Missouri Medical

Medicare of Missouri

  • Direct- WPS Part B J5 MAC
  • Needs to be entered in Claimstaker
  • Vendor Submitter ID: 17680
  • Payer ID – 05302
  • 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 Missouri      

  • Emdeon Link
  • No Enrollment Forms
  • Needs to be entered into GEMS- status automatically set to Approved
  • Needs to be entered in Claimstaker and immediately moved to Enrolled
  • Payer ID – SKMO0

 

BCBS of Missouri (Also known as Blue Choice)      

  • Emdeon Link
  • No Enrollment Forms
  • Needs to be entered into GEMS
  • Payer ID – SB741

 

BS of Kansas City

  • Direct Link
  • Payer ID – 47171
  • Enrollment is done by going to website http://www.ask-edi.com/forms.htm It is easy to fill out and it needs to be done by Apex. Click on “change form e-form”. The TPN is 0006998, organization information is ApexEDI information then at the bottom click on “Add additional provider numbers”. Fill out information for the provider.

 

National Payers Requiring Enrollment

  • Railroad Medicare
  • DMERC (Region D)
  • ASHN

National Enrollment Forms