J6 NGS: Wisconsin Medicare
National Government Services (NGS) administers Medicare health insurance for the Centers for Medicare & Medicaid Services (CMS) for Jurisdiction 6 which includes the State of Wisconsin. If you are a provider located in the State of Wisconsin and need to become an electronic submitter for your Medicare A/B Claims, please follow the enrollment instructions below.
Required Enrollment Process
The following process is required and must be completed prior to initiation of electronic claims submission or inquiry.
Please click the following link then follow the instructions to access the enrollment page:
Go to www.NGSMedicare.com
Select your State and Line of Business and click Enter
Select Register for EDI
Click Start Enrollment Process then click Accept
Providers who are new to EDI and need a new Submitter ID, please follow these instructions:
On the first screen, please click the box next to "I need to complete a Registration Form
For Method of Electronic Submission please select Direct Biller
If you are using a Billing Service, select Billing Service
Select the software vendor you use to create your claims in the Approved Entities List drop down
If your vendor isn't on the list select "Other" then enter their name, address, and phone number in the "Vendor Information" section
Enter your contact information in the "Vendor Contact Information" section then press Next
In the next screen, please enter the Billing Provider information as the Entity
Please Note: This must match what the provider entered when obtaining PTAN
Select Contractor Code for your state and line of business from the dropdown then press Next
Enter the PTAN and NPI for the Billing Provider
If you are part of a Group practice with Rendering physicians, please enter the Group's information here
The Billing Provider is the Provider that gets paid for services
Please enter the Provider/Facility information again then press next
In the next screen, select the option to setup or change your setup for sending claims (837) electronically
If you also want electronic remittance advice select the option to setup or change your current setup for electronic remits (835)
Verify all fields are correct and complete any remaining fields
Please have the authorized official electronically sign the form
We recommend you print this packet for reference
* Please Note: After the above, you may be asked to complete either an EDI ERA Enrollment Form (for receiving electronic remittance advice), or the EDI Registration form, which is required to complete your enrollment
EDI ERA Enrollment Form
Please enter the Billing Provider Information
Select the drop down for the Provider Identifiers and choose either NPI or Tax ID
Enter the Tax ID and NPI
Enter Trading Partner ID if you have it, if not please leave blank
Select the Method of Retrieval
Please select Billing Service or Direct from Contractor
Direct from Contractor option is for those submitting claims directly to Medicare
Please enter the information for the software vendor you use to create your 837 EDI files
Select New Enrollment if Provider is not currently receiving ERA's through any Trading Partner ID with NGS
Please select Change Enrollment if Provider is currently receiving ERA's through a Trading Partner ID but wishes to update their information currently on file
Enter the name and title of the authorized person submitting this form and press Submit
EDI Registration Form
Select Obtain Trading Partner ID
Submitter type will auto-populate based on what is selected within the guided enrollment
The Transactions 837 for batch claims and 835 for electronic remittance advice should already be selected. If not, please check them off again.
For Network Service Vendor, please select Axiom Systems Inc
Please have the authorized official electronically sign and submit the form
If the person listed here does not match who Medicare has in their system as the authorized official, the application will be rejected.
Please Note: NGS recently changed their enrollment process from forms that had to be submitted online and faxed, to an online guided enrollment. They have provided manuals that can be accessed here and we have done our best to provide the instructions above to simplify the process. If you encounter any problems filling out these online applications feel free to call our Support team at 602-439-2525 or NGS EDI Department at the number listed below.
Waiting for a Response
After processing, a confirmation will be sent to you as notification to begin filing claims electronically. If neither confirmation nor a returned packet is received after two weeks, please contact the Technology Support Center toll-free at 1-877-273-4334.
Once you have received your Submitter ID and Password from NGS, please call the ClaimShuttle Support Team and set up an appointment for Mailbox setup and Test Transmission.
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.