Virginia Medicaid
Please follow the Enrollment Instructions below to become an electronic submitter for Virginia Medicaid.
In order to begin filing claims electronically you must first be actively enrolled with Virginia Medicaid.
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 Virginia Medicaid office prior to initiation of electronic claims submission or inquiry
Please complete the following forms:
1. Electronic Claims Submission Enrollment Packet
If the above link does not work properly, please download the packet from:
www.virginiamedicaid.dmas.virginia.gov
If you have any questions regarding any of the documents in this package, please call Virginia Medicaid EDI Technology Support Center at 1-866-352-0766 Monday-Friday 8:00 a.m. - 5:00 p.m.
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 |
EDI Form 101 - Submission of Electronic Transactions Agreement for Service Centers
Section 1: Submitter Information
- Enter your Business/Practice or Provider Name
- Address
- Today's Date
- Complete #6 with your information on the right side of the box
- Please leave the Service Center Number line blank
EDI Form 102 - Service Center Operational Information
Section 1:
- Please specify if you are an Individual or Group practice
Section 1a:
- Please indicate how you will be submitting: Choose Software Vendor (if you are using SolAce)
- If you are using a Billing Service please select Billing Agent
Section 2:
- Please enter your Business/Practice or Provider name
- Address
- Name of the main Contact person for your office
- Phone and Fax numbers
- Office e-mail address
- Specialty
Section 3:
- Software Name: SolAce EMC
- Vendor Name: AXIOM Systems, Inc (formerly Ivertex)
- Version: 4.0
- Contact: EDI Team 602-439-2525
- Please enter AXIOM System's Demographic info from the box above
If you are using a Billing Service, enter your Billing Services 4 digit submitter ID in the Service Center Number box. Section 4: Electronic Transaction Types Please mark to "Add" the following:
- Remittance Advice (835)- To receive your EOB's electronically in SolAce
- Professional(837P)- For CMS 1500 claims
- Institutional(837I)- For UB04 claims
Provider Service Center Authorization (Billing Agency or Clearinghouse Authorization)
Providers Using SolAce can skip this form
NOTE to Billing Services: Each provider that you are billing for must complete this form
Section 1:
- Check the box to certify you're authorizing a Billing Agency to receive your 835's
- Enter the Service Center Number (Submitter ID) of the Billing Agency or Clearinghouse
Section 1a:
- Select the time frame you wish to continue receiving your paper remittances
- If no time frame is selected, the default is 60 days
Section 1b:
- Only fill in this section if you are currently attached to a different Service Center to accept and process your electronic remittances
- If so, check the box, enter the Service Center Number to be terminated, and enter today's date
Please skip Section 2 and 2a
Section 3: Signature
- Complete the bottom of the form and sign
Submitting your Forms
Please return the Electronic Claims Submission enrollment packet via fax at 1-888-335-8460 or email to
Virginia.edisupport@conduent.com
It is recommended 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 can take up to two weeks from the date of receipt.
After processing, a confirmation will be emailed to you as notification to begin filing claims electronically. If confirmation is not received after two weeks, contact the Virginia Medicaid EDI Technology Support Center at (800)924-6741.
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.
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.
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.
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.
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.
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.
Easy to use, Customer support has always been excellent, Thanks SolAce Team.
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.
Awesome customer service every time!
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!!
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.
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.
Everyone in your company is very helpful and pleasant, and they always have the quickest response time on fixing the situation.
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.
