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:
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
Enter the First and Last Name of the Requester of the Logon ID
Enter the Requester’s Job Title
Phone and Email Address
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
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.