Virginia Medical

Medicare of Virginia    

  • Direct- Trailblazers
  • Needs to be entered in Claimstaker
  • Vendor Submitter ID: CH00037
  • Payer ID – 00904
  • Only need pages 1-8
  • Mail to Trailblazers
  • Approval Time – 20 Business days upon receipt of the paperwork

Medicare Enrollment Form

ERA Enrollment Form

Medicaid of Virginia      

  • Emdeon Link
  • No Enrollment Forms
  • Needs to be entered into GEMS
  • Payer ID – SKVA0

 

BCBS of Virginia      

  • Direct Link- Anthem
  • No Enrollment Forms
  • Needs to be completed in Claimstaker
  • Payer ID – ANTVA

 

Virginia Premier Health Plan

  • Emdeon Link
  • Needs to be entered into GEMS
  • Vendor Submitter ID: C2YW Vendor Name: Apex EDI Site ID: 0001 Division ID: 17011
  • Payer ID – 54176

Virginia Premier Health Plan

National Payers Requiring Enrollment

  • Railroad Medicare
  • DMERC (Region C)
  • ASHN

National Enrollment Forms