1. Register

    Before using the system, all providers and vendors must register. This is the initial account creation where basic demographic and transaction-related information is collected.

    For providers, the initial registration process requires a billing NPI to be entered to establish the account. Additional billing NPI's may be added after the account has been created.

    The following information is needed for registration:

    • NPI
    • TIN
    • Contact/demographic information
    • Vendor Submitter ID (If a clearinghouse or billing service will be utilized)

  2. Account Security

    Upon initial registration, you will create your EDISS Connect username and password. After your first login attempt into the system, you will need to establish Account Security questions. This set of security questions will protect your account.

  3. Account Settings

    EDISS Connect users have the ability to choose who will administer their profile.

    If you are administering your account, you will be responsible for completing the registration and adding transactions. During the registration process you will be asked to select what software you will be using. EDISS offers support for ABILITY | PCACE, a free software available for download from www.edissweb.com under the Software/Connectivity page.

    If a vendor (clearing house or billing service) will be your account administrator, you will need to grant them this access during initial registration or later in your account settings. The vendor will need to accept this role after they are selected.

  4. Transactions

    When your account is established, you will have the ability to add/manage your transactions by first entering the NPI(s), state(s), line(s) of business and transaction types (professional, institutional or dental).

    Note: The available transactions are dependent on the state(s) and line(s) of business selected.

  5. Forms

    After adding transactions, there are certain lines of business that require an EDI Enrollment Form. The EDI Enrollment Form will be agreed to electronically. To view the EDI Enrollment Form, click the EDI Enrollment Terms and Conditions link. To accept the EDI Enrollment Form, check the I agree to the EDI Enrollment Terms and Conditions box. You will be able to view the status of your forms from your account home page.

  6. Testing

    Providers that bill directly, will be required to submit a clean test file to EDISS containing a minimum of 10 test claims, prior to being granted production status for their 837 (electronic health care claim transaction. The testing process verifies the format and structural accuracy of the electronic claim file sent by a Submitter.

    Most vendors have indicated a preference for blanket approval to allow them to bypass the testing process once they have the required minimum number of providers in production for that state/line of business. If they do not yet have blanket approval, the vendor will need to test on behalf of the provider.

    The steps above are outlined in the User Guides and Online Tutorials located in the Help section of the site.

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Registration
Q: What information will I need to complete the provider registration process?

You will need a billing NPI, TIN and your contact information such as company address, phone and fax number. If a clearinghouse or billing service will be utilized, it is helpful to have their vendor submitter ID available. You'll choose a username and password as well as answer a set of security questions.

Q: I'm a provider, but I'm not processing claims. Do I still need to register?

Yes. As a provider you still have to register. When you choose a vendor to process claims on your behalf, you hand over certain responsibilities that you will want to monitor or manage. Vendors are not permitted to enroll on behalf of a provider. Per CMS (IOM Publication 100-04, Chapter 24, Section 20), providers "are not permitted to share their personal EDI access number and password with any billing agent, clearinghouse/network service vendor; to anyone on their own staff who does not need to see the data for completion of a valid electronic claim, to process a remittance advice for a claim, to verify beneficiary eligibility, or to determine the status of a claim; and that no other non-staff individuals or entities may be permitted to use a provider's EDI number and password to access Medicare systems." 

Q: Which NPI should I use to register?

Only billing NPI's should be registered in EDISS Connect. During initial registration you can choose any billing NPI that will have a transaction type processed under your account. You will have the ability to enter additional NPIs after the registration process.

Q: What is the difference between a billing NPI and a Rendering/Referring/Etc NPI?

Billing NPI's are what payers process claims under and make payments to, thus EDI registration requires it for setup and processing. EDISS considers any other form of NPI optional and does not need it registered with EDISS.

Q: Will my information be shared with a third party?

Your information is secure with us. We will never share your contact or account information with anyone including third parties.

Q: What if I change companies?

If you leave companies your user credentials will need to be removed from EDISS Connect. It would be up to the Administrator linked to your EDISS Connect account to delete these credentials. If you are the sole Administrator, you would need to create a new Admin for the account and then have that User remove your credentials.

Q: I want to change my profile details. How do I do this?

By simply logging into Connect you can change your information within your account profile. You will need to select Edit Profile on your account home page

Q: What happens if I choose vendors to administer my account?

In this scenario, a vendor is considered an Account Administrator. If you choose a vendor to have this role, that means you have hired an outside resource to manage your Connect account on your behalf. You will have view-only access to your account, meaning you will only be able to review your account and not make transaction related changes. This includes adding or editing transactions.

Q: Can I regain control of my account if I choose a vendor to administer it?

Yes, you can change this setting in your account profile to Self-Administered to regain access to your account if you decide to change vendors or administer the account yourself.

Q: How do I choose transaction types?

The EDISS Connect User Guide can walk you through how to set up transactions and claim types. You will start by selecting an NPI(s), state(s), line(s) of business and then the transaction type(s).

Q: How do I open lines of business?

The EDISS Connect User Guide can walk you through how to set up transactions and claim types. You will start by selecting an NPI(s), state(s) and then the line(s) of business.

General Questions
Q: Does EDISS Connect cost anything to use?

No. The system is free to all providers and vendors (clearinghouses, billing agents, billing services, software vendors) for registration, setting up electronic transactions and pre-production testing for non-Medicare lines of business. Your only cost will be the use of your existing Internet connection to access the system.

Q: What are associated transactions?

Associated transactions are specific transactions or claim types that fall under a line of business. Transactions are professional, institutional or dental and determined based on the line of business. An example of a transaction is 837I, which is Institutional Electronic Claim Submission.

Q: Where can I find the EDISS Connect user guides and tutorials?

You can find all self-help materials on the Help page on this site. Additional resource materials can be found by visiting www.edissweb.com, selecting your state and selecting Registration.

Q: What internet browser can I use with EDISS Connect?

You should be able to use any internet browser and maintain functionality. Firefox and IE10 or newer are the recommended internet browsers to use with EDISS Connect. 

Q: How do I contact EDISS if I have questions?

It varies based on your jurisdiction and the line of business you may have questions about.

For Jurisdiction F (JF) Part A and B, please call 877-908-8431.

For Jurisdiction E (JE) Part A and B, please call 855-609-9960.

For lines of business outside of Medicare, please call 800-967-7902.

You may also email support@edissweb.com.

For detailed contact information view the Contact page.

Username & Password
Q: What do I do if I forgot my username?
  • Click Forgot Username? near the Log In button on the home page.
  • Enter the email address and last name that you entered in your EDISS Registration user profile.
  • Click Search.
  • If the user is located, the username will appear on the screen.
  • If the user is not located, utilize the 90 days since last login? link near the Log In button on the home page.
Q: What do I do if I forgot my password?
  • Click Forgot Password? near the  Log In button on the home page.
  • Enter your Username – (This is the ID you normally enter when logging into EDISS Connect).
  • EDISS Connect will search for your account and once located, you will be required to answer five security questions. These questions and answers would have been established upon user creation. (The security questions are not case sensitive.)
  • Click Check Answers.
  • You will be required to change the password.
Q: How do I change my password?

Once you are logged in, click Edit Profile from your account home page. Within Edit Profile, click Security Settings to update your password.

Q: I tried to log into my account and I was taken to an activation screen. Why is that?

When an account hasn't been logged into between 60 and 90 days the user will be prompted to answer account-specific questions to re-activate the user account.

Q: I know my username and password, but it won't let me log in.
  1. If it has been 90 or more days from the last login, click 90 days since last login?. Using this link, you will create a new user to the existing Connect account. If it has been less than 90 days, use the Forgot Username? and/or Forgot Password? options on the Log In page.
  2. When creating a new user, you will need to know the corresponding NPI, Submitter ID and TAX ID (SSN) that is currently on the account that access is needed for.
  3. New user details such as name, username and email must be completed, but do not have to match what was previously on the account. 
Forms
Q: How do I know what forms I need to send to EDISS and how will I know when EDISS has received the forms?

After adding transactions, there are certain lines of business that require an EDI Enrollment Form. The EDI Enrollment Form will be agreed to electronically. To view the EDI Enrollment Form, click the EDI Enrollment Terms and Conditions link. To accept the EDI Enrollment Form, check the I agree to the EDI Enrollment Terms and Conditions box. You will be able to view the status of your forms from your account home page.

 

Note: This agreement is only required once per NPI, if you are new to electronic transmissions and EDISS Connect

Testing for Non-Medicare Lines of Business
Q: When can I start testing?

Testing can be started when all forms have been signed electronically and you have been assigned a Submitter ID.

Q: How do I know if my testing is complete?

You can access your testing history from your account home or manage transactions page. The testing history page will display a status to indicate if the test file passed, is processing or failed.

Q: What do I do when my testing is complete and I want to start submitting claims directly to Noridian EDISS?

Direct Submitters: When testing is complete and your 837 transaction(s) are moved into production, you will receive a fax from EDISS with your Production credentials. The fax will include applicable log in/password information.

Note: Production credentials may have been received previously, if other non-testing transactions were selected and moved into production.

Vendor Submissions: If you use a vendor to process your transactions, in most cases they will notify you of your requirements for production related interactions.

Q: What is Blanket Approval?

During the registration process, a vendor will automatically be set to Blanket Approval (BA) status for all transactions, unless the vendor chooses to opt-out.

BA status indicates a Billing Service or Clearinghouse has achieved and are maintaining the required amount of providers in the EDISS production system and no longer are required to test each individual provider files within a particular Line of Business (LOB) and transaction.

Due to this, vendors who have BA are able to move their providers into Production processing faster.

Software:ABILITY|PC-ACE
Q: Where do I find instructions for ABILITY|PC-ACE Installation?

The software can be downloaded from the ABILITY|PC-ACE page on http://www.edissweb.com.


  1. Select the State you are located in.
  2. Select the Software/Connectivity tab.
  3. Select the ABILITY|PC-ACE under Software Options.
  4. Select Install ABILITY | PC-ACE to install the software. For the password, you will need to contact EDISS.

Note: For instructions on how to install the software, review the ABILITY |PC-ACE User Guide located on the ABILITY|PC-ACE page. The ABILITY | PC-ACE Setup 101 tutorial is also a helpful tool for getting started with the software.

Q: Is there a charge for ABILITY|PC-ACE?

No, there is no charge for the software if downloaded online.

Transactions
Q: How do I assign a vendor to process transactions on our behalf?

Within Add Transactions or Manage Transactions, you will select Add Vendor and select who will perform the specific transaction. You can search for the vendor by either their vendor submitter ID or their name.

Questions?

Jurisdiction E (JE) Part A and B:

855-609-9960
 

Jurisdiction F (JF) Part A and B:

877-908-8431


All Other Lines of Business:

800-967-7902


Fax:

701-277-7850


Hours of Operation:

Mon. - Fri. 8:00 A.M. - 7:00 P.M. (CT)
See Training Closure Schedule
 

Detailed Contact Information ›

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Acronym Glossary

CMS:

Centers for Medicare and Medicaid Services

EDI:

Electronic Data Interchange

EDISS:

Electronic Data Interchange Support Services

EIN:

Employer Identification Number

LOB:

Line of Business

NPI:

National Provider Identifier

TIN:

Tax ID Number

TPID:

Trading Partner ID