EDI Enrollment - JF Part A

Before registering with EDI, complete Steps 1-6 for Provider Enrollment

The following steps outline the process of setting up a billing NPI to exchange data electronically with Noridian such as submitting claims and receiving remittance advices.

Step 7: Identify Connectivity/Submission Method

EDISS supports three options:

1. Direct via Connectivity Vendor
   • Allows providers to exchange data and handle connectivity using a Network Service Vendor's pre-established EDI connection
   • For a list of available direct software options supported by EDISS, visit the EDISS Software/Connectivity webpage.
2. Direct via Noridian Medicare Portal (NMP)
   • Allows small providers to send claims via NMP using their claims software of choice
   • Will need to select the 276/277 and 837 Direct transactions in EDISS Connect when registering
   • Once the 276/277 transaction is in production in Connect, visit the Registration Guide for additional information regarding NMP registration requirements:
3. Third-Party Vendor (Clearinghouse/Billing Service)
   • Allows vendor to act on provider's behalf for data exchange and connectivity
   • For a list of available Third-Party Vendors, visit EDISS Vendor List

To help determine which option would best fit a provider's needs, visit the EDISS Software/Connectivity webpage.

Step 8: Complete 'EDISS Connect' Registration

Registration with EDISS is broken into two parts:

1. Establishing the provider account by providing the following information:
   • Billing NPI
   • Tax Identification Number (TIN)
   • Facility Demographic Information
   • A Primary EDI Contact
2. Registering the provider transactions which requires the following steps:
   • Decide how data will be exchanged (identified in Step 7)
   • Identify the state and Line of Business that will be registered
   • Identify transactions that will be registered
     • 837 - Claim Submission
     • 835 - Electronic Remittance Advice
     • 276 - Batch Claim Status Request

EDISS has various guides and tutorials to walk providers through the registration process, visit the EDISS Registration webpage.

Step 9: Registration Completed

• Congratulations. Next... Register for the Noridian Medicare Portal (NMP)