Please follow the Enrollment Instructions below to become an electronic submitter for Wyoming Medicaid.
The following are required enrollment documents that must be completed, signed, and returned to the ACS office prior to initiation of electronic claims submission or inquiry.
Please go to:
Download and complete the following:
Equality Care (Wyoming Medicaid) EDI Application
Please follow the instructions carefully to avoid delays in processing the EDI Information.
YOU are the Provider
YOU are the Trading Partner
We are NOT a clearinghouse or a billing service. We are classified as a Network Connectivity Vendor
If asked about your software vendor information: 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.
You are applying for a Trading Partner ID for yourself
Your Medicaid Number is your Provider ID/Provider Number
If you have any questions about your Wyoming Medical Assistance Program EDI enrollment, please call Wyoming Medicaid's EDI department at: 1-800-672-4959.
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.
Provider EDI Enrollment Application
Complete Sections 1-4 with your Business/Provider Information
Remember you are also the "Trading Partner"
If you have been assigned a Trading Partner ID for the web portal, please enter your Trading Partner ID in Section 4.
For Section 5, Contact your software vendor for their vendor ID. If you have purchased our billing software please call our support team for that information
Skip the WinASAP Section
If you wish for your electronic EOBs to be received in your ClaimShuttle portal put an X for "I will retrieve my 835" otherwise, choose "I do not wish to use the 835 at this time"
Choose Yes or No for Section 7
Please complete the 3 page Trading Partner Agreement with your information
If you have an existing Trading Partner ID, please enter it in the Submitter Section. If you do not have a Trading Partner ID yet, please enter your Provider ID number.
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:
Attention: EDI Enrollment
P.O. Box 667
Cheyenne, WY 82003-0667
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 mailed to you as notification to begin filling claims electronically. If neither confirmation nor a returned packet is received after two weeks, contact ACS EDI Technology Support Center at 1-800-672-4959.
Once you have received your Submitter ID and Password from ACS, please call the ClaimShuttle Support Team and set an appointment for a Mailbox setup and Test Transmission to ACS.
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.