Cedi Enrollment Agreement Form

All CEDI online registration forms can be accessed via the following link: www.ngscedi.com/forms/formsindex.htm. The fax is as follows: 315-442-4299 Cedi`s application form for sending shipments must request a commercial identifier for a new sender and indicate which transactions the trading partner will exchange with CEDI. The form is then faxed to CEDI for processing. Existing business partners use the application form for the bid transaction to request the addition of a new transaction. If a supplier. B currently files only electronic claims and wishes to obtain electronic transfer advice, the CEDI application form is completed by filling out the requested information and checking the box for the 835 Electronic Remit advice (ERA). The form is then faxed to CEDI for processing. Cedi Submitter Action Request Form should also be used to order Express Plus software. To order Express Plus software, click on the field of Section II entitled „Order the CEDI Program for Free Software (Express Plus).“ The supplier`s authorization form must be completed for any supplier who uses a clearing house, billing service or other third party to exchange transactions with CEDI. These include receivables, 835 EE and/or 276/277 transactions. Press „Accept“ after reading their terms and agreements To sign up for the CEDI list, click on the following link: www.ngscedi.com/listserv/subscribe.htm If you have selected the transfer board (835) as a transaction and you need to complete the ErA registration form, the aggregation preference is your preferred identifier for them to group the transfer board. You can select either the tax ID or the NPI. Click on this link to access the home page of the CEDI register: enroll.ngscedi.com/#/CEDIEnrollment The FAQ document is a great resource that you can use before contacting the Cedi-Helpdesk.

To find the FAQ, go to the „Resources“ section on the following link: www.ngscedi.com/outreach_materials/outreachindex.htm Effective October 1, 2008, National Government Services, Common Electronic Data Interchange (CEDI) only accepts CEDI online registration forms for all EDI installation requirements processed by CEDI. Not all EDI registration forms developed and used by THE MAC DME courts prior to the CEDI transition are accepted and returned by CEDI on 1 October 2008. Note: This does not apply to the establishment of a claim for claim status (CSI) and to electronic money transfer (EFT). The CSI and EFT configurations are accepted and processed by the DME MAC courts. All other EDI configurations are addressed to CEDI. CEDI Registration Instructions: CEDI registration documents are completed and submitted online. To meet the requirements, these documents must also be printed, signed and faxed to the CEDI electronic fax system. After negotiating one of the forms online, click the „Send“ button, print, sign and fax the form to the number on the printed form. The following documents are required and must be completed for each new MAC Electronic Data Interchange (EDI) Trading Partner (Submitter).

CeDI listserv informs you of all CEDI updates and changes. Currently, many of the CEDI lists are transmitted through the registers provided by the MAC DME courts. Finally, CEDI listserv is only sent on the CEDI list, so sign up today. The Common Electronic Data Interchange (CEDI) currently provides a B108 alert message in the CEDI GenResponse (GENRPT) report if the NPI is not linked to the trade partner ID (submitter). At this point, this is a warning message and does not reject the claims filed.

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