Colorado Medicaid

Please follow the Enrollment Instructions below to become an electronic submitter for Colorado Medicaid.

 

The following process must be completed prior to initiation of electronic claims submission or inquiry.

 

Trading Partner Enrollment

All Providers and Billing Services who wish to submit batch EDI transactions to Colorado Medicaid must first Enroll as a Trading Partner.

  • Go to Colorado Provider Portal > Home (gainwelltechnologies.com)

  • Click on "Trading Partner" on the bottom left hand side

  • Select "Enrollment Application"

  • Enter the information requested and select the transaction types you will be exchanging

    • The entity submitting claims electronically is the Trading Partner

    • The EDI contact name should be whomever is filling out the application

    • Transactions selected should be either 837I (institutional UB04 claims) or 837P (professional CMS 1500 claims) and 835 for electronic remittance advice

  • Agree to the Trading Partner Agreement at the end of th eTrading Partner Profile process

  • You will be assigned a Trading Partner ID and Password - please save this information as this will need to be provided to the ClaimShuttle support team

  • Register for a Web Portal account (as a "Billing Agent") using the Trading Partner ID previously provided

    • If you have any questions regarding the Web Portal account registration please give ClaimShuttle a call at 602-439-2525.

    • Please Note: If you are a Billing Service, Providers you Submit for add you as a Registered Billing Agent in their Online Portal Account but you are still the entity that registers for the Trading Partner ID

  • Download the Trading Partner Testing Packet for ASC X12 transactions via the Trading Partner Information link or at Colorado.gov/HCPF/EDI-Support

  • Complete Production Authorization testing by calling ClaimShuttle

  • Make sure to provide them with the Testing Packet so they can assist you with setup and testing

 

 

If you have any questions regarding their enrollment process the CO Medicaid EDI Helpdesk can be reached at 1-844-801-8482

 

Testing

Once you have received your Submitter ID and Password from Medicaid, please call the ClaimShuttle Support Team and set an appointment for a Mailbox setup and Test Transmission.

Please have 10 test claims ready for testing for each line of business you bill for. 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.

 

ClaimShuttle Testimonials

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I always get the most fabulous service when calling or emailing!!! Your customer support reps are the best!!!

Tracy (Prescott Valley, AZ)

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