If you are interested in submitting claims electronically to Arkansas Medicaid please follow these enrollment instructions.
To apply for an AR Medicaid electronic Submitter ID, please go to the following website and click on the link on the left side which says "Trading Partner"
Enrollment Process for New Trading Parnters
Please click "Enrollment Application"
Once you have finished reading the next section, please press "Continue"
Enter your Company Name as the "Trading Partner"
Please complete the rest of this form with your demographic and contact information
For "EDI Contact Name, Phone, and Email" please enter the contact information of the representative in your company that will be doing your electronic billing
Once complete, please press "Continue"
Select the type of transactions you will be billing:
837I for Institutional Claims (UB 04 if done by paper)
837P for Professional Claims (CMS 1500 if done by paper)
835 if you wish to receive your providers Remittance Advice electronically
Please press "Continue"
On the following screen, please enter the Provider ID and Effective date for your providers
Continue adding until all of your providers have been entered then press "Continue"
Please check the box to "Accept" then enter your electronic signature and press "Submit"
Please review the summary page and if correct, press "Confirm"
You will then receive an email with your new Trading Partner ID and Password - keep this information as you will need to call and give it to your ClaimShuttle representative
In the email, you will have to click a link to complete the enrollment process
Clicking the link in the email will take you to a confirmation page with information about your Trading Partner ID and details on upcoming steps
After reading, please click "Exit"
Once back on the ARMedicaid home page, please click "Register Now" on the left
All entities who will be submitting claims electronically have to register as a "Trading Partner"
Please enter your Zip Code and your Trading Partner ID as the "TPartner Qualifier"
Click "Continue" to proceed
You then need to create a User ID and Password which will be used to access their online portal
Please re-enter your Name,Phone, and Email address
Please select a site key and enter a passphrase
You must then select 3 Security Questions and type the Answers (please write these down)
Please press "Submit"
You will then see a message that your registration has been accepted. Just press "Ok"
The final step is to click the link in the email you will receive which just requires you go back to the portal and enter your password then press "Verify"
You will receive one last email that shows you have successfully registered. Please keep this email for your records
If you have any questions regarding this enrollment process, please call the EDI Technology Support Center at the following numbers:
Local and out-of-state:
Select option 0 for "Other Inquiries" and then option 1 for "EDI Support Center" when prompted.
We can now process 276/277 requests (claim status). If this is a transaction you would like to utilize please make sure to enroll with the payer.
Waiting for a Response
Once the complete provider enrollment process has been submitted, the information will be processed. Processing can take up to a week to be processed.
After processing, a confirmation will be emailed to you as notification to begin filing claims electronically. If no confirmation is received after two weeks, please call the Medicaid EDI Technology Support Center at the number listed above.
Once you have received your Submitter ID and Password from Medicaid, please call the ClaimShuttle Support Team at 602-439-2525 to set an appointment for a Mailbox setup and Test Transmission to Medicaid.
Please have 25 test claims ready for testing. Test files should consist of a variety of claims that represent the type of claims you will be submitting once production status is achieved. Test claims will not be processed for payment, but will be validated against production files; therefore, they must contain valid patient procedure, diagnosis, and provider information.