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Electronic Data Interchange Enrollment

To become an electronic biller, complete both of the “EDI Services Part A Enrollment Application” and the “EDI Services Part A System Access Application” forms. Refer to the EDI Forms Web page to access the EDI enrollment forms and instructions. EDI applications forms are also available for billing services, vendors and clearing houses. The enrollment process typically takes two weeks.  Extenuating circumstances may extend this time frame. 

The following “New EDI Submitter Packet” information provides valuable resources for new electronic billers.

 

New EDI Submitter Packet

Page last updated: February 23, 2010

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