SolAce - Electronic Medical Claims

Enrollment Instructions

Thank you for your interest in Electronic Data Interchange (EDI).

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 NGS office prior to initiation of electronic claims submission or inquiry. 1. EDI Enrollment Form 2. EDI Submitter Action Request Form 3. EDI Third Party Form

Enrollment Instructions

Thank you for your interest in Electronic Data Interchange (EDI).

Required Process for those applying for new Submitter IDs

Please go to the following link to complete WPS' online Registration Form https://corp-ws.wpsic.com/apps/wtps-web/unauth/RegistrationLoadAction.do

Enter your Business or Provider Name in the Submitter Name field
Enter your Demographic & Contact Information
For To and From Transmission Method, select WGBBS
Check the following boxes:
- Receive Acknowledgement
- Receive Remittance (If you would like to receive electronic EOB's)
For Vendor Name enter: AXIOM Systems, Inc. (formerly Ivertex)
Click Save

Enrollment Instructions

Thank you for your interest in Electronic Data Interchange (EDI).

Required Process for those applying for new Submitter IDs

To enroll for a submitter ID with Illinois Medicaid please follow the instructions below.

Go to http://www.myhfs.illinois.gov
Click on Register on the left
Press the button labeled “Illinois Accept”
Fill out your information on the online form
When asked which transactions you wish to be setup with select:
- 837 I for Institutional Claims
- 837P for Professional Claims
- 835 for Remittance Advice
If you need help with this process: Go to the “New Users’ section.

Enrollment Instructions

Thank you for your interest in Electronic Data Interchange (EDI). To enroll for a Submitter ID with Independent Health please contact their EDI Operations Team at 716-635-3911. Let them know you are interested in applying for a Submitter ID so that you may send your electronic claims directly to them.

Let them know your billing software is called SolAce EMC by AXIOM Systems Inc., formerly Ivertex and that we are already approved as one of their software vendors.
Ask them if they can send you the form(s) required to obtain your Submitter ID so you can submit electronic claims directly to them.
You may also email them at e-commerce@independenthealth.com

Enrollment Instructions

Thank you for your interest in Electronic Data Interchange (EDI).

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 Palmetto GBA office prior to initiation of electronic claims submission or inquiry. 1. EDI Application Form 2. Medicare Electronic Data Interchange Enrollment Agreement 3. Provider Authorization Form (For Billing Services Only) To obtain the forms above, please download them from:

Enrollment Instructions

Thank you for your interest in Electronic Data Interchange (EDI). To apply for a submitter ID and password for OMAP please go to: http://www.dpw.state.pa.us/provider/promise/certification/certificationinfoforansix21v5010ncpdpinteractived.0orbatch1.2/index.htm

Scroll Down to the very bottom and click on the link that says: “PROMISe Transaction Certification Registration Form”.

If you have any questions regarding any of the documents in this package, please Call the OMAP EDI Technology Support Center at 1-800-248-2152.

Required Information

We recommend that you have the following information ready before filling out your forms:

Enrollment Instructions

Thank you for your interest in Electronic Data Interchange (EDI)

To apply for an AR Medicaid electronic Submitter ID, please go to the following website and click on the link for "New Submitter Registration Form"
- https://www.medicaid.state.ar.us/InternetSolution/provider/hipaa/regis.aspx

Billing Services and Providers

Select "Provider" if you are Provider. If you are a Billing Service, select "Vendor"
Complete the "Submitter" section with your demographic and contact information
Select and Answer 5 Security Questions then click Next
Enter the PIN numbers of the Providers you will be billing for and click Add

Enrollment Instructions

Thank you for your interest in Electronic Data Interchange (EDI). All providers must first register for Noridian’s Total Onboarding System in order to become an electronic submitter. Guides can be found at http://www.edissweb.com/cgp/forms/onboard.html Once you have established your Total On Boarding Account, please log into your account.

On the first page, click the “Manage NPIs” button and choose your billing NPI.
Select the transaction types you want to enroll your Billing NPI for:
- For Professional claims, click “Enroll” for 837P (5010A1)
- For Institutional claims, click “Enroll” for 837I (5010A1)
- To receive your EOBs electronically, click “Enroll” for 835 (5010A1)

Enrollment Instructions

Thank you for your interest in Electronic Data Interchange (EDI). In order to be able to submit claims electronically to AK Blue Cross Blue Shield, you must first go to onehealthport.com and Register for an OHP User ID (if you do not have one). You may click on this link to launch the One Health Port Registration Page: http://www.onehealthport.com/register/index.php Once you receive your OHP User ID, you will then be able to access the forms below from your OHP account.

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

Enrollment Instructions

Thank you for your interest in Electronic Data Interchange (EDI).

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 VT Medicaid office prior to initiation of electronic claims submission or inquiry. 1. EDI Registration Form 2. Trading Partner Agreement If the links listed above do not work properly, please download them from: http://www.vtmedicaid.com/Downloads/tools.html

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customer Testimonial

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

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Enrollment Instructions

Required Documents for those applying for new Submitter IDs

Enrollment Instructions

Required Process for those applying for new Submitter IDs

Enrollment Instructions

Required Process for those applying for new Submitter IDs

Enrollment Instructions

Enrollment Instructions

Required Documents for those applying for new Submitter IDs

Enrollment Instructions

Required Information

Enrollment Instructions

Enrollment Instructions

Enrollment Instructions

Required Documents for those applying for new Submitter ID's

Enrollment Instructions

Required Documents for those applying for new Submitter IDs

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