Section 1011 with Novitas Solutions

Please follow the Enrollment Instructions below to become an electronic submitter for Section 1011 with Novitas Solutions, Inc.

 

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 Novitas Solutions office prior to initiation of electronic claims submission or inquiry.

1. Section 1011 Electronic Data Interchange (EDI) Enrollment Agreement
2. Direct Data Entry (DDE) Online Form

If you are having difficulty accessing the forms listed above, please download them from here:
https://www.novitas-solutions.com/section1011/enrollment/forms.html

If you have any questions regarding any of the documents in this package, please call the Novitas Solutions EDI Technology Support Center at 1-866-860-1011

Please Note According to the final policy decreed by CMS, Section 1011 is unable to accept professional claims submission via 837P Batch Transmission, but will only accept via Direct Data Entry.

 

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.

 

Section 1011 Electronic Data Interchange (EDI) Enrollment Agreement

  • Section A enter your Legal Business Name

  • Section B enter your Demographic an Contact information

  • Section C enter your Provider Identification Number

  • 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 Assign new Electronic Submitter ID

  • Section F select 837

  • Section G check the box for Direct Connection through a Network Service Vendor

  • Have an authorized official sign and date the bottom of the form

 

Direct Data Entry (DDE) Online Form

  • Select No

  • Enter the First and Last Name of the Requester of the Logon ID

  • Enter the Requester’s Job Title

  • Phone and Email Address

  • Demographic Information

  • Enter the Authorized Official’s Name (as stated on Section 1011 Enrollment Application)

  • Enter the Authorized Official’s Phone number

  • Enter the Supervisors Name and Phone number

  • Enter a 4 digit number you will remember for your PIN

  • Enter the Section 1011 Provider Number(s) to be accessed by this Logon ID

  • Enter the Specific Business Purpose for Accessing the UARS Systems

  • Enter the Provider’s Name and Address

  • After reading through the agreement press Submit

 

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:

 

Novitas Solutions Section 1011 Enrollment
P.O. Box 890121 Camp Hill, PA 17089-0121
Or Fax: (717) 635-4205
 

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 two weeks from the date of receipt. (Remember that mailing time can take as much as five days.)

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, contact the Technology Support Center toll-free at 1-800-860-1011

 

Testing

Once you have received your Submitter ID and Password from Novitas Solutions please call the Claimshuttle Support Team and set an appointment for a Mailbox setup and Test Transmission.

Please have some 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.