J10 Cahaba GBA: Georgia Medicare

Cahaba Government Benefit Administrators®, LLC (Cahaba GBA) administers Medicare health insurance for the Centers for Medicare & Medicaid Services (CMS) for Jurisdiction 10 which includes the State of Georgia. If you are a provider located in the State of Georgia and need to become an electronic submitter for your Medicare A/B Claims, please follow the enrollment instructions below.

Required Documents for those applying for new Submitter ID's

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

Providers

  1. Part A - Part A Application
  2. Part B - Part B EDI Application

Billing Services

  1. Part A Billing Service Application
  2. Part B Billing Service Application

Please Note: Some links may work better on Internet Explorer. If you are having difficulty accessing the forms please try opening them using Explorer, or go to the site directly to access and download the forms:

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.

If you have any questions regarding any of the documents in this package, please call the Cahaba GBA Support Center at 866-582-3253.

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

Electronic Data Interchange [EDI] Application PART A [for Providers billing directly]

  1. Select your State
  2. New applicants should choose: A new provider to EDI
  3. Enter your Business/Practice or Provider Name
  4. Enter your demographic information
  5. Enter the name and number of the main contact person for your office
  6. Enter your Fax number and E-mail address
  7. Enter your Medicare Number, NPI, and Tax ID
  8. List any additional Medicare PTANs, NPI’s and EIN’s
  9. Select the option Direct using a vendor
  10. New applicants please leave the Submitter ID box blank
  11. Select the option Electronically Directly from Cahaba
  12. Leave the Submitter ID box blank
  13. Skip the section for Billing Service/Clearinghouse unless you are a provider that is using a Billing Service
          a. Providers using a Billing Service: Please enter your Billing Service's information here
    If using a Billing Service please answer the questions regarding usage of the FISS/DDE System
  14. For "Software Vendor" fill in the following:
         a. AXIOM Systems, Inc. 602-439-2525
         b. 241 East 4th Street, Suite 200 Frederick, MD 21701
         c. Contact Name: EDI Support Team
  15. Please complete the "276/277" section if you would also like to apply for 276/277 (claim status) transactions
  16. Complete the last page and print your form. Make sure the bar code prints.

Electronic Data Interchange [EDI] Application PART B [for Providers billing directly]

  1. Select your State
  2. Click the drop down and select Start or Change Electronic Billing Method
  3. Check the box if you wish to receive your Remittance Advice Electronically
  4. Select Direct using a vendor
  5. Leave the Submitter ID box blank
  6. Enter your Business/Practice or Provider Name
  7. Enter your demographic information
  8. Enter the name and number of the main contact person for your office
  9. Enter your Fax number and E-mail address
  10. Enter your Medicare Number, NPI, and Tax ID
  11. New Applicants skip the section for Method of Interchange as this is only required if using an existing Submitter ID or reactivating the ID
  12. If using a Billing Service, enter their information at the bottom of this page
  13. Complete the last page and print your form. Make sure the bar code prints.

Electronic Date Interchange [EDI] Application [for Billing Services]

1. Select your State
2. Select the option for Billing Service
3. Choose the line of business that you will be billing for
4. Indicate with the drop down if you are a New or Existing Billing Service with Cahaba EDI
5. New Applicants should leave the Submitter ID box blank
6. Enter your Business Name and Tax ID
7. Enter your Demographic Information
8. Enter the name, number, and e-mail of the main contact person for your office
       a. Use your contact information for the Technical and Marketing sections
9. Check off In-House Software and enter the following
       a. AXIOM Systems, Inc - Vendor Name
       b. 602-439-2525 - Phone
       c. SolAce EMC Version 4.0 - Software Name/Version
10. Select ANSI 837 format 5010
11. Select ANSI 835 format 5010 for Electronic EOB's
12. Please complete the 276/277 section if you would like to apply for 276/277 (claim status) transactions
13. Please complete the last page with your information and print your form
       a. You will be the Network Service Company since you are a direct submitter.

NOTE To Billing Services: Once you have been assigned a Billing Service ID, your Providers will have to complete the Regular Part A Enrollment form and state that you are their billing service in their application.

Submitting your Forms

It is recommended that you keep a copy of all the forms you will be submitting for your records. Please fax the enrollment forms to:

Part A Forms:
1-205-402-5706

Part B Forms:
1-205-402-9200

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.

After processing, AXIOM Systems will notify you to begin filing claims electronically. Usually, Cahaba GBA will fax a confirmation to the number listed as the contact on the form. If neither confirmation nor a returned packet is received after two weeks, please call the Cahaba GBA Support Center at 1-866-582-3253.

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customer Testimonial

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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