Payer List

Please follow the Enrollment Instructions below to become an electronic submitter for Massachusetts Blue Cross Blue Shield.

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 MA BCBS office prior to initiation of electronic claims submission or inquiry.

1. EDI Trading Partner Enrollment Form

2. EDI Security Account Request Form

3. Provider Trading Partner Agreement

In order to receive these forms you will need to call MA BCBS directly and let them know you need the forms listed above because you are applying for a Submitter ID in order to become a Direct Submitter using SolAce EMC.

To begin this process please call the EDI Technical Support Center at: 1-800-771-4097 option 2

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.

Our Vendor Information

EDI Trading Partner Enrollment Form

Section 1:

• Check the box for New

Section 2:

• Enter todays Date
• The Submitters Name (You are the submitter)
• Your company’s demographic information
• If you are using a Billing Service please select the box, if not skip this section

Section 3:

• In the first field enter the name of your Practice Management Software
• In the second Field enter: SolAce EMC
• Check the box for NO

Section 4:

• Enter the Name, Title, and contact information for both the main contact for your office, and the technical contact representative for your office

Section 5:

• Select the transactions you will be submitting
  • 837 I for Institutional Claims
  • 837P for Professional Claims
  • 835 for Electronic Remits

Section 6:

• Enter the information for all the Providers you will be submitting for

EDI Security Account Request Form

Section 1:

• Enter your Name and Contact information as well as the date of the request
• Enter your Company Name & Department

Section 2:

• The first two boxes should already be checked YES if not please check
• Question 2.3 Should already be checked NO if not please check
• Question 2.4 Check the box for 837 & enter an estimation of the amount and frequency your files will be transferred (check No for every other transaction)
• Answer NO to the question about 270 and 276 transactions
• Answer YES to the question about 999 rejects
• Question 2.5 Leave all boxes blank
• Question 2.6 Select HTTPS
• Question 2.7 Leave blank
• Question 2.8 Check NO
• Call us for question 2.9 as the answer is dependent on which version of SolAce you have
• Question 2.10 Please call us for our IP Address and Host Name

Provider Trading Partner Agreement

• Enter the date in the first paragraph
• Make sure your information is in Section 9.1
• Complete the Signature page with your information
• Send the ENTIRE packet to the following address:

BCBSMA

25 Technology Place

Hingham, MA 02043

ATTN: EDI Support

Submitting your Forms

It is recommended that you keep a copy of all the forms you will be submitting for your records. Please email these forms to:

[email protected]

Waiting for a Response

Once the complete provider enrollment packet has been received, the documents will be processed. Processing times vary, but in most cases once they receive the enrollment forms testing can happen immediately.

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 1-800-771-4097 option 2.

Testing

Once you have received your Submitter ID and Password from MA BCBS, please call the SolAce Support Team and set an appointment for a Mailbox setup and Test Transmission to MA BCBS.