California Medical

 Medicare of California (Northern)

  • Direct Link
  • Needs to be entered in Claimstaker
  • Payer ID – 01102

Medicare Enrollment Packet

Provider Authorization Form

 Medicare of California (Southern)  

  • Direct Link
  • Needs to be entered into Claimstaker
  • Payer ID – 01192

Medicare Enrollment Packet

Provider Authorization Form

 Medicaid of California

  • Emdeon Link
  • Needs to be entered into GEMS
  • Vendor Name: Apex EDI   Submitter ID: 870578776   Division ID: 17011
  • Payer ID – SKCA0

Medicaid Enrollment Form

 Blue Cross of California  

  • Direct Link
  • Needs to be entered into Claimstaker
  • Need to have a valid provider ID number
  • Payer ID – 47198

 Blue Shield of California

  • Emdeon Link
  • Needs to be entered into GEMS
  • Medical – All claims – Please contact Blue Shield of CA EDI Customer Service at (800) 480-1221 to verify correct provider information prior to sending claims. You must have a valid Provider ID with this payer to submit electronic claims.
  • If provider is associated with a group, that Group Number is required.
  • Payer ID – 94036

 National Payers Requiring Enrollment

  • Railroad Medicare
  • DMERC (Region D)
  • ASHN

National Enrollment Forms