JH Novitas Solutions, Inc: Texas Medicare

Novitas Solutions Inc. administers Medicare health insurance for the Centers for Medicare & Medicaid Services (CMS) for Jurisdiction H which includes the state of Texas. If you are a provider located in Texas 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 IDs

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

To access these forms, please Go Here: https://www.novitas-solutions.com/edi/enrollment/forms-a-b.html

Select your Jurisdiction. Then choose "Forms" on the left hand side. Select the appropriate form under the subtitle "Electronic Data Interchange (EDI) Forms".

 

1. Novitas Solutions EDI Enrollment Form (8292JH)
2. Novitas Solutions Vendor Agreement Form (8291) (For Billing Services Only)
3. File Transfer Protocol FTP Enrollment Form


If you have any questions regarding any of the documents in this package, please call the Novitas Solutions EDI Technology Support Center at 1-877-235-8073.

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

Vendor Name - AXIOM Systems, Inc.
Contact - EDI Team
Vendor Code - 1989
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) Enrollment Form

Section A: Select your Line of Business and State

Section B: Enter the name of the Group, Provider, Or Supplier who is applying for a Submitter ID

Section C: Enter your Practice’s demographic and contact information

Section D: Enter the Provider’s PTAN, NPI and TIN or EIN

Section E: Billing Service/Clearinghouse Information:

  • If Provider is sending and receiving using SolAce, place check mark next to Provider
  • If a Billing Service is sending/receiving on behalf of the provider check, Billing Service

Check the last box in this section about your 855 form if applicable

Section F: Select the box for New Enrollment. Place a check next to Assign this provider a new electronic billing submitter ID

  • Select either One Submitter ID or Separate Submitter ID’s per contract, whichever you prefer.
  • For name of software vendor enter SolAce by Axiom Systems Inc

Section G: Assign ERA to the new submitter ID being requested in block F of this form.

Section H: Skip this section

Section I: Enter either your Tax ID or NPI

Signature Section: Type your Name and Title, then Sign and Date

 

EDI Third Party Enrollment Form (Billing Services Only)

Section I. Enter your Company’s Name, Demographic info, and Contact information

  • For Name of Software enter SolAce-EMC
  • Skip the first Box
  • Check the second box if you wish to not receive paper mail responses.

Section II. Check the box to Assign a new submitter ID.

  • Select the box that says “I am a Billing Service or Clearinghouse that will be submitting claims directly to Medicare”
  • Name of Vendor: AXIOM Systems, Inc. formerly Ivertex
  • Choose either one submitter ID for all Part B contracts or Separate ID’s per contract
    • You would probably want Separate ID’s per contract.
  • Check the box to assign a new ERA Receiver ID if you will be receiving your Provider’s ERAs.

Section III. Check these boxes:

  • Create ANSI ASC X12N 837 version 5010 claim files
  • Retrieve ANSI ASC X12N 835 version 5010 remittance files
  • Provide the following type of connection to Novitas Solutions: Check box for SFTP
    • You may also select DDE and PPTN. Ask us about our ClaimShuttle Network Service today so we can get you access to the DDE or PPTN screens that you need to access!
  • Provide services to the following contracts: Check applicable boxes for Part A, and/or Part B

Section IV. Skip this section

Signature Section: Print your Name and Title, then Sign and Date this application

 

Secure File Transfer Protocol (FTP) Enrollment form (Please complete form after receiving your Submitter ID)

Section A: Enter your Business/Practice or Provider Name. Enter your Address, the name and email of the Contact person for your office as well as your phone number. Please Enter your Submitter ID

Section B: NSV Company name: ClaimShuttle, Contact Person EDI Team, Phone number: 602-439-2525

Sections C & D: Read through the terms then Print your Name, Title and Date, then Sign the application.

 

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:

Novitas Solutions, Inc.
EDI Department
P.O. Box 890011 Camp Hill, PA 17089-0011
Or Fax to: 1 (877) 439-5479

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 mailed to you as notification to begin filing claims electronically. If neither confirmation nor a returned packet is received after two weeks, contact the Novitas Solutions EDI Technology Support Center at 1-877-235-8073

 

Testing

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

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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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