Washington Medicaid: ACS

Please follow the Enrollment Instructions below to become an electronic submitter to Washington Medicaid.

 

Required Documents/Process for those applying for new Submitter IDs

In order to be able to submit claims electronically to WA Medicaid, you must be enrolled with their ProviderOne system, and complete the following form:

1. Trading Partner Agreement

Please complete page 7 with your name and signature in the Submitter section and mail to the address on the form.

Click here to access ProviderOne and register!

On the ProviderOne website, they have guides to help you with this process. They are broken down based on transactions and provider type. Select the links below for further information:

Once you have completed registration and have your User ID and Password, please call the ClaimShuttle Support Team at 602-439-2525 for help with MB Setup and Testing.

If you have any questions regarding this process, please call the PROVIDERONE EDI Technology Support Center at 1-800-562-3022 or email them at hipaa-help@hca.wa.gov

 

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.