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What is an EDI enrollment?

Electronic Data Interchange (EDI) is an innovative digital communication tool that is used to deliver data from a provider to a payer. In order to be eligible to submit electronic claims to an insurance company, providers must complete EDI enrollment.

What is an EDI enrollment form?

ENROLLMENT PACKET. This enrollment packet consists of an EDI Provider Application/Agreement Form, an Option Selection Form, an ERA Enrollment Form, Title 22 and Forms Reorder Request.

How long does EDI enrollment take?

Here are some important tips to keep in mind once you have submitted an EDI Enrollment form: Please allow 10 business days before contacting EDI Services for a status of an electronic billing form sent for processing. Use the Form Status and Verification tool to check the status of your form.

How to fill EDI form?

Type the contact persons name that has knowledge and authority to answer questions regarding your enrollment. Type the contact persons telephone number (including area code). Type the fax number (including area code) for the provider. Type the practice mailing address, including suite/building numbers/levels.

What is EDI enrollment in Medicare?

The Centers for Medicare Medicaid Services (CMS) standard Electronic Data Interchange (EDI) enrollment form must be completed prior to submitting Electronic Media Claims (EMCs) or other EDI transactions to Medicare.

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