Pennsylvania Medical

Medicare of Pennsylvania    

  • Emdeon Link
  • Needs to be entered and approved in GEMS
  • Needs to be entered in Claimstaker
  • Approval Time- 10 business days upon receipt of forms
  • Vendor Name: Apex EDI   Vendor Submitter ID: 870578776     Division ID: 17011
  • Payer ID – SMPA0

Medicare Enrollment Form

Medicaid of Pennsylvania      

  • 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 – SKPA0

 

BS of Pennsylvania      

  • Emdeon Link
  • Needs to be entered into GEMS
  • Vendor Name: Apex EDI   Vendor Submitter ID: 870578776     Division ID: 17011
  • Payer ID – SB865, SX056, SX078, SX079

BS Enrollment Form

National Payers Requiring Enrollment

  • Railroad Medicare
  • DMERC (Region A)
  • ASHN

National Enrollment Forms