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835 Enrollment - What to Expect

EI Billing Providers:

On November 11, 2015, the SFA – PCG – sent a notice to all Early Intervention (EI) Billing Providers on the benefits of receiving electronic remittance information via the 835 process. Providers will need to take action to enroll in the 835 process – the necessary steps are outlined below.

  1. Enrollment in the 835 process must be completed payer by payer. For EI Billing Providers, that means that you will begin receiving emails with instructions on how to enroll for each payer from the SFA during the week of November 16, 2015. There will be one email sent for each payer in your service area. (Note: The first payer that we will begin enrollment for is United Health Care – in the next 24 hours you will receive an email regarding enrollment for this payer.)                                                                                                                                                                          
  2. Upon receiving an email with instructions on how to enroll for a payer, please complete the enrollment forms (or activities) as per the instructions provided as soon as possible. Please do not edit any pre-populated fields on a form.                          
  3. If you have any questions during the enrollment process, including any issues with enrollment being rejected/denied, please contact the PCG Customer Service Center at (866) 315-3747. (Note: Do not contact Emdeon directly.)

The SFA and the Bureau of Early Intervention (BEI) consider 835 to be the new standard for EI Billing Providers to receive electronic remittance information. Providers should begin the enrollment process as soon as they receive enrollment forms.

Following enrollment in the 835 process, BEI will be ending manual entry of EOBs for all EI Billing Providers. The SFA will work to guide you through this transition as seamlessly as possible, so that all EI Billing Providers can begin enjoying the multitude of benefits offered by the 835 process.

If you have any questions about the enrollment process, please contact the PCG Customer Service Center at (866) 315-3747.

Article ID: 292, Created On: 11/16/2015, Modified: 11/16/2015

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