Florida Medicaid: EDS

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

 

This connection is available for SolAce Junior users ONLY.

 

SolAce Junior users Please Note: Our connection to FL Medicaid cannot be scripted due to the EDI system’s website structure therefore, once your EDI file has been generated, you will need to upload and download your files manually. We have a guide that will walk you through this process.

 
If you would rather submit your claims to the Availity Clearinghouse, who will then forward your claims to FL Medicaid, please click here for the enrollment instructions. Please make sure you call Availity for assistance completing the additional enrollment forms required by this Payer.
 

Required Documents for those applying for new Submitter ID's

The following documents are required enrollment documents that must be completed, signed and returned to the EDS office prior to initiation of electronic claims submission or inquiry.

1. Electronic Data Interchange Agreement

If the link above does not work properly, please download the form directly from the website:

If you have any questions regarding any of the documents in this package, please call the EDI Technology Support Center at 1-866-586-0961.

 

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.

 

Electronic Data Interchange Agreement

Header

  • Enter your Medicaid Provider ID and NPI

  • Enter your Business/Practice or Provider Name

  • Complete your demographic and contact information

  • If you are a provider using ClaimShuttle to bill your claims directly to Medicaid, choose Provider

    • If you are a Billing Service, choose Billing Agent/Clearinghouse

    • Note to Billing Services: Once you receive your ID from Medicaid, you must have each of the providers you are billing for also complete a copy of this form and state they are a "Provider"

Section 1

  • Providers using ClaimShuttle to bill directly can choose the second option and enter 64103

    • Providers using a billing service must choose the third option and enter the billing services assigned Trading Partner ID on the line.

  • For transactions sets please choose either 837I or 837P and 835

    • 837I = Institutional claims, 837P = Professional claims, 835 = EOB's

  • For method of submission please select "Web Portal/Software Vendor"

    • Providers using a Billing Service can skip this section since their Billing Service already has a log on to the web portal.

Section 2

  • Billing Services must complete this section. Provider's billing directly using ClaimShuttle may skip this section.

Section 3

  • Providers using ClaimShuttle must complete this section.

  • Providers who use a Billing Service that has ClaimShuttle must also complete this section.

 

Submitting your Forms

It is recommended that you keep a copy of all the forms you will be submitting for your records. Mail the enrollment forms reflecting original signatures to:

 

For Regular Mail:
EDS Provider Enrollment
PO Box 7070
Tallahassee, FL 32314-7070
 
For Overnight or Express Delivery:
EDS Provider Enrollment
2671 Executive Center Circle West
Suite 100
Tallahassee, FL 32301
 

It is very important that you complete and return the entire enrollment packet as described above. Incomplete packets will not be processed and will be returned to the submitter.

 

Waiting for a Response

Once the complete provider enrollment packet has been received, the documents will be processed. Processing will take approximately two weeks from the date of receipt. (Remember that mailing time can take as much as five days.)

After processing, a confirmation will be faxed to you as notification to begin filing claims electronically. If neither confirmation nor a returned packet is received after two weeks, contact the Technology Support Center toll-free at 1-866-586-0961.

 

Testing

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

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.