Indiana Medicaid
Please follow the Enrollment Instructions below to become an electronic submitter to Indiana Medicaid.
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 Medicaid office prior to initiation of electronic claims submission or inquiry.
1. IHP Trading Partner Profile (must be completed online)
2. IHP Trading Partner Agreement (must be printed and mailed in or scanned and emailed)
If the above links do not work properly, please download the forms here:
http://provider.indianamedicaid.com/general-provider-services/electronic...
If you have any questions regarding any of the documents in this package, please call the Medicaid EDI Technology Support Center at 1-877-877-5182.
Our Vendor Information
| Vendor Name - AXIOM Systems, Inc. |
| Contact - EDI Team |
| Vendor Code - N/A |
| Phone - 602-439-2525 |
| Fax - 602-439-0808 |
| Address - 241 East 4th Street, Suite 200 Frederick, MD 21701 |
| Software Name - SolAce EMC |
| E-mail - [email protected] |
IHCP Trading Partner Profile
Trading Partner Contact Information
- Please Choose Provider or Clearinghouse / Vendor
- Complete the Trading Partner Contact Information with your information
Technical Contact Information
- Enter the name, address, and contact information with your Technical Contact
- Check the box for "New Trading Partner Setup"
Indicate Reason for Update / Comments
- Please skip this section
Data Submission Criteria
- Please enter your IHCP Provider Number
- Leave the Current Sender ID field blank
Transaction Sets To IHCP
- Place a check mark on either the 837I (for Institutional Claims) or the 837P (for Professional Claims) option
- If you are using SolAce to send your claims please mark the box for Software Vendor and enter “AXIOM Systems, Formerly Ivertex” for Company Name
Transaction Sets From IHCP
- Place a check mark on 835 (for Electronic EOBs) and enter “AXIOM Systems, Formerly Ivertex” as your Software Vendor company’s name if you would like to receive your EOBs electronically.
Press Submit and then complete the IHP Trading Partner Agreement
IHCP Trading Partner Agreement
Section 1 is for Billing Services using SolAce
- Enter Company/Business name
- Leave the Trading Partner ID Number blank, as that’s what your applying for
- Enter the name of the primary contact person for your office
- Fill in your demographic information, number, fax, and email address
- Describe your line of business (e.g., billing service, )
- List the names, addresses, and NPI numbers of the Medicaid Providers you represent.
- Select the types of transactions you will be sending. SolAce is compatible with these transactions:
- 837 I – Batch Health Care Claim Institutional
- 837P – Batch Health Care Claim Professional
- 835- Remittance Advice
Section 2 is for Provider’s using SolAce
- Enter the Provider’s Name
- Enter the Provider’s NPI and Tax ID
- Leave the Trading Partner ID Number blank
- Enter the Name, Address, Phone, Fax, and email for the primary contact for your office
- Check the boxes next to the types of data you are exchanging
- 837 I – Batch Health Care Claim Institutional
- 837P – Batch Health Care Claim Professional
- 835- Remittance Advice
Complete the last page of this agreement with your information and signature, and then mail it to the address below.
Submitting your Forms
It is recommended that you keep a copy of all the forms you will be submitting for your records. Mail the IHP Trading Partner Agreement reflecting original signatures to:
HP Enterprise Services
Electronic Data Interchange (EDI) Solutions
Trading Partner Agreement 950 N. Meridian Street
Suite 1150
Indianapolis, IN 46204
OR
Email to : [email protected]
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 faxed 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 1-877-877-5182.
Testing
Once you have received your Submitter ID and Password from Medicaid, please call the SolAce Support Team and set an appointment for a Mailbox setup and Test Transmission to Medicaid.
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.
customer Testimonial
From our customers
I am very pleased with our SolAce billing software and how easy it is to navigate. They have a great team who can train you to do billing even if you don’t have billing experience. Special thanks to Cathy, Gigi, and Skyler who always helps me out every time I have issues.
SolAce is awesome software. I absolutely LOVE it. For over three years I have used this software daily for multiple long term care facilities to submit claims to various MACs, Medicaid, and Medicare Advantage and Supplemental Insurance carriers. It is convenient, simple to use and far less costly than any Clearing House software I had explored. The ability to import from my Practice Management Software and Therapy Providers has reduced any RTP claims edits and denials are a thing of the past. Customer Support is “Johnny on the spot”, but terrific as they may be, it gets better - RARELY do I need to call. LOVE IT, LOVE IT, AND LOVE IT.
I think our medical office was one of the first to use SolAce in the mid 1990’s and we are still using it today for all of our electronic billing because it works ! It was simple for our staff to learn and it integrated easily with our accounting/billing program. It has been especially nice to know that the Axiom staff is there when Medicare changes something and they are right on it. They made the 5010 change a simple process plus made educational seminars available to us. Thank you to all the Axiom/ Ivertex professionals who have helped us for the last 15+ years.
SolAce has been a valuable tool that has been a life saver for my billing service for years. It has allowed me to bill professional and institutional claims with ease. Customer service @ SolAce is top rated in my opinion. The SolAce product is very user friendly and affordable. Thank you SolAce team for a great product.
Easy to use, Customer support has always been excellent, Thanks SolAce Team.
I am a new client and was having a tough time getting everything set up just right. I had to make calls to CEDI and when I called back the rep I spoke with prior even helped the 2nd rep to make sure I got all the info I needed. They definitely work as a team. Within a short period of time they had my system up and running. I never could've done it without them.
Awesome customer service every time!
I can't tell you how wonderful it is to work with your agency. They are courteous, knowledgeable,friendly, and a joy to work with - I can't say enough. Thank you!!
The service was very good. Phone answered promptly even though it was around 6 p.m. my time. Very courteous and helpful. So far I have had really good experiences with your support team.
The follow-up is outstanding - whenever there is an issue I am contacted to be sure that all is working well and to my satisfaction.
Everyone in your company is very helpful and pleasant, and they always have the quickest response time on fixing the situation.
Tech was very helpful, very patient and very professional. She knew of the issue quickly and stayed at hand until issue was resolved. Very satisifed with the service.
