Iowa Medical

Medicare of Iowa    

  • Direct- WPS Part B J5 MAC
  • Needs to be entered in Claimstaker
  • Submitter ID: 17680
  • Payer ID – 05102
  • Fax to WPS Medicare EDI at 608-223-3824
  • Attach Cover Sheet- attention to EDI Department
  • Approval Time- 10 Business days

Medicare Enrollment Form

Change of Submitter Form

ERA Enrollment Form

Medicaid of Iowa      

  • Emdeon Link
  • Needs to be entered into Gems
  • Vendor Submitter ID: C2YW Vendor Name: Apex EDI Site ID: 0001 Division ID: 17011
  • Payer ID – SKIA0

Medicaid Enrollment Form

BCBS of Iowa

  • Emdeon Link
  • Needs to be entered into Gems
  • Vendor Submitter ID: C2YW Vendor Name: Apex EDI Site ID: 0001 Division ID: 17011
  • Payer ID – SB640

BCBS Enrollment Form

National Payers Requiring Enrollment

  • Railroad Medicare
  • DMERC (Region D)
  • ASHN

National Enrollment Forms