Utah Medical

Medicare of Utah
  • Direct Link
  • Claims processed through Noridian (800) 967-7902
  • Must have Submitter ID in Claimstaker
  • Both forms need to be filled out
  • These forms include claim and ERA setups
  • Payer ID – 03502
Medicaid of Utah
  • Direct Link
  • Setup in Claimstaker
  • Payer ID – UHMCD

To enroll Providers with Medicaid of Utah go to http://mmcs.health.utah.gov/hcfenroll/index.jsp, enter providers Medicaid ID number, fill out Medicaid of Utah enrollment form and click submit. Provider is instantly set up to send Medicaid claims through Apex.

BCBS of Utah
  • Direct Link
  • Setup in Claimstaker
  • Payer ID – UHBCS
  • This payer takes anywhere from 1-21 days to send an email approval
  • Send enrollment e-mail through Claimstaker Plus, Provider Tab, Enrollment Info

BCBS ERA Enrollment Form

Altius of Utah
  • Direct Link
  • Payer ID – UHALT
  • Send enrollment e-mail through Claimstaker Plus, Provider Tab, Enrollment Info
  • After sending e-mail, this payer can be setup in Claimstaker immediately without any response from payer

Altius ERA Enrollment Form

DMBA of Utah
  • Direct Link
  • Setup in Claimstaker
  • Payer ID – UHDMB
  • This payer takes anywhere from 1-21 days to send an email approval
  • Send enrollment e-mail through Claimstaker Plus, Provider Tab, Enrollment Info
EMIA of Utah
  • Direct Link
  • Setup in Claimstaker
  • Payer ID – UHEMI
  • This payer takes anywhere from 1-21 days to send an email approval
  • Send enrollment e-mail through Claimstaker Plus, Provider Tab, Enrollment Info

ERA Enrollment

  • No enrollment is required for ERA’s
  • EMIA will automatically send the 835’s to Apex on Monday and Wednesdays
  • We should receive them on Tuesdays and Thursdays
IHC (Select Health) of Utah
  • Direct Link
  • Setup in Claimstaker
  • Payer ID – UHIHC
  • This payer takes anywhere from 1-21 days to send an email approval
  • Send enrollment e-mail through Claimstaker Plus, Provider Tab, Enrollment Info

ERA Enrollment

  • Provider must call Select Health’s EDI Department at (801) 442-5442  
  • Mention they want to receive ERA’s through Apex EDI
  • Select Health will verify some information and get it setup over the phone
PEHP of Utah
  • Direct Link
  • Setup in Claimstaker
  • Payer ID – UHPHP
  • This payer takes anywhere from 1-21 days to send an email approval
  • Send enrollment e-mail through Claimstaker Plus, Provider Tab, Enrollment Info

ERA Enrollment

  • Provider must call PEHP’s EDI Department at (801) 366-7544
  • Mention they want to receive ERA’s through Apex EDI
  • PEHP will verify some information and get it setup over the phone
University of Utah Health Plans of Utah
  • Direct Link
  • Setup in Claimstaker
  • Payer ID – UHUOU
  • Send enrollment e-mail through Claimstaker Plus, Provider Tab, Enrollment Info
  • After sending e-mail, this payer can be setup in Claimstaker immediately without any response from payer

ERA Enrollment

  • Provider must fill out the form below and  
  • ERA and EFT enrollment goes hand in hand so they will need to fill out the entire document
  • Vendor Name= Apex EDI   A/P Vendor Number=HT001046-001
  • Fax form to Tracey Smith, University of Utah Health Plans at 801-587-6433

ERA/EFT Enrollment Form

Valley Mental Health
  • Direct Link
  • Setup in Claimstaker
  • Payer ID – UHVMH
  • Send enrollment e-mail through Claimstaker Plus, Provider Tab, Enrollment Info
  • After sending e-mail, this payer can be setup in Claimstaker immediately without any response from payer
Molina ERA Enrollment

ERA/EFT Enrollment Form

National Payers Requiring Enrollment
  • Railroad Medicare
  • DMERC (Region D)
  • ASHN

National Enrollment Forms