The following document is a required enrollment form that must be completed, signed and returned to the MCC of VA office prior to initiation of electronic claims submission or inquiry.

1. https://mccofva.com/media/15680/ebusiness-submitter-profile-form-fill_mccva.pdf

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

Please complete the following enrollment instructions if you wish to submit electronic claims directly to HMA (Payer ID 86066)

 

In order to send electronic claims to HMA, you must obtain a Login and Password for this site: www.hcrdata.com

 

WPS Department of Veterans Affairs (VA) Program

WPS Health Insurance has been selected as the subcontractor to TriWest Healthcare Alliance for Veterans Administration (VA) contracts including VAPC3 Regions 3, 5, and 6 which covers the states below:

Please follow the Enrollment Instructions below to become an electronic submitter for Washington State Department of Labor & Industries (LNI).

Please follow the enrollment instructions below to become an electronic submitter to West Virginia Medicaid.

Please Note: Our connection to WV Medicaid cannot be scripted due to their EDI system’s website structure therefore, once your EDI file has been generated, you will need to upload and download your files manually. We will be glad to walk you through this process.

Users who wish to submit direct to WV Medicaid must sign up for the WV Portal by following the instructions in this document:

Please follow the Enrollment Instructions below to become an electronic submitter for Highmark Payer IDs: 54828, 71768,

Please follow the Enrollment Instructions below to become an electronic submitter for Highmark.

Highmark Blue Cross Blue Shield has different enrollment applications for their various Payer IDs. Please see the links on the right hand side and follow the enrollment instructions for the plans you need to submit electronic claims to. 

 

To add a mailbox for the Administep Clearinghouse please send an email to support@solace-emc.com

 

Include the following in your message:

 

Noridian Administrative Services LLC (NAS) administers Medicare health insurance for Blue Cross Blue Shield of  North Dakota. If you are a provider located in the State of North Dakota and need to become an electronic submitter for your Blue Cross Blue Shield claims, please follow the enrollment instructions below. 

 

All providers must first register for Noridian’s Total Onboarding System in order to become an electronic submitter.

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