North Carolina Medical

Medicare of North Carolina      

  • Emdeon Link
  • Needs to be entered into GEMS
  • Vendor Submitter ID: C2YW Vendor Name: Apex EDI Site ID: 0001 Division ID: 17011
  • Payer ID – SMNC0

Medicare Enrollment Form

Medicaid of North Carolina      

  • Emdeon Link
  • Needs to be entered into GEMS
  • Must fill out the Correct Form (Group or Individual) and the EFT Authorization Agreement
  • Vendor Submitter ID: C2YW Vendor Name: Apex EDI Site ID: 0001 Division ID: 17011
  • Payer ID – SKNC0

Medicaid ECS Group Enrollment Form

Medicaid ECS Individual Enrollment Form

Medicaid EFT Authorization Agreement

BCBS of North Carolina      

  • Emdeon Link
  • Needs to be entered into GEMS
  • Vendor Submitter ID: C2YW Vendor Name: Apex EDI Site ID: 0001 Division ID: 17011
  • Payer ID – SB810

BCBS Enrollment Form

Partners National Health Plans of North Carolina (Blue Medicare HMO and Blue Medicare PPO)

  • Emdeon Link
  • Needs to be entered into GEMS
  • Provider must call 888-296-9790 and speak with Customer Service to ensure they are participating providers on the plan
  • Vendor Submitter ID: C2YW Vendor Name: Apex EDI Site ID: 0001 Division ID: 17011

Setup Letter

Setup Form

National Payers Requiring Enrollment

  • Railroad Medicare
  • DMERC (Region C)
  • ASHN

National Enrollment Forms