Minnesota Medical

Medicare of Minnesota      

  • Direct- WPS Part B Legacy
  • Needs to be entered in Claimstaker
  • Submitter ID: 17680
  • Payer ID – 00954
  • Fax to WPS Medicare EDI at 618-998-5170
  • Attach Cover Sheet- attention to EDI Department
  • Approval Time- 10 Business days

Medicare Enrollment Form

Change of Submitter Form

ERA Enrollment Form

Medicaid of Minnesota      

  • Emdeon Link
  • Needs to be entered into GEMS
  • Vendor Submitter ID: C2YW Vendor Name: Apex EDI Site ID: 0001 Division ID: 17011
  • Payer ID – SKMN0

Medicaid Enrollment Form

BCBS of Minnesota      

  • Direct   Link- Availity
  • No Enrollment Required
  • Needs to be entered in Claimstaker
  • Payer ID – 00720

 

Health Partners Minnesota      

  • Emdeon Link
  • Needs to be entered into GEMS
  • Vendor Submitter ID: C2YW Vendor Name: Apex EDI Site ID: 0001 Division ID: 17011
  • Payer ID – SX009

HPM Enrollment Form

National Payers Requiring Enrollment

  • Railroad Medicare
  • DMERC (Region B)
  • ASHN

National Enrollment Forms