Indiana Blue Cross Blue Shield (Anthem Central)

Please follow the Enrollment Instructions below to become an electronic submitter to Anthem, Blue Cross Blue Shield of Indiana.

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 Anthem office prior to initiation of electronic claims submission or inquiry.

1. Trading Partner Registration Form

2. ERA 835 Registration Form

To obtain the forms above, please download them from:
http://www.anthem.com/wps/portal/ahpculdesac?content_path=edi/noapplicat... I

If you have any questions regarding any of the documents in this package, please phone the Anthem EDI Technology Support Center at (800) 470-9630 option 2.

Our Vendor Information

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

EDI Trading Partner Registration Form

Section 1

  • Please enter your Business/ Practice or Provider Name
  • Enter your address, phone and fax number and email address
  • Enter the name of the main contact person for your office
  • Please leave the sender id number box blank

Section 2

  • Select your business type; it should be either Physician/Provider or Billing service if you are a Billing Service.

Section 3 and 4

  • Please select your state(s) and mark the following:
  • 837 P – Professional Claims for CMS 1500 billings
  • 837 I – Institutional Claims for UB04 billings
  • 835 – Payment Advice/Remit to receive your EOBs electronically in SolAce

Section 5

  • For Data Transmission Method please select “SFTP”
  • If SFTP is not listed as an option please write it in underneath the last option listed.

Section 6

  • For Delimiters, please enter the following:
    • Element Separator: *
    • Sub-element Separator: :
    • Segment Terminator: ~

Section 7

  • Enter AXIOM Systems, Inc formerly Ivertex as your vendor’s name
  • Please fill in AXIOM System’s. address and contact information provided on the table above

 

835 Electronic Remittance Advice

After you have received your Anthem Submitter ID, please fill this form out if you would like to receive your EOBs electronically in SolAce

Payer

  • Select the Payer (Anthem)

Provider Information

  • Please enter your Business/ Practice or Provider Name

Provider Address

  • Enter your address, city, state, and zip

Provider Data

  • Enter your Tax ID
  • Enter your NPI
  • Enter your Trading Parnter ID (also called Submitter ID)

Provider Contact Information

  • Enter the main contact for your office
  • Make sure to fill out all fields in this section

Preferences

  • Choose either Tax ID or NPI
  • In the drop down, select "Direct Download Secure FTP"

Clearinghouse Information

  • Leave this section blank

Reason for Submission

  • If this is a new registration select New

Authorized Signature

  • Enter the name and title of the authorized individual submitting registration

Check the box then press Submit

 

Submitting your Forms

It is recommended that you keep a copy of all the forms you will be submitting for your records.

Mail the EDI Trading Partner Registration Form to:
EDI Solutions Help Desk
13550 Triton Park Blvd.
Louisville, KY 40223

Mail the Payment Advice/Remits Form to:
Central Region EDI
13550 Triton Park Blvd.
Louisville, KY 40223

Or for faster Processing Fax to:
502-889-4533

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 Anthem EDI Technology Support Center at (800) 470-9630 option 2.

Testing

Once you have received your Submitter ID and password from Anthem, 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,
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.

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Margate, FL

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Bellevue, NE

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Bemidj, MN

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Mahornet, IL

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