Instructions for Billing Services

Enrollment Instructions for Billing Services

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

Required Documents for those applying for 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. MHCP Clearinghouse or Billing Intermediary Enrollment Form
2. Provider Setup Form
3. Electronic Remittance Advice Request Form

To obtain the forms above, please follow this link:
MN Medicaid Forms

If you have any questions regarding any of the documents in this package, please call the DHS EDI Technology Support Center at 651-431-2700 or 1-800-366-5411, option 5.

Required Information

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

Your Submitter InformationSoftware Vendor Information
NameVendor Name - AXIOM Systems, Inc.
AddressContact - EDI Team
Phone and Fax NumbersVendor Code - N/A
E-mail AddressPhone - 602-439-2525
Contact NameFax - 602-439-0808
Provider NPI Numbers for this payerAddress - 241 East 4th Street, Suite 200
Frederick, MD 21701
Organization or Group NPI's for this payerSoftware Name - SolAce EMC
 E-mail - Support@SolAce-emc.com

New EDI Submitters

Follow these instructions when filling out forms for a new Submitter ID.

Provider Enrollment Application for Billing Intermediaries, Clearinghouses and EDI Trading Partners

Section 1

  • Please select “Billing Intermediary”

Section 2

  • Enter your Business Name and Demographic information

Section 3

  • The main billing contact for your office should complete this section

Provider Setup Form

Section 1

  • Please complete the Billing Intermediary section with your information

Section 2

  • Complete this section and state the necessary information for the providers you bill for.
    • For “Begin Date” enter the date you started billing for the said provider
    • Choose “Both”
    • Have each provider you bill for fill sign the Pay to Provider Signature field.

Electronic Remittance Advice Request Form

If you would like to receive the Electronic EOBs for your provider please have each provider that you bill for sign one of this form. Section 1

  • Enter your provider’s information and the main contact for his or her office

Section 2

  • Enter your business information and the main contact for your office

Section 3

  • Please mark the ADD “835X12” option and enter today’s date

Section 4

  • Have your provider complete 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 or Fax the enrollment forms reflecting original signatures to:

Fax 651-431-7462

Minnesota Department of Human Services
Provider Enrollment
PO Box 64987
Saint Paul, MN 55164-0987

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 4-6 weeks from the date of receipt. (Remember that mailing time can take as much as five days.)

After processing, a confirmation will be sent to you as notification to begin filing claims electronically. When you receive this letter it will contain instructions for registration of the MN-ITS website, if you have any difficulty with the registration process please call: MHCP Provider Call Center at (651) 431-2700 or (800) 366-5411 (option 6)

If neither confirmation nor a returned packet is received after four to six weeks, contact the DHS EDI Technology Support Center at 651-431-2700 or 1-800-366-5411, option 5.

Testing

Once you have received your MN-ITS Submitter ID and password from DHS please call the SolAce Support Team and set an appointment for a Mailbox setup and Test Transmission to DHS.

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

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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

Awesome customer service every time!

Denise
Bellevue, NE

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!!

Doreen
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.

George
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.

Joan
Batavia, IL

Everyone in your company is very helpful and pleasant, and they always have the quickest response time on fixing the situation.

Patricia
Orlando, FL

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.

Sherry
Largo, FL