Oklahoma Medicaid: EDS

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

If you are a contracted provider and have not received your Internet Pin letter, please call our Internet Help Desk at (405)522-6205 or (800)522-0114, select option 2, then option 1 to request your Pin.

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

1. EDI/ERA Application for Providers
2. EDI/ERA Application for Billing Agents(For Billing Services ONLY)
3. Electronic Data Exchange Agreement (For Billing Services ONLY - print 2 copies)

If the above links do not work properly, please download the forms directly from the website
: www.okhca.org/providers

If you have any questions regarding any of the documents in this package, please call the EDS EDI Technology Support Center at 1-405-416-6801.

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 - 500000238
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

Oklahoma SoonerCare EDI Application for Providers

Section 1

  • Header: Choose "New Applicant"
  • Enter your Organization/Practice or Provider Name and Enter your Provider number and NPI number
  • Enter your demographic information
  • Enter the contact information for the main contact person(s) for your office
  • Please enter the EDI Software Vendor information provided above for AXIOM Systems, Inc.

Please enter the information provided above for Axiom Systems, Inc. as your EDI Vendor

  • Check the box for Software Product
  • Enter our demographic and contact information

 

Please indicate the EDI transaction type being requested to send/receive

  • Please chose the following:
    • 837 Professional (for CMS 1500 claims) or 837 Institutional (for UB04 claims)
    • 835 Remittance Advice (for Electronic EOB's)

Section 2

  • Select the option you would like for your paper remits
  • Enter your Provider Numbers and Provider Names
  • On the designated receiver's section for ERA's, leave the Receiver ID blank and fill in your business name, name of the contact person for your office, and your demographic information.
  • Billing Services: If you are to receive your provider's ERA's, they must fill out one of these forms and enter YOUR Receiver ID and Business name to authorize you to receive their Remits.

Section 3

  • Sign and Date

Oklahoma SoonerCare EDI Application for Trading Partners

Section 1

  • Header: Choose "Billing Agent" (SoonerCare considers every direct submitter a "Billing Agent")
  • Enter your Business Name and leave Submitter ID blank
  • Enter your demographic information
  • Enter the contact information for the main contact person(s)for your office
  • Please enter the EDI Software Vendor information provided above for AXIOM Systems, Inc.

Section 2
Please indicate the EDI transaction type being requested to send/receive

  • Please chose the following:
    • 837 Professional (for CMS 1500 claims) or 837 Institutional (for UB04 claims)
    • 835 Remittance Advice (for Electronic EOB's)

Section 3

  • Sign and Date

Electronic Data Exchange Agreement (For Billing Services ONLY)

  • Header - Complete the first paragraph with your Business Name and Tax ID number
  • Section 2.2 - Enter your Business Name, Address, and email address
  • Section 2.3 - Providers, initial the first line; Billing Services, initial the 2nd line
  • Section 9.1 - Complete the "Contractor" section

SoonerCare Provider or Fiscal Agent Disclosure of Ownership

  • Please complete this form in it's entirety. If you have any questions regarding how to complete this form, please contact Oklahoma Medicaid's EDI department at 405-416-6801.

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:

Electronic Data Systems
Attn: EDI Department
2401 NW 23rd Street, Ste. 11
Oklahoma City, OK 73107
Fax: 405-416-1426

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 filling claims electronically. If neither confirmation nor a returned packet is received after two weeks, contact the Technology Support Center at 1-405-416-6801.

Testing

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

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