Please follow the Enrollment Instructions below to become an electronic submitter for Independent Health.
To enroll for a Submitter ID with Independent Health please contact their EDI Operations Team at 716-635-3911.
Let them know you are interested in applying for a Submitter ID so that you may send your electronic claims directly to them.
Let them know the information for the software or vendor that creates your 837 files you need Claimshuttle to transfer for you. If you have paid for our billing software please call our support line for our software information.
Ask them if they can send you the form(s) required to obtain your Submitter ID so you can submit electronic claims directly to them.
You may also email them at firstname.lastname@example.org
The instructions for the forms they will send you are located below for your convenience.
You will be required to fax the completed form here: 716-929-1062
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.
Transaction Assistant Intake Form
Please enter today’s date as the Date of Request
Check the box for "Add New Account/User ID"
Enter the three digit Independent Health Electronic Submitter ID they will have provided after you've called their EDI Department
Enter your Office Practice Name
Fill in your demographic and contact information
Enter your Tax ID number
Enter the full name of the User(s) requesting access
Internet Information Delivery Agreement (TA User Agreement)
Please enter the name of the Provider or Group on the first line
On Page 2, re-enter the name of the Provider or Group
Enter the User Name of the primary user then sign below
Please have the authorized representative sign as well
Please enter today's date
Please note: You can disregard the Transaction Assistant Navigation Tip Sheet that will be sent to you since our application will be doing the sending and downloading of files automatically.
Once you have received your Submitter ID and Password from Independent Health, please call the Claimshuttle Support Team and set an appointment for a Mailbox setup and Test Transmission.
If you have not received your Submitter ID and Password back by email after 2 weeks, please call the E-Commerce Call Center at 716-635-3911.
Please have 20 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.