Mississippi Medicaid: Conduent

Please follow the Enrollment Instructions below to becomee an electronic submitter for Mississippi Medicaid Conduent.

Required Documents for those applying for new Submitter IDs

The following documents are required enrollment documents that must be signed and returned to the Conduent office prior to initiation of electronic claims submission or inquiry.

1. EDI Provider Enrollment Form

If the link above does not work properly, please download the form from here:

If you have any questions regarding any of the documents in this package, please call the Conduent EDI Technology Support Center at: 1-800-884-3222.

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 - 104713
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

EDI Provider and Enrollment Form

Section 1- Select "New Submitter" and "New Retriever"

  • If you are a Provider using a Billing Service, select "Billing Agent/Clearinghouse Authorization"

Section 2- Provider Information

  • Please enter your Provider or Group name
  • Please complete your demographic and contact information
  • Please enter your Pay to Provider Number (PIN), Tax ID, and Email Address

Section 3- Submitter/Trading Partner ID Number

  • New applicants may leave this section blank

Section 4- Contact Information

  • Please complete your contact information

Section 5- Submission Method

  • Select the first box, "Vendor Software"
  • If you are a Provider using a Billing Service, Please select "I Plan to use a Billing Agent"

Section 6- Software Vendor Information

  • Please fill in this section with the Software Vendor information located in the box above
  • Our Conduent EDI Gateway Trading Partner ID is 104713

Section 7- You may Skip this section

Section8- If you are a provider using a Billing Agent, please have your Billing Agent complete this section

Section 9- Leave blank and the default delimiters will be used

Section 10- Please Skip

Section 11- Select 837P for Professional and 837I for Institutional

Section 12- Please Skip

Section 13- Electronic Response and Report Retrieval for Provider

  • Please select "Yes" you will be retrieving your reports electronically
  • Please mark the following:
    • 997, 835, 824

Section 14- Electronic Response and Report Retrieval for Billing Agent or Clearinghouse Fill out this section if you are using a Billing Service and wish them to receive your reports; if so, do not fill out section 13

  • Select "Yes"
  • Enter the Billing Agency's name and Trading Partner ID (you will need to get this from them)
  • Please mark the following:
    • 997, 835, 824

Section 15 – Please Skip

On Page 1 of the Trading Partner Agreement, Sign and Date the bottom

Please complete the “Submitter” section on the bottom of page 3 of 3.

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:

Mississippi Medicaid Program
Provider Enrollment
P.O. Box 23078
Jackson, Mississippi 39225

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 Technology Support Center toll-free at 1-800-884-3222.


Once you have received your Submitter ID and Password from Medicaid, 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.

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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,
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
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.

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