Enrollment Instructions

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

Required Process for those applying for new Submitter IDs

Please go to the following link to complete WPS' online Registration Form https://corp-ws.wpsic.com/apps/wtps-web/unauth/RegistrationLoadAction.do
  • Enter your Business or Provider Name in the Submitter Name field
  • Enter your Demographic & Contact Information
  • For To and From Transmission Method, select WGBBS
  • Check the following boxes:
    • Receive Acknowledgement
    • Receive Remittance (If you would like to receive electronic EOB's)
  • For Vendor Name enter: AXIOM Systems, Inc. (formerly Ivertex)
  • Click Save

Enrollment Instructions

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

Required Process for those applying for new Submitter ID's

Please go to the following link to complete WPS' online Registration Form https://corp-ws.wpsic.com/apps/wtps-web/unauth/RegistrationLoadAction.do
  • Enter your Business or Provider Name in the Submitter Name field
  • Enter your Demographic & Contact Information
  • For To and From Transmission Method, select WGBBS
  • Check the following boxes:
    • Receive Acknowledgment
    • Receive Remittance (If you would like to receive electronic EOB's)
  • For Vendor Name enter: AXIOM Systems, Inc. (formerly Ivertex)
  • Click Save

Enrollment Instructions

Thank you for your interest in Electronic Data Interchange (EDI). All providers must first register for Noridian’s Total Onboarding System in order to become an electronic submitter. Guides can be found at http://www.edissweb.com/cgp/forms/onboard.html Once you have established your Total On Boarding Account, please log into your account.
  • On the first page, click the “Manage NPIs” button and choose your billing NPI.
  • Select the transaction types you want to enroll your Billing NPI for:
    • For Professional claims, click “Enroll” for 837P (5010A1)
    • For Institutional claims, click “Enroll” for 837I (5010A1)
    • To receive your EOBs electronically, click “Enroll” for 835 (5010A1)

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 Palmetto GBA office prior to initiation of electronic claims submission or inquiry. 1. EDI Application Form 2. Medicare Electronic Data Interchange Enrollment Agreement 3. Provider Authorization Form (For Billing Services Only) To obtain the forms above, please download them from:

Enrollment Instructions

Thank you for your interest in Electronic Data Interchange (EDI). All providers must first register for Noridian’s Total Onboarding System in order to become an electronic submitter. Guides can be found at http://www.edissweb.com/cgp/forms/onboard.html Once you have established your Total On Boarding Account, please log into your account.
  • On the first page, click the “Manage NPIs” button and choose your billing NPI.
  • Select the transaction types you want to enroll your Billing NPI for:
    • For Professional claims, click “Enroll” for 837P (5010A1)
    • For Institutional claims, click “Enroll” for 837I (5010A1)
    • To receive your EOBs electronically, click “Enroll” for 835 (5010A1)

Enrollment Instructions

Thank you for your interest in Electronic Data Interchange (EDI). All providers must first register for Noridian’s Total Onboarding System in order to become an electronic submitter. Guides can be found at http://www.edissweb.com/cgp/forms/onboard.html Once you have established your Total On Boarding Account, please log into your account.
  • On the first page, click the “Manage NPIs” button and choose your billing NPI.
  • Select the transaction types you want to enroll your Billing NPI for:
    • For Professional claims, click “Enroll” for 837P (5010A1)
    • For Institutional claims, click “Enroll” for 837I (5010A1)
    • To receive your EOBs electronically, click “Enroll” for 835 (5010A1)

Enrollment Instructions

Thank you for your interest in Electronic Data Interchange (EDI). All providers must first register for Noridian’s Total Onboarding System in order to become an electronic submitter. Guides can be found at http://www.edissweb.com/cgp/forms/onboard.html Once you have established your Total On Boarding Account, please log into your account.
  • On the first page, click the “Manage NPIs” button and choose your billing NPI.
  • Select the transaction types you want to enroll your Billing NPI for:
    • For Professional claims, click “Enroll” for 837P (5010A1)
    • For Institutional claims, click “Enroll” for 837I (5010A1)
    • To receive your EOBs electronically, click “Enroll” for 835 (5010A1)

Enrollment Instructions

Thank you for your interest in Electronic Data Interchange (EDI). All providers must first register for Noridian’s Total Onboarding System in order to become an electronic submitter. Guides can be found at http://www.edissweb.com/cgp/forms/onboard.html Once you have established your Total On Boarding Account, please log into your account.
  • On the first page, click the “Manage NPIs” button and choose your billing NPI.
  • Select the transaction types you want to enroll your Billing NPI for:
    • For Professional claims, click “Enroll” for 837P (5010A1)
    • For Institutional claims, click “Enroll” for 837I (5010A1)
    • To receive your EOBs electronically, click “Enroll” for 835 (5010A1)

Enrollment Instructions

Thank you for your interest in Electronic Data Interchange (EDI). All providers must first register for Noridian’s Total Onboarding System in order to become an electronic submitter. Guides can be found at http://www.edissweb.com/cgp/forms/onboard.html Once you have established your Total On Boarding Account, please log into your account.
  • On the first page, click the “Manage NPIs” button and choose your billing NPI.
  • Select the transaction types you want to enroll your Billing NPI for:
    • For Professional claims, click “Enroll” for 837P (5010A1)
    • For Institutional claims, click “Enroll” for 837I (5010A1)
    • To receive your EOBs electronically, click “Enroll” for 835 (5010A1)

Enrollment Instructions

Thank you for your interest in Electronic Data Interchange (EDI). All providers must first register for Noridian’s Total Onboarding System in order to become an electronic submitter. Guides can be found at http://www.edissweb.com/cgp/forms/onboard.html Once you have established your Total On Boarding Account, please log into your account.
  • On the first page, click the “Manage NPIs” button and choose your billing NPI.
  • Select the transaction types you want to enroll your Billing NPI for:
    • For Professional claims, click “Enroll” for 837P (5010A1)
    • For Institutional claims, click “Enroll” for 837I (5010A1)
    • To receive your EOBs electronically, click “Enroll” for 835 (5010A1)

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