California MediCal

Please follow the Enrollment Instructions below to become an electronic submitter for California Medicaid, known as MediCal.

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

1. Medi-Cal Telecommunications Provider and Biller Application/Agreement

If the link above does not work properly, please go here:
http://files.medi-cal.ca.gov/pubsdoco/forms.asp
(You will find this under the Billing, Computer Media Claims (CMC) Section, form number DHCS 6153)

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

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

Vendor Name - AXIOM Systems, Inc.
Contact - EDI Team
Vendor Code - N/A
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

 

Medi-Cal Telecommunications Provider and Biller Application/Agreement

Section 1: Provider Information

  • Enter your Business/Practice or Provider Name
  • Enter your Medi-Cal number
  • You may skip the DBA line
  • Enter the last 4 Digits of Tax ID Number
  • Enter your Business Address, Phone & Fax Numbers, and Business Email Address
  • Enter the Name and Contact information for the main contact person for your office
  • New applicants may leave the Submitter ID line blank

Section 1: Biller Information
If you are using a Billing Service, please enter the Billing Services information here

Section 1.1: CMC Submission Type

  • Select "Internet"

Section 1.1: Real time Submission Type

  • Select "Internet"

Section 1.1: Claim Type

  • In the ANSI X 12 837 Version line write in: 5010A1
  • Choose the type of claims you will be submitting listed under the ANSI X...line
  • Leave the "ANSIX 12 276/277 Version" and "ANSIX 12 278 Version" areas blank

Section 9.0: Signature

  • Please have the Provider complete the Provider Signature Section
  • If you are using a Billing Service please have the Billing Service complete the Billing Service section as well.

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:

ACS
CMC Unit
P.O. Box 15508
Sacramento, CA 95852-1508

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 Medi-Cal EDI Technology Support Center at (916) 636-1200.

Once you receive confirmation from Medi-Cal they will give you a number to call to set your password. Once you have your Submitter ID, Login ID, and Password you may start the Testing Process.

Testing

Once you have received your Submitter ID and Password from Medi-Cal, please call the SolAce Support Team and set an appointment for a Mailbox setup and Test Transmission to Medi-Cal.

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,
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