EDI Enrollment

Welcome

This page is for providers who wish to submit Part A/B claims to Medicare. Once you have completed the initial provider enrollment and received your Welcome letter with Medicare, you can begin the EDI Enrollment process.

Table of Contents

• Step 1 – Complete your Enrollment Packet
• Step 2 - Check Packet Status
  • IVR
  • Canceling Enrollment Form Requests
  • Deactivation of a Trading Partner ID

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Step 1 – Complete your Enrollment Packet

If you are ready to complete an EDI Enrollment Packet, click the button below.

• Start Enrollment Process
• EDI Enrollment Process User Guide

Related Information

Located on the right hand side of this page are the NGS approved Network Service Vendors as well as the 5010 Approved Entities.

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Step 2 - Check Packet Status

Once you have submitted your packet, you can check the status at any time using the EDI Application Status Tool, located on the right hand side of this page.

When an EDI Enrollment Packet is submitted; an acknowledgment email will be generated and sent back to the e-mail address on the form.

Once the request has been approved and processed, a setup confirmation will be sent via email.

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IVR

To access the IVR, contact the EDI Help Desk, selecting option 1. The IVR will ask for the Packet ID (PID) or the NPI, PTAN, and date of the online submission for the paperwork.

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Canceling Enrollment Form Requests

If you would like to cancel a previously submitted EDI Enrollment packet, please submit the EDI Email Inquiry Form located on the right hand side of this page. Within the Inquiry Form, be sure to include the Packet ID (PID), name of the form/s, date of online submission, and contact information.

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Deactivation of a Trading Partner ID

Only the owner of a TP ID can request a deactivation. If you own a Trading Partner ID and will no longer be using it, please contact EDI Enrollment by submitting an EDI Email Inquiry Form located on the right hand side of this page. Within the Inquiry form, include the Trading Partner ID, associated PTAN and NPIs linked to your TP ID and contact information. EDI Enrollment will respond to the Inquiry Form within 48 hours with further instructions to complete your request.

Please share your thoughts about your experience with our EDI Enrollment process.

Reviewed 6/6/2024