Connecticut Medical

Medicare of Connecticut

  • Emdeon Link
  • Needs to be entered into GEMS
  • If you email forms please provide Vendor Submitter ID: C2YW Vendor Name: Apex EDI Site ID: 0001 Division ID: 17011
  • Payer ID – SMCT0

Medicare Enrollment Form

Medicaid of Connecticut  

  • Emdeon Link
  • Needs to be entered into GEMS
  • If you email forms please provide Vendor Submitter ID: C2YW Vendor Name: Apex EDI Site ID: 0001 Division ID: 17011
  • Payer ID – SKCT0

Medicaid Enrollment Form

BCBS of Connecticut  

  • Direct Link-
  • No forms required
  • Call (800) 334-8262  to verify correct Provider ID.
  • Set up in Claimstaker
  • Payer ID – ANTCT

 

National Payers Requiring Enrollment

  • Railroad Medicare
  • DMERC (Region A)
  • ASHN

National Enrollment Forms