing Availity mailbox in SolAce, please download the "Railroad_via_Avaiity.pdf" file below instead of the "RR_MedicareB_PalmettoGBA.pdf" file.
Rhode Island Payers
Follow the links below to enroll with payers in Rhode Island.
J14 Medicare: NHIC
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Rhode Island Medicare.
Rhode Island Blue Cross Blue Shield
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Rhode Island Blue Cross Blue Shield.
Rhode Island Medicaid
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Rhode Island Medicaid.
South Carolina Payers
Follow the links below to enroll with payers in South Carolina.
South Carolina Blue Cross Blue Shield
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with South Carolina Blue Cross Blue Shield.
South Carolina Medicaid
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with South Carolina Medicaid.
South Carolina Medicare Part A & B: Palmetto GBA
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Palmetto GBA for South Carolina Medicare.
South Carolina Part B applicants, please download the SC_MedicarePartB_PalmettoGBA.pdf file below. South Carolina Part A applicants, please download the J11_Palmetto.pdf file below.
South Dakota Payers
Follow the links below to enroll with payers in South Dakota.
South Dakota Medicare Part B: Noridian
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Noridian for South Dakota Medicare Part B.
Tennessee Payers
Follow the links below to enroll with payers in Tennessee.
Tennessee Blue Cross Blue Shield: BCBS and TennCare
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Tennessee Blue Cross Blue Shield and TennCare.
Providers: Please click on the "TN_BCBS.pdf" attachment below
Billing Agencies: Please click on the "TN_agent_BCBS.pdf" attachment below.
Tennessee Medicare: Cahaba
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Cahaba for Tennessee Medicare.
Texas Payers
Follow the links below to enroll with payers in Texas.
J4 Medicare: Trailblazer
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Trailblazer for Texas Medicare.
NOTE:If you are an existing Trailblazer Submitter and would like to now apply to receive your ERA's electronically in SolAce, please download the file below named "J4_Trailblazer_ERAReqForm.pdf"
WPS Transition to Trailblazer
For those who currently submit Legacy Part A claims to WPS which was previously serviced by Mutual of Omaha, please download the file attached below to apply for a Submitter ID and Password with Trailblazer Health who will be the new receiver of your claims effective October 14, 2010.
Texas Medicaid
If you would like to bill electronic claims directly to Texas Medicaid , please contact our support team at (602)439-2525 or send us an email at support@ivertex.com.
Please Note: Texas Medicaid does not currently accept Long Term Care or Home Health Care claims electronically. Contact TMHP for more information.
TriCare
Please choose from the jurisdictions below. If you are not sure which jurisdiction your state belongs to, please click HERE
TriCare North & South: Palmetto GBA
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Palmetto GBA for Tricare North & South.
TriCare West: WPS
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Wisconsin Physician Service (WPS) for TriCare West.
Utah Payers
Follow the links below to enroll with payers in Utah.
J3 Medicare: Noridian
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Noridian for Utah Medicare.
Utah Blue Cross Blue Shield: Regence
To bill claims electronically to Utah Blue Cross Blue Shield, please apply for a Submitter ID with the Availity Clearinghouse.
Utah Medicaid
Utah Medicaid claims must be submitted directly to the Utah Health Information Network.
At this time Utah Health Information Network refuses to establish direct connections from all outside vendors, requires providers to subscribe to their network for a fee, and requires formatting of submitted files to UHIN's specifications. When asked if a standard 837 generated by another product could be used, the only response from UHIN was that "it will have to be reformatted and you must be a member for us to tell you that", implying that the national standards may not be sufficient to meet their requirements. All interested electronic submitters are required to enroll directly with their service for a yearly membership fee, and fees are calculated based on business type, size, and claim volume. Information about how to submit electronic files and "reformat" the submissions is not provided until after membership status is acquired.
In other words, SolAce EMC probably can't help you with UHIN submissions.
Vermont Payers
Follow the links below to enroll with payers in Vermont.
J14 Medicare: NHIC
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with NHIC for Vermont Medicare.
Vermont Blue Cross Blue Shield
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Vermont Blue Cross Blue Shield.
Vermont Medicaid
If you would like to bill electronic claims directly to Vermont Medicaid , please download the enrollment instructions below.
Virgin Islands
Follow the links below to enroll with payers in Virgin Islands.
Virgin Islands Medicare Part B: Triple S
Click the attachments below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Triple-S for Virgin Islands Medicare Part B.
Virginia Payers
Follow the links below to enroll with payers in Virginia.
Virginia Blue Cross Blue Shield: Anthem
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Anthem for Virginia Blue Cross Blue Shield.
Virginia Medicaid: ACS
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with ACS for Virginia Medicaid.
Virginia Medicare Part A: NGS
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with NGS for Virginia Medicare Part A.
Note: VA & WV Part A - Palmetto GBA has subcontracted with National Government Services (NGS) to continue EDI support of the Virginia and West Virginia Part A workload for Jurisdiction 11 A/B MAC.
Virginia Medicare Part B: Palmetto
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Palmetto GBA for Virginia Medicare Part B.
Washington Payers
Follow the links below to enroll with payers in Washington.
Washington Blue Cross: Premera
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Premera for Washington Blue Cross.
Washington Medicaid: ACS
Click one of the links below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with ACS for Washington Medicaid.
Please choose one of the following links.
Instructions for Billing Services
Click the link below to download our Instructions on how you can apply for a Submitter Id with ACS.
Instructions for Providers
Click the link below to download our Instructions on how you can apply for a Submitter Id with ACS.
Washington Medicare Part A & Part B: Noridian
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Noridian for Washington Medicare.
West Virginia Payers
Follow the links below to enroll with payers in West Virginia.
West Virginia Medicare Part B: Palmetto GBA
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Palmetto GBA for West Virginia Medicare Part B.
Wisconsin Payers
Follow the links below to enroll with payers in Wisconsin.
Wisconsin Blue Cross Blue Shield: Anthem
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Anthem for Wisconsin Blue Cross Blue Shield.
Wisconsin Medicaid
If you would like to bill electronic claims directly to Wisconsin Medicaid , please download the file below.
Wisconsin Medicare Part A: UGS
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with UGS for Wisconsin Medicare Part A.
Wisconsin Medicare Part B: WPS
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Wisconsin Physician Service (WPS) for Wisconsin Medicare Part B.
Wyoming Payers
Follow the links below to enroll with payers in Wyoming.
Wyoming Blue Cross Blue Shield: Noridian
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Noridian for Wyoming Blue Cross Blue Shield.
Wyoming Medicaid
If you would like to bill your claims electronically to Wyoming Medicaid (Equality Care) using SolAce, please apply for an electronic submitter ID with ACS. The attached guide will help you fill out their EDI enrollment forms.
Wyoming Medicare Part A & B: Noridian
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Noridian for Wyoming Medicare.
RHHI
Please select from the Regions below.
Region 4 : Palmetto
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Palmetto for Home Health and Hospice (RHHI/HHH) claims.
Region 7 : Cahaba GBA
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Cahaba GBA for RHHI claims.
Region 12 : WPS
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Wisconsin Physician Service (WPS) for RHHI claims.
Section 1011 with Trailblazers
FOR INSTITUTIONAL BILLERS ONLY:
Please download the attached file for instructions on how you can apply for a Submitter ID with TrailBlazers to bill your Section 1011 claims electronically using SolAce.
PROFESSIONAL CLAIM BILLERS: Currently Trailblazers can only accept Professional claims via their Direct Data Entry System, however, we are consistently checking with Trailblazers for their ability to accept 837P Batch Transmissions. We hope to have this feature available for our SolAce users in the near future.
Commercial Payers
Please choose from the list below.
ATRIO
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with ATRIO Health Plans.
Beacon Strategies
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Beacon Strategies.
CDPHP
To bill your claims electronically to CDPHP using the SolAce billing software, please call CDPHP at 1-518-641-3000 and sign up for an SFTP Login ID and Password.
Once you have your Login ID and Password from CDPHP, please contact our SolAce support team for assistance in setting up your mailbox in SolAce.
CL Frates
Click the links below to download the Setup Form and our Instructions on how you can apply for a Submitter Id and bill your claims electronically with CL Frates.
Colorado Access
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Colorado Access.
First Priority
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with First Priority.
Guildnet
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Guildnet.
Harvard Pilgrim
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Harvard Pilgrim.
Independent Health
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Independent Health.
MediSun
Please download our instruction sheet below and the Medisun enrollment form via ACS to apply for an Electronic submitter ID.
Pacific Source
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Pacific Source.
Paramount HealthCare
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Paramount HealthCare.
Preferred Care
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Preferred Care.
Priority Health
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Priority Health.
Spectera
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Spectera.
Tufts Health Plan
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Tufts Health Plan.
UHA
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with University Health Alliance.
Value Options
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Value Options.
Western Highland
Click the link below to download our Instructions on how you can apply for a Submitter Id and bill your claims electronically with Western Highland.