New Mexico Medicaid

Please follow the Enrollment Instructions below to become an electronic submitter for New Mexico Medicaid.

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

1. Trading Partner Agreement (not available in PDF, you must download the Word Format.)
(Click on “Word Format” next to Trading Partner Agreement)
2. New Mexico Medicaid Provider Billing Agent Form (for Billing Agents)


If the links listed above do not work properly, please download these forms from here:
https://nmmedicaid.acs-inc.com/nm/general/loadstatic.do?page=ProviderInf...

If you have any questions regarding any of the documents in this package, please call the Medicaid EDI Technology Support Center at 1-800-299-7304 and ask for the EDI Help desk.

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 - 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

Trading Partner Agreement

Header

  • Please enter today’s date
  • Enter your Business/Practice or Provider Name in the Trading Partner Name line.
  • Enter your Tax ID #
  • Enter your name and information at the bottom of page two
  • Select the following
    • 837 Professional Claims / Encounter for CMS-1500 billings
    • 837 Institutional Claims/ Encounter for UB04 billings
    • 835 health Care Claim payment Advice for your Electronic EOBs
    • 277CA Payer Specific Reject Report
    • 999 Acknowledgment of Sent Transactions
  • Enter your Medicaid Number and NPI next to your classification
  • If you’re a Billing Agent place a check mark next to Billing Agent/Clearinghouse
  • Enter your Demographic and Contact information
  • Leave the section for submitter ID blank
  • For Software Product enter SolAce EMC
  • Enter the contact information for the main contact in your office
  • Enter the Name and Address of each person with an ownership or controlling interest in the organization
  • If the last section in any way applies to your organization, please fill in the information requested

New Mexico Medicaid Provider Billing Agent – Submitter Application

(For Billing Service’s)

  • Enter the Name of Your Business/Organization
  • Enter your phone number
  • Under Role of Submitter Enter “Billing Agent”
  • Enter your Tax ID
  • Enter the name, demographic, and contact information for the contacts in your office
  • Enter the Name, Address, Phone, Tax ID and Relationship of each person with an ownership or controlling interest in the organization
  • If the last section in any way applies to your organization, please fill in the information requested

Submitting your Forms

It is recommended that you keep a copy of all the forms you will be submitting for your records. Providers, please mail the Trading Partner Agreement reflecting original signatures to:

ACS, Inc.
P.O. Box 27460
Albuquerque, NM 87125-7460

Or fax to: 505-246-8485

Billing Services, please mail the Billing Agent- Submitter Application and the EDI Provider Enrollment Authorization form reflecting original signatures to:

New Mexico Medicaid HIPAA Project
C/O ACS
1720-A Randolph Road
Albuquerque, NM 87106

You may also Fax the EDI Provider Enrollment Authorization form to:

505-246-8485

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 e-mailed to you as notification to begin filing claims electronically. If neither confirmation nor a returned packet is received after two weeks, contact the Technology Support Center toll-free at 1-800-299-7304 and ask for the EDI Help desk.

Testing

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

Please have 3 files, in each file 10 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