New York Blue Cross Blue Shield: ASK

Please follow the Enrollment Instructions below to become an electronic submitter to New York Blue Cross Blue Shield ASK.

 

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 ASK office prior to initiation of electronic claims submission or inquiry.

1. Enrollment Form (Claims)
2. ERA Enrollment (Electronic Remittance) 


If you are an existing Submitter, but need to change your information please complete the following:

1. Change Form
http://clyde.bcbsks.com/WebCom/Public/forms/ask_change_form.htm

 

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.

 

EDI Enrollment Form

Section 1: Trading Partner Information

  • Enter your Business/Practice or Provider Name

  • Enter your address, phone and fax numbers

  • Enter the name of the main contact person for your office

  • Enter your e-mail address

Section 2: Type of Organization

  • Please select the appropriate Organization type of your business, indicate whether you are a clearinghouse or billing service. Leave blank if description does not apply.

Section 3: Vendor Information

  • For Software Vendor 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 SolAce billing software please call our support line for our SolAce software information.

Section 4: Communication Type

  • Please choose "Internet"

Section 5: Billing NPI's and Provider Names

  • Please place a check mark on the box for "Professional" or "Institutional" claims.

  • Complete the table with your Billing NPI's and Organization/Provider Names

Section 5B: Select Payer

  • Choose the carrier you will be sending claims to

Section 6: Signature

  • Sign and Date the form

 

ERA Enrollment Form 

If you would like to receive your EOB's electronically in ClaimShuttle, please complete this form. Please complete after you have received your Trading Partner ID

  • Enter your Provider Name

  • Complete your Business Demographic Information

  • Enter your TIN or EIN and your NPI

  • Enter your Trading Partner ID (also called Submitter ID)

  • Complete your Contact Information

  • Enter your TIN and NPI (must match what's listed above)

  • For Software Vendor 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 SolAce billing software please call our support line for our SolAce software information.

  • Select your reason for submission (either New or Change Enrollment)

  • Complete the signature section and Submit

 

Change Form

Complete this form if you need to change your Demographic information, enroll additional NPI Numbers, or change software vendor information

  • Complete Section 1 with your information

  • Select what you are changing in Section 2 and if they ask for further information on the next screen please enter it accordingly

 

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:

 

ASK, Inc.
PO Box 3500
Topeka KS 66601-3500

Or Fax: 785-290-0720
 
Or Email askedi@ask-edi.com
 

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 five to seven business days from the date of receipt. (Remember that mailing time can take much longer, therefore fax or email is preferred.)

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 ASK EDI Technology Support Center at 1-800-472-6481.

 

Testing

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

Please have 25 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.