- General Information
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Submitter Type - Provider
- Submitter Type - Provider
- I Am a Provider and “I Want to Connect Directly to the Part A FISS/DDE System”
- I Am a Provider and “I Want to Allow a 3rd Party Billing Service to Bill for Me Using the Part A FISS DDE System”
- I Am a Provider and “I Want to Complete an EDI Registration Form”
- I Am a Provider and “I Want to Complete a Connex Registration Form”
- Submitter Type - Billing Service
- Submitter Type - Clearinghouse
Clearinghouse
When Clearinghouse is selected as your submitter type the following objective will be displayed.
Select the objective and then click Next.
I am a Clearinghouse and “I want to complete an EDI Registration Form”
This objective is for clearinghouses who need to obtain a new TPID or make a change to an existing TPID.
Step 1. Clearinghouse Information
Complete the following fields as it applies to the provider of services:
- Clearinghouse Name - Enter the clearinghouse name.
- Clearinghouse Address - Enter the clearinghouses’ physical or corporate address.
- Primary contact First and Last Name - Enter the first name of the contact within the clearinghouse that will be the authorized contact.
- Title - Enter the title of the contact person authorized for the clearinghouse.
- Email Address - Enter the email address of the authorized contact for the clearinghouse.
- Telephone Number - Enter the clearinghouses’ direct telephone number.
Step 2. What Transactions will you Authorize for this Submitter?
Select all the EDI Electronic Transactions you are authorizing for the submitter will be exchanging.
Note for Part B providers: For more information please view the NGS Standard Companion Guides
Step 3. Trading Partner Information
Select the applicable action from the drop-down box.
This section is used to determine the necessary action taken for the PTAN(s) entered.
- Obtain TPID - Obtain a new Trading Partner ID for an entity.
- Note: TP IDs are contractor code specific.
- Update TPID - Update an active Trading Partner ID currently on file with National Government Services (add PTAN(s), transaction types, software vendors, etc.).
- Note: Making updates to a TP ID can only be authorized by the owner of the ID.
- Link to Third Party - Providers allowing a billing service and/or clearinghouse to exchange transactions with NGS on their behalf.
- Submitter type - this field will auto-populate based on what is selected within the guided enrollment.
What is the Trading Partner ID?
The ID used to exchange transactions with National Government Services. This is the 4-9 alpha-numeric ID (only required when the action Update TPID or Link to Third Party is selected in Section I).
Select Transactions Authorized for this Submitter
- Claims (837)
- Remittances (835)
- Claims Status and Response (276/266)
Note: These three transactions are auto populated based on what is selected within the guided enrollment.
Step 4. Operating Information
Select the Network Service Vendor that will be providing your connectivity to National Government Services in the Network Service Vendor drop-down box.
What is a Network Service Vendor?
The approved NSV that provides access to the National Government Services EDI gateway that you have a service agreement with (only required when the action Obtain or Update TPID is selected in Section I).
Step 5. Authorized Signature
Review the Terms and Conditions and check the box “I agree to the terms and conditions above”.
- Be sure to note, the requirements for who may sign the documents.
Next, scroll down and complete the “signature name” and “title” fields and click the “Submit” button.
Once completed, the EDI Enrollment Complete screen will display.
This screen will provide the PID information. You will also have the option to print the packet, finish and exit, or start a new packet. With printing, you are able to print to PDF which will allow you to save a copy of the packet or select the appropriate printer to obtain a paper copy.
Revised 10/18/2023