Alabama Medical

 Medicare of Alabama

  • Emdeon Link
  • Needs to be entered into GEMS
  • Vendor Vendor Name: Apex EDI Submitter ID: 870578776 Division ID: 17011
  • Payer ID – SMAL0

Medicare Enrollment Form

Direct

  • Direct Link- Cahaba
  • Direct Output- ZZ-Medicare AL
  • Submitter ID:   AL200654
  • Payer ID:   10102
  • Must be entered in Claimstaker-Both Payer ID’s SMAL0 and 10102
  • The paperwork MUST be filled out electronically; the ONLY thing that can be handwritten is the Signature
  • Paperwork MUST be printed and faxed to Cahaba at (205) 402-9200
  • “Method of Interchange”,   and Professional Provider Telecommunications Network (PPTN) sections DO NOT need to be filled out
  • Page 4- system Access Request page DOES NOT need to be filled out, but must be signed at bottom
  • Approval Time- 10 Business Days

Medicare Enrollment Form

Medicaid of Alabama

  • Emdeon Link
  • No Enrollment forms
  • Needs to be entered into GEMS
  • Payer ID – SKAL0

 

BCBS of Alabama

  • Emdeon Link
  • Needs to be entered into GEMS
  • Vendor Vendor Name: Apex EDI   Submitter ID: 870578776  Division ID: 17011
  • Payer ID – SB510

BCBS Enrollment Form

National Payers Requiring Enrollment

  • Railroad Medicare
  • DMERC (Region C)
  • ASHN

National Enrollment Forms