Alaska Medical

Medicare of Alaska

  • Direct Link
  • Claims processed through Noridian (800) 967-7902
  • Must have Submitter ID in Claimstaker
  • Both forms need to be filled out
  • These forms include claims and ERA’s
  • Payer ID 00831

Medicare Enrollment Form

CMS Enrollment Form (Needed if the provider has not sent Medicare claims electronically before)

Medicaid of Alaska

  • Emdeon Link
  • Needs to be entered into Gems
  • Vendor Vendor Name: Apex EDI Submitter ID: 870578776 Division ID: 17011
  • Payer ID SKAK0

Medicaid Enrollment Form

Premera Blue Cross of Alaska

  • Direct Link
  • Premera will send a production fax to us when the provider is approved
  • Submitter ID is required in Claimstaker
  • Payer ID 00430

BC Enrollment Form

BC ERA Enrollment Form

National Payers Requiring Enrollment

  • Railroad Medicare
  • DMERC (Region D)
  • ASHN

National Enrollment Forms