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. Let them know you will be transmitting your files via Claimshuttle through SFTP
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 email@example.com
The instructions for the form 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.
Electronic Claims Sender Request Form
Place a check mark next to New EDI Submitter
Check Independent Health
Select the transactions you will be exchanging
ANSI 837 Institutional or
ANSI 837 Professional and
Enter today’s date as the Date of Request
Enter your Office Practice Name
Fill in your demographic and contact information
Enter your Tax ID number
Select the appropriate responses with whichever applies to your circumstances
For the question regarding using a Clearinghouse select No
Enter 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.
Select how you will be sending claims until testing is passed and you are approved for production, and have the Office Manager sign the application.
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.