EDISS Connect User Manual for Providers
Contents
1. You ve been added as a user you re almost finished To complete the EDISS registration process please click on the link provided within the next 15 days You will be required to provide additional information including the usemame created by your administrator You will also need to enter the system generated passcode as shown below The passcode is case sensitive Registration passcode J9vwK3 00 Complete Online Registration Hint To minimize the chances of mis keving the passcode copy Ctrl C and past Ctrl V the passcode into the Enter passcode from email field during the next step of registration If you have any problems completing the registration process please contact EDISS at 800 967 7902 Toll Free 800 967 7902 Contact Us EPOISS Ragistration amp Managemen Confidentiality Notee This communicaten aod any sitacnments are for ihe sole use of the miended recaentis and may cenian confidental and onvieged nformaton Any unsuthoned review use dectosure disinbubon or copying amp F amhad ify a not ihe miended momenifs pleece enniact the santer By cepa bn this e mail and cect dedete al anes n ha s ma meriya Manage Users 1 When a new user is setup in the system the user will receive the email notification above 2 A temporary registration passcode is generated and required to finish registering as a user 3 The user can click on Complete Online Registration to finish their regist2. Add Transaction Transactions 1 Click on the small box under Enroll to add a that perform that type of transaction will check mark to the specific claim type you will be display within the list submitting 4 Once all transactions are added click 2 You will also need to check who will perform Continue on the bottom of the page to finish the transaction The options are either I Will adding the transaction s and or a Vendor will 3 Indicate who will be performing a specific transaction They will need to be added during this step To add a vendor click on the Add Vendor button and a window will appear allowing you to select a vendor Only vendors User Manual for Providers Setup Complete Thank you for setting up a iransaction Below you ll find the information you will need to submit to EDISS in order for the transscton s to be complete and ready to submit cisims You will be able to see all of the items that require action in the manage transactions link Summary NPI 9676543210 Tax ID or S35N 967456057 Medicare Part A Alaska 625 50104221 Health Care Claim Payment Advice Who will be performing the transaction will Medicare Part B Alaska EP 50104222 Health Care Claim Professional Who will be performing the transaction HEALTH MANAGEMENT SYSTEMS If any of this information is inaccurate you will have the ability to edit using Required Forms Print sign and fax or mail the followin
3. PETERSE Mon Fri 8 00 AM 7 00 P M CT Mote Closed for training every Wed 10 00AM 11 30 A M CT City Deteted Contect infommetan State AIP Contact Information This is the primary contact for this account You wall be able to enter addtional users after your account is created First Mame Last Name Email We will never spam Confirm Email Create Account 3 Enter your company information All information on this page is required The personal contact information on the bottom portion of this form is the primary contact for this account You will be able to add additional users to access the account upon successful account creation User Manual for Providers Go aa d a amp Marenek Help Account Security Frequently Asked Questions B eG 3 4 Create Account Account Security Account Settings Finish D Can we share passwords Required Back j Usemame demoprovider a Questions Your usemame must be 8 20 characters and conisin no spaces peepee Ae i oo5 609 9960 Password TELLLLT T Jurisdiction F JF Part A and E of 7 908 3431 e Confirm password seeeeeee wf Toll 300 967 7902 Your password must be st least 3 characters must contain one upper case letter one lowercase letter one digit and one special character E ax 701 277 7850 Mon Fri 3 00 A M 7 00 PLM CT Note Closed for training every Wed Text Verificaton Required 4
4. SUPPORT SERVIGES EDISS Connect User Manual for Providers Table of Contents Welcome to EDISS Connect cccsssssscstcceessesseceesccetsssssneees 1 WebSiteAddress URL ccccssssssccesccccssssssceescceessessseeascetensenas 1 SS RESIS AOT ee rine E E E 3 Provider Dasnboard VICW sarcinii 12 GUE POTI ceee a E E EE 14 Adding a Trans acCUON aeren E ES 15 Manage Transactions ee eeessessseseeeeeeceeeeeeeeeeeeeeeeeeeeeseseeeeeees 20 SOT TSS GUI Cs sacenetedatansanecteetuacotsadeccuoeesnatenintecenenentyecemsseuae ace 22 eNe eaa EE E E E A E 23 VIN FO e a E EA EE E EE R 24 Mana t e USETE serren S EAEN EE ATE 25 PA O E E A A E sas 27 SUPPORT SERVICES ED Welcome to EDISS Registration and Management EDISS Connect is a user friendly online registration and electronic claim testing system Providers use it to register with EDISS add users and to add and manage transaction types The system also allows Providers to test claim files for electronic submission Web Site Address URL https connect edissweb com E lame ksa EDISS Connect Hef Welcome Already have an account EDISS Connect Registration amp Log In Management Gain access to this free user friendly online registration and management tool that allows providers to manage billing NPis update lines of business add or change vendor associations select and test electronic Verge mr transactions online Log In
5. AGREEMENT GOVERNING YOUR USE OF THE EDISS REGISTRATION amp MANAGEMENT SERVICE INCLUDING OFFLINE COMPONENTS COLLECTIVELY THE SERVICE IF YOU ARE ENTERING INTO THIS AGREEMENT ON BEHALF OF A f accept the Sofware Licensing Agreement Gon bnwe Frequently Asked Questions What does PC ACE Prog cosi oO How do install PC ACE Proz2 How do request a CD copy Questions Jurisdiction E JE Part A and B 2599 609 9960 Jurisdiction F JF Part A and B of T 908 8431 Toll Free e00 967 F 902 Fax 701 277 7350 Hours Mon Fr 8 00 4M 7 00 P M CT Note Closed for training every Wed 10 00 AM 11 30 AM CT Detaged Gontect Information Account Settings 1 If you will be administering your own account option which was selected in the previous step you are required to choose what software you will use to process transactions If you use PC ACE Pro 32 the free software provided by EDISS you will need to accept the associated software licensing agreement Once complete click Continue User Manual for Providers sor EDISS Connect Help Account Settings Frequently Asked Questions 4 Create Account Account Security Account Settings Finish What is a software vendor Required What vendor will you use to manage your account p Questions Search for vendor name or trading partner ID TPID Billing Jurisdiction E JE Part A and E 255 609 9960 P EE and
6. _ _o9 _ _o ___ Create Account Account Security Account Setings Finish Questions Back Required Jurisdiction E JE Part A and B 5 299 0094 9960 Who will manage your account and transactions l Jurisdicton F JF Part A and E will gt of 908 8431 Toll Free g00 967 7902 A vendor Fax 701 277 7850 Hours Mon Fri 8 00 AM 7 00 F M CT Mote Closed for training every Wed 10 00 AM 17 30 AM CT Detaied Contact information 5 Toll Free 300 967 7902 Contact Us Account Settings 1 For Account Settings you must choose who will administer your account If you choose I will you will maintain control of all your account information and will setup all of the transactions that you will be submitting If you choose A vendor control of your account will be released to a managing vendor once the vendor approves the assignment and you will not be able to change any information or add and manage transactions as it relates to your account User Manual for Providers EDISS Connect Account Settings o _9 o Create Account Account Security Account Setings Finish Required What software will you use for transactions e PC Ace Pro 32 Free sofware provided by EDISS Other software Licensing Agreement PC Ace Pro 32 BY CLICKING THE 1 AGREE BUTTON DISPLAYED AS PART OF THE ONLINE REGISTRATION PROCESS YOU AGREE TO THE FOLLOWING TERMS AND CONDITIONS THE
7. 3 Questions aboul the process Mead Ociting Started User Manual for Providers Eppes EDISS Connect Welcome Already have an accounl EDISS Connect Registration amp Log In Management Galn access to this free user friendly online registration and management tool that allows providers to manage billing NPls update lines of business add or change vendor associations select and test electronic i z Fory usenet transactions online LogIn Forgol paseward s H l registered Register Mow s Queslivns aboul the process Read Gelling Slarled Toll Free 600 967 7502 Contact Us gt Self Registration Information made accessible through EDISS Connect is available to users once the registration process is complete User registration for EDISS Connect will need to be completed online Note On each page within EDISS Connect there are FAQ s in the right column to aid in answering questions related to the online registration process 1 Click on the green Register Now button to create an online account for accessing online profile information and adding and managing transactions User Manual for Providers EDISS Connect Create Account 2 3 4 Create Account Account Security Account Settings Finish Qu estions I m a wier This is the primary provider with a billing NFI associated to Jurisdiction E JE Part A and B i set up the account You ll be able to add additional users and 655
8. 609 9960 NPs following setup of the account Jurisdiction F JF Part A and B Of f 906 6431 This is a billing service clearinghouse or software vendor that is working with a provider or group of prowider accounts Toll Free fo process OF manage eleciranic transactions 800 967 7902 Vendor Fax 101 277 7650 Hours Mon Fr 3 00 AM 7 00 P M CT Note Closed for training every Wed 10 00 A M 17 30 A M CT Detailed Contact Information Toll Free 600 967 7902 Contact Us gt Create Account 1 First select Provider or Vendor At any time in the process you can use the back button to return to a previous step The numbered progress bar on top of each page will help keep track of where you are in the process Note Vendors cannot register a provider on their behalf If the account will be administered by a vendor it is a provider s responsibility to first establish the account by registering User Manual for Providers EDk EDISS Connect Help Contact Create Account 2 3 4 Create Account Account Secunty Account Settings Finish Q uestions I m a Provider This is the primary provider with a billing NPI associated to Junsdiction E JE Part A and B i set up the account You ll be able to add additional users and 55 609 9960 NPI s following Setup of the account Jurisdiction F JF Part A and B of 908 8431 Please enter a 10 digit NPI 9876543210 v Toll Free You can ch
9. 188 wf 10 00 AM 11 30 AM CT Detaied Contact infomation s EDISS Terms and Gonditions READ THE FOLLOWING TERMS AND CONDITIONS CAREFULLY BEFORE CONTINUING THE USER M ACCEPT THESE TERMS AND CONDITIONS TO OBTAIN ACCESS TO THE EDISS CONNECT SYSTEM IF THE U DOES NOT AGREE TO THESE TERMS AND CONDITIONS THE USER WILL NOT BE ABLE TO USE El CONNECT IT 15 SUGGESTED THAT THE USER CHECK THESE TERMS PERIODICALLY FOR CHANGES Ff agree to the EDISS Terms and Conditions HIPAA Terms and Conditions BY CLICKING THE I AGREE CHECKBOX DISPLAYED AS PART OF THE EDISS REGISTRATION IMPLEMENTATION PROCESS YOU AGREE TO THE FOLLOWING TERMS AND CONDITIONS THE AGREEMENT REGARDING PROTECTED HEALTH INFORMATION UNDER THIS HIPAA BUSINESS ASSOCIATE AGREEMENT AS AMENDED OR SUPPLEMENTED BY THE HEALTH INFORMATION Ff agree to the HIPAA Terms and Conditions Continue 3 Account Security 1 Choose a username and password for your account This username must be unique between 8 20 characters and contain no spaces or special characters Your password must be 8 20 characters consisting of one capital letter one numeric value and one of these special characters _ amp and contain no spaces Additionally you will need to agree to EDISS Terms and Conditions as well as HIPAA Terms and Conditions before you will be allowed to continue with your registration User Manual for Providers EDs EDISS Connect Account Settings o
10. 77 7850 Hours Mon Fru 8 00 AM 7 00 PLM CT Note Closed for training every Wed 10 00 AM 71 30 AM CT Detaled Contact tnformneatan 3 Finish 1 You have successfully completed EDISS Connect registration You can now login to EDISS Connect and start adding and managing transactions User Manual for Providers SUPPORT SERVICES Provider Dashboard and Managing Transactions Once you have successfully registered for EDISS Connect you will be able to log in to your account and manage your profile start managing users setting up transactions and testing claim files To log in go to https connect edissweb com enter your username and password and click on the Log In button JEDES EDISS Connect Contact Welcome Already have an account EDISS Gannect Registration amp Log n Management Gain aooess lo lhis free osen riendly online registration and management tool that allows providers to manage billing Ple updata 0 M lines of business add or change vendor associations select and test electronic s 3 Fompil ieman Ta transactions online Lagin Forget password j jii ii Queslion aboul the poucess Read Gelling Starbed JED SERVICES EDISS Connect Add Transaction Manage Transactions Contact T Account Home Welcome User Guide Provider Account Profile Edt Profile E User Guide Provider 123 Anyway Orive Phone 999 939 9999 Email demouser id
11. ar wai resis APS MEDICAL BILLING 0090600057 Jurisdiction F JF Part A and B Pacific Northwest Billing Services af 908 8437 Vendors that appear in gray do not BSO7069 all t ament If ace E ere aE AE ADVANCED MEDICAL BILLING Toll Free do mot see the vendor you are ae ak eae joo amp iing for or you fee an error has SERVICE 6500220 S00 96 7302 been made contact EDISS for Progressive Billing Specialists LLC help ZABE ata an i Fax fO1 277 7350 Hours Mon Fn 82900 A M 7 00 P M CT Note Closed for training every Wed Continue 10 00 AM 11 30 AM CT Detailed Contact infonmneaton 3 Account Settings 1 If you chose A Vendor in the Account Settings question to administer your account you can choose a vendor by searching here Only vendors that accept managing vendor responsibilities are available in the search results Once you have chosen a vendor click the Continue button User Manual for Providers Ezz EDISS Connect Finish o Create Account Account Security Account Settings Account Successfully Created Thank you for registering for EDI Support Services Please click the button below to log into your EDISS Connect profile and continue your registration adding transactions Log In to my Profile gt Finish Questions Jurisdiction E JE Part A and B 999 609 9960 Jurisdiction F JF Part A and B of 908 8431 Toll Free s00 967 7902 Fax 701 2
12. ation Continue 3 Add Transaction Line s of Business 1 Check all options Professional Institutional and or Dental that apply to what type of transactions you will be performing 2 Check all of the specific transactions that apply to your NPI s The states will display from the previous step The lines of business will display based on the type of transaction in 1 above 3 Click Continue when all lines of business have been selected User Manual for Providers EDISS Connect Account Home Add Transaction Manage Transactions Contact Add Transaction Demo User Edit Logout Add NFI Select State s Line s of Business Transactions Back Required Frequently Asked Questions Where do I find my NPI NPI 9876543710 6526469515 Why add more than one NPI Blue Cross of North Dakota Check all transactions you will be performing Enroll Claim Type version Description Who Will Perform Transactions Questions a C 278 5010x217 Request for Review and I will and or E Add vendor Jurisdiction E JE Part A and B 055 609 9960 E 835 5010X221 Health Care Claim F will and or ee 3 PaymenifAhice ADVANCED See F JF Part A and B MEDICAL BILLING or 7 906 6431 SERVICE delete Toll Free 600 967 7902 Fax 701 277 7650 C 834 50104220 Benefit Enrollment and Maint will andor Add Vendors Hours i Mon Fri 8 00 AM 7 00 P M OT Hote Closed for training every Wed
13. atus Need Forms Need Testing Complete State i AK IA Reset Filters 1493959 1A Demo User Edit Logout Forms Required Testing Required Forms Complete Testing Required Manage Transactions 1 The Manage Transactions tab in the main navigation area allows you to view and manage all transactions that have been setup 2 The left navigation panel allows you to manage transactions view testing history for test files already submitted and view forms that are required to submit 3 You have the ability to search by NPI for transactions that are setup in the system 4 You can filter the results of your search to User Manual for Providers display only transactions with a certain status or add specific states where you do business if applicable 5 You can sort the transactions by any field in the header row If you click on an NPI it will load the transactions detail page associated with that NPI 6 The status shows forms required testing required or if the transaction is complete and ready to submit claims SEDER EDISS Connect Add Transaction Manage Transactions Contact Manage Transactions Manage Transactions View Testing History View Forms Add Another State View FAQs Quen delete Tax ID or SSN 741542658 edit Add Another Line of Business gt O Medicaid Institutional of lowa delete 835 5010x221 Health Care Claim Payment Advice del
14. ction E JE Part A and B 855 609 9960 Mailing Address Jurisdiction F JF Part A and B 877 908 8431 EDI Support Services PO Box 6729 All Other Lines of Business Fargo ND 58108 6729 Phone 800 967 7902 Fax 701 277 7850 User Manual for Providers
15. e all states have been selected click the entered will be performing transactions in The Continue button left column will show all states available for which EDISS accepts claims 3 The states you have selected will show up in the right column User Manual for Providers LED ex EDISS Connect Account Home Add Transaction Manage Transactions Add Transaction Demo User Edit Logout 4 Add NPI Select State s Lingis of Business Transactions Back Required Frequently Asked Questions Where do I find my NPI NPI 96 6943210 8528469915 Why add more than one NPI What type of transactions will you be submitting Check all that apply Professional 1500 form M Institutional UB92 or UBO4 form l Dental NJA i Questions Select your line s of business Check all that apply Jurisdiction E JE Part A and B North Dakota 855 609 9960 Medicare Part A K Jurisdiction F JF Part A and B l Medicare Part B l Medicaid Institutional of North Dakota 8r T 308 5431 C Blue Cross of North Dakota I Blue Shield of North Dakota Toll Free I Medicaid Professional of North Dakota 200 967 7902 I Workforce Safety and Insurance of North Dakota T Vision Services Incorporated of North Dakota Baws 101 277 7850 lowa l Medicaid Institutional of lowa Hours Medicaid Professional of lowa Mon Fri 8 00 A M 7 00 P M CT Note Closed for training every Wed 10 00 A M 17 30 A M CT Detailed Contact Inform
16. emomail com Add a new NPI Select state s Logout How to Add a Transaction Select line s of Transactions business Account Created 03 28 2014 Software Other Add Transaction a M Transacti Date Accepted 03 28 2014 ae e E sah Account Settings Self Administered Manage Users gt Transaction Status At A Glance 5 a 5 No data available in table Manage Transactions Provider Dashboard 1 Upon successful log in you will see your Account Home or dashboard 2 To edit your demographic and security information click on Edit Profile to be taken to your account details 3 At any point you can add edit or remove users that have access to your account by clicking on Manage Users 4 To add a transaction click on Add Transaction EDISS Connect will take you through an easy to follow four step process User Manual for Providers 5 The Transaction Status At A Glance module allows you to see which transactions you have setup that require the most actions by status It will let you know what actions are required to complete each NPI such as forms or testing To make it easier you are able to search by NPI in this window to quickly filter results to the top of this module 6 To logout of EDISS Connect click the Logout link on any page Note The above sections of the Provider Dashboard are also discussed further on in the User Guide SED Ez EDISS Connect Add Transaction Manage Tra
17. ete Back to Manage Transactions Gi Demo User Edit gt Logout Oe Forms Complete Testing Reguired Billing Group Status Transaction Manager D Forms Complete Approved 03 26 2014 Completed 02 28 2014 E Iwill andlor CD Add Another Transaction within this line of business Medicaid Professional of lowa delete oW P 0104227 Health Care Claim Professional delete Status Transaction ManagerlD Forms Complete Approved 03 26 2014 fol wall anior Testing Required 8 Manage Transactions 1 This is the Detailed Transactions page for a specific NPI At any time you can go back to the Manage Transactions overview page 2 You have the ability to delete an NPI All transactions associated with that NPI will also be deleted 3 You have the ability to edit or add a Tax ID or SSN associated with an NPI 4 The status shows either forms required or testing required If you click on forms required the required forms are available for download as a PDF file User Manual for Providers 5 The line of business is displayed below with the ability to delete it at any time 6 Specific claim types are listed below the line of business with the ability to delete Removing and restarting transactions can create delays in the production process 7 You have the ability to modify if you and or a vendor will perform the transactions 8 If a Testing Required link is shown you can click on the li
18. g forms MEDA Form MEDE Form Download all fonms Note The fom must be submitted for each NPI enrolled Required Testing Or Add Transactions Manage Transactons mansge tansecions Fax forms to 701 555 1212 Or mail to EDI Support Services PO Box 6 29 Fargo ND 567108 6729 requires enrollment form before testing allowed Frequently Asked Questions Where do find my NPI O Why add more than one NPI Questions Jurisdiction E JE Part A and B 655 609 9960 Jurisdiction F JF Part A and B o7 908 8431 Toll Free oU0 96 7 792 Fax 01 27 7 7850 Hours Mon Fri 8 00 A M 7 00 P M CT Note Closed for training every Wed 10 00 A M 17 30 AM OT Detailed Contact Information 3 Add Transaction Setup Complete 1 Once the transactions are complete a Summary of the transactions you ve setup will display with the ability to print this page for your records 2 Enrollment forms that are required will be indicated on this page You can download the forms as PDF files here and fax or mail them to EDISS Support Services 3 Once you are finished you can go to Manage Transactions or Add Transactions User Manual for Providers JEDES EDISS Connect Add Transaction Manage Transactions Contact Manage Transactions D Manage Transactions view Testing History View Foms O Search by NPI Filter Results by 9876543210 1238575955 St
19. lear your search results at any time and start a new search Questions are listed by category with the respective answers User Manual for Providers SEDER EDISS Connect Gontact EDISS Contact Information All hours of operation are listed in Central Standard Time Hours of Operation Monday Friday 3 00 A M 7 00 F M CT Note Closed for training every Wednesday 10 00 A M 11 30 A M CT Medicare Lines of Business Jurisdiction E JE Part A and B 855 609 9960 Jurisdiction F JF Part A and B 877 908 8431 All Other Lines of Business Phone 800 967 7902 Fax All Lines of Business Fax 701 277 7850 Mailing Address EDI Support Services PO Box 6729 Fargo ND 58108 6729 Email suppornt edissweb com When using e mail to contact us include the following information Your name Business name and location Business telephone number and extension Complete description of your issue To ensure delivery to your inbox not bulk or junk mail folders please add suppori edissweb com and edimgmt noridian com to your address book or safe list To communicate any concerns ideas or praise please contact ED Support Services management at edimgmt noridian com Contact Information Hours of Operation Email Mon Fri 8 00 A M 7 00 P M CT support edissweb com Wed Closed for training 10 00 A M 11 30 A M CT Fax All Lines of Business 701 277 7850 Medicare Lines of Business Jurisdi
20. nk to upload test files into the system Submit Test File 5010 The latest HIPAA X12 version established by CMS for electronic claim processing Note 1 test file with 10 clean claims is required E Transaction Type 837P Transaction Version 5010222 File File types accepted dat text txt zip zipx Manage Transactions 1 This screen shows the submit test file window This displays if you click Testing Required on the previous screen 2 The transaction type and version are shown as reference for what the system needs to test 3 You can click the Browse button to locate a claim file from your desktop Accepted file types include a txt or dat format 4 Once you have selected a file click Submit Test File and the system will automatically j OR close window upload the file 5 A thank you page will display upon successful submission Test files may take up to 48 hours to indicate if they have passed or failed validation JEDES EDISS Connect Add Transaction Manage Transactions Testing History wee ars it ogout gt Manage Transactions Submitter View Testing History View Forms EE 5010X222 User Guide 03 26 2014 Medicaid 1230576966 eg 02 31 56 PM ICD10P bd Professional of ia CDT 4 lowa Toll Free 800 967 7902 Contact Us gt Manage Transactions 1 The View Testing History page displays 4 Reports are created from the EDISS Connect all the test files
21. nsactions Profile providereight Logout ee Account Settings Self Administered Edit D Ssecunty Settings QO Company Information Account Type Required Admin Provider s Company Name Provader Esghi Account Settings Sel Administered Edit Phone 388 355 5858 Software PC ACE Prog Edit Download a5 5532 My Vendors View Vendors Address 1 283 Anyway Dr Account Created J4 03 20i14 Aqdress 2 Last Updated City Fargo Manage Users 1 State ND 7 Edit Profile 1 Clicking Security Settings will allow you to are using for processing transactions This page change your password will display all vendors and respective lines of business you have selected for each vendor to 2 Account setting can be set to either Self submit on your behalf Administered if you want full control of your account or Vendor Administered if a vendor 5 Allows you to manage the users that have will manage all aspects of your account for you access to the account their email addresses and security settings 3 This shows the software you have selected to use and allows you to download PC ACE Pro 32 6 At any time you can update your company if that is the software you are utilizing information and save it to your profile 4 My Vendors displays a list of vendors you User Manual for Providers LEDIgze EDISS Connect Manage Transactions Add Transaction 2 3 Add NPI Select Sta
22. oose any billing NPI if you have many 600 967 7902 f01 277 7850 Hours Mon Fn 5 00 AM 7 00 P M CT Note Closed for training every Wed This is a billing service clearinghouse or software vendor 10 00 A M 11 30 A M CT that is working with a provider or group of provider accounts to precess or manage electronic transactions Vendor Detaled Contact Infonmation Toll Free 600 967 7902 Contact Us gt Create Account 2 If you are registering as a Provider you must provide your 10 digit billing group NPI National Provider Identification number before you will be allowed to click the continue button You can choose any billing NPI to register at this point if you have many You will be allowed to enter additional NPI numbers for transactions once the initial registration is complete Note Rendering NPIs are not required to be registered and will be removed User Manual for Providers ED SERVICES EDISS Connect Help Create Account Frequently Asked Questions J 4 Create Account Account Security Account Settings Finish What information will need Who should be contact name Sack Required ill my information be shared Company Information Questions Providers Company Mame Jurisdiction E JE Part A and EB 255 609 9960 Phone XX XXNX XEHE Jurisdicton F JF Part A and E of 7 908 8431 Fax pa EXN EXXX Tal Free 600 967 7902 Fax Address 1 fO1 277 7850 Hours
23. ration Note The username that is selected when adding a new user is controlled by the owner of the account and all username requests should be managed by the administrator User Manual for Providers EDISS Connect Account Home Add Transaction Help Need Help Registering Providers Provider User Guide PDF Video Tutorials New Provider Registration 2 32 Provider Page Options 5 04 Selecting Vendors 4 53 Selecting Transactions 7222 Getting Started Checklist D Search FAQs Getting Started Checklist Manage Transactions 1 Help Contact Vendors Vendor User Guide PDF amp Video Tutorials Vendor Registration 4 05 Vendor Page Options 2 45 Vendor Managing Transactions 6 12 FAQs Q Eight Ocho Edit Logout gt Questions Junsdichon E JE Part A and B 229 609 9960 Jurisdiction F JF Part A and B of 908 8431 Toll Free 300 967 7902 Fax 701 277 7350 Hours Mon Fri 8 00 AM 7 00 F M CT Note Closed for training every Wed 10 00 A M 11 30 A M CT Detaled Sontect Information Acronym Glossary CMS Centers for Medicare and Medicaid Services EDI Electronic Dsts Interchange EDISS Electronic Data Interchange Suppor Services Frequently Asked Questions 1 Frequently asked questions are located in the Help section of the website 2 A quick search is available that will load questions related to your search You can c
24. show up as a link Simply click the link to download the form as a PDF file Once downloaded print complete and either fax or mail the form to EDISS Support Services Fax and address information is included on the form It may take up to 5 7 business days to receive approval on forms once received and reviewed by EDISS User Manual for Providers 4 The status shows if the form is still required or if it is complete with an approved date JEDES EDISS Connect Account Home Add Transaction Manage Transactions Manage Users Demo User Edit Logout Account Name User Guide Provider Pe Demo User demoprovider Admin 26 03 2014 View Users Add User Note F s user has been setup but has mot completed their registration within 30 days they wall be automatically deleted from the system Name Click to Edit Toll Free 600 967 7902 Contact Us gt Manage Users 1 This window displays the users associated with the account 2 The name is shown in the first column To view details about that user click the name in the list 3 The Last Login column shows the date when that user last logged in to the system If the registration is incomplete the status displays with the ability to resend a complete online registration notification You can also delete a user from the system in this column User Manual for Providers Subject ACCOUNT Creation reminder EDS Registration amp Management
25. submitted for your NPIs and testing workflow Each file is a hyperlink that overall EDISS Connect Account will open up the actual report in X12 format These files can be saved or translated in your 2 The line of business and transaction type will software of choice for future reference show in the first column with the associated NPls displayed in the next column 3 The status shows if the file is processing passed or failed If the file failed to pass verification you have the ability to upload another test file by clicking on the Upload another file link below the failed status User Manual for Providers Add Transaction Manage Transactions Manage Transactions Manage Transactions View Testing History Eight Ocho Edit Logout amp View Forms Medicare Professional of Southern MEDESCA Form California 208232kb i i Medicare Professional of Northern MEDBNCA Form 4 J aE E S E 205322kb a as cl se35858289 Medicare Part A MEDA Form 5 208332kb Forms Required r DA J nasnensens ae Institutional J1 Legacy MEDAJI Form 5 Complete Approved Regions 208932kb o4naent4 Toll Free 800 967 7902 Contact Us gt Copyright ED Support Services Manage Transactions 1 The View Forms page is an easy place to view forms that are still required by EDISS in order to have transactions setup properly and approved 2 The forms are listed as required by each NPI 3 The form name will
26. t to how many transactions you can setup 5 Once the NPI and Tax ID or SSN are complete you will be allowed to continue 6 Frequently Asked Questions are a quick reference that answer questions specific to the step page you are on ED ee EDISS Connect Account Home Add Transaction Manage Transactions Contact Add Transaction Demo User Edit Logout 3 4 Add NPI Select State s Lineys of Business Transactions se ie Required Back i Frequently Asked Questions Where do find my NPI Why add more than one NPI NPIf 9876543210 5526469515 E 3 States Available State s Selected State s performing Alaska North Dakota fete on i Fon n Arizona Simply drag and drop or lowa Questions S use the add remove omi buttons below i Jurisdiction E JE Part A and B Hawaii Add Guo 609 9960 Idaho E EEE Jurisdiction F JF Part A and B atja Ve 877 908 8431 I Select all available states n Toll Free 5 ianiai 800 967 7902 Fax 101 277 7650 Hours Mon Fri 3 00 AM 7 00 P M CT Add Transaction Select State s 1 At any time during the Add Transaction process you can go back to the previous step 4 At any time you can add or remove by clicking Back However if you have not yet transactions by clicking the Add or Remove clicked Continue on this page your information buttons or by dragging the state to the will be lost appropriate column 2 Select the states where the NPI s you 5 Onc
27. te s Line s of Business 9576543210 Please enter a valid 10 digit NPI af Tax ID or SSN Please enter a valid 10 digit NPI Tax ID or SSN Add additional NPI s You can add multiple NPls if they all do business in the same states have Demo User Edit Logout 4 Transactions 6 Frequently Asked Questions Where do find my NPI Why add more than one NPI 998377665 i Questions Jurisdiction E JE Part A and B Oo2 609 9960 Jurisdiction F JF Part A and B of 7 905 5431 the same lines of business and the same transaction types 5 Continue Toll Free 800 967 7902 Fax 401 277 7650 Hours Mon Fn 8 00 AM 7 00 P M CT Add Transaction Add NPI 1 By selecting the Add Transaction tab on the main navigation bar or in your main account page you can add transactions to your EDISS Connect account 2 This bar will track your progress through the four steps while you are setting up a transaction 3 A 10 digit billing or group NPI number is required along with the associated Tax ID EIN or SSN 4 You can add additional NPIs when setting up transactions Multiple NPIs setup at the same User Manual for Providers time must consist of the same states lines of business and transaction types If NPIs are different from different states LOB s or transaction types the setup process must be completed separately for each situation There is no limi
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