MVP Health Care
Please follow the Enrollment Instructions to become an electronic submitter for MVP Health Care.
Required Documents for those applying for new Submitter IDs
The following documents are required enrollment documents that must be completed, signed and returned to the MVP office before the initiation of electronic claims submission or inquiry.
1. MVP Health Care EDI Enrollment Form
If the link listed above does not work properly, please download the form here, entitled EDI Enrollment Form under EDI Forms and Guides:
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.
MVP Health Care EDI Enrollment Form
Check New Direct 837 and New Direct 835
Enter the name, phone, and email for the main contact in your office
Enter the name of your organization
Skip the next two questions regarding Access ID and Clearinghouse/Billing Service information.
For the question * NEW Trading Partner/Direct: Leave the first space blank, in the second space enter your Tax ID
Enter your Practice/Facility Demographic and Contact information
Enter your Individual/Group NPI, your Practice Tax ID, and the type of Practice
Enter your Payee ID, located on your Remittance Advice Report
Please 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.
Submitting your Forms
It is recommended that you keep a copy of all the forms you will be submitting for your records. Please fax your enrollment form here:
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 emailed to you as notification to begin filing claims electronically. If neither confirmation nor a returned packet is received after two weeks, contact the EDI Operations Team at 585-258-8024 and ask for Ralph Galdieri, or send an email here: firstname.lastname@example.org
Once you have received your Submitter ID and Password from MVP Care, please call the Claimshuttle Support Team and set an appointment for a 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.