For All Submitters

EDISS would like to provide clarification for our Submitter community on the production status of transactions within EDISS Connect.

As of July 1, 2019, EDISS no longer provides status updates. Anyone calling in to verify a provider's status will be redirected to their vendor/provider profile to review the information. A few helpful reminders:

• The processing time frame for new or updated transactions is 5-7 business days.
• An email notification is sent to the contact listed on the Providers EDISS Connect account once a transaction is approved.
  • The transaction can be used the next day.
• The production status can be monitored from the provider or vendor EDISS Connect accounts.

For additional information, please visit the Connect User Guides at https://www.edissweb.com/. Click on the state and then click on the Registration Tab.

Message Sent:
August 5, 2025

Whether you are choosing to submit directly or are a vendor starting a new state and LOB, testing will be required for the 837 transaction before claims can be submitted. EDISS has the requirements for testing posted on our website to help submitters successfully complete the testing process. These can be found using the links below.

• Medicare, North Dakota Medicaid and Vendor testing requirements, visit https://www.edissweb.com/web/cgpblue/registration
• Iowa Medicaid testing requirements, visit https://www.edissweb.com/web/medicaid/registration

We often get questions about testing and how to know if it is required for transactions in a providers account. Here are a couple of tips when reading the status of the transaction.

• If the status to the right of the 837 transaction states "Testing Required", a test file must be submitted and pass before production will be approved in Connect.
• If the status to the right of the 837 transaction states "Pending Approval", the transaction is waiting for us to complete the setup and approve production. No testing is required.
• If there is a date in the status to the right of the transaction, everything is done, and the transaction is ready to use on the Medicare side.

The 835 and 276 will not require testing but cannot be used until the date appears in the status to the right of the transaction.

Message Sent:
August 5, 2025

If you are new to Medicare and have never been paid, you will need to mail in at least one claim on paper and receive payment in order to register for NMP. This needs to be done before you can submit a test file in the Noridian Medicare Portal. In an effort to simplify the NMP submission process, below is a list of items to check when submitting:

• Group and/or Billing NPI is registered on EDISS Connect
• Be sure to select the I will and/or option for the 837 transaction selected in Connect
• Have a software that can build the files that meet the minimum requirements:
  • The file must be an 837P (Professional) or 837I (Institutional) transaction
  • Files being uploaded should not be more than 10 MB.
  • Files sent should be in an ANSI X12 format and contain a file extension of .txt, .edi or .dat
• Once the file has been submitted, a Submission ID will be provided with a message indicating the file was uploaded successfully.
• To view the EDI generated reports, choose the "My Previous Claim Submissions Request" button. Only claim files that were submitted through NMP will have the applicable reports to view. The reports and claim submission files will be available to be viewed for 30 days.

Note: Please allow 4 to 24 hours for the reports to generate and be viewable.

Message Sent:
June 3, 2025

Whether you are choosing to submit directly or are a vendor starting a new state and LOB, testing will be required for the 837 transaction before claims can be submitted. EDISS has the requirements for testing posted on our website to help submitters successfully complete the testing process. These can be found using the links below.

• Medicare, North Dakota Medicaid and Vendor testing requirements, visit https://www.edissweb.com/web/cgpblue/registration
• Iowa Medicaid testing requirements, visit https://www.edissweb.com/web/medicaid/registration

We often get questions about testing and how to know if it is required for transactions in a providers account. Here are a couple of tips when reading the status of the transaction.

• If the status to the right of the 837 transaction states "Testing Required", a test file must be submitted and pass before production will be approved in Connect.
• If the status to the right of the 837 transaction states "Pending Approval", the transaction is waiting for us to complete the setup and approve production. No testing is required.
• If there is a date in the status to the right of the transaction, everything is done, and the transaction is ready to use on the Medicare side.

The 835 and 276 will not require testing but cannot be used until the date appears in the status to the right of the transaction.

Message Sent:
June 3, 2025

For All Submitters

There are several free software viewing options available for providers that receive Electronic Remittance Advice (ERA) recipients!

To download, navigate to EDISS Website. Click on your state, navigate to the Software/Connectivity tab, click through to the applicable software page, and follow the information on the individual software page.

• PC-ACE - A claims and remittance software for all Lines of Business offered by EDISS.
  • Note: Before the installation password can be given out, a Software Licensing Agreement (SLA) must be accepted in your EDISS Connect account.
• PC Print - Free software developed by The Centers for Medicare & Medicaid Services (CMS) for viewing Medicare Part A remittance.
• Medicare Remit Easy Print (MREP) - Free software developed by The Centers for Medicare & Medicaid Services (CMS) for viewing Medicare Part B remittance.

Message Sent:
October 7, 2025
March 7, 2023

For Medicare Part A Submitters

An updated version of PC-Print is currently available for download at https://www.edissweb.com/web/cgpblue/software/pcprint. For further assistance with software updates, please contact EDISS.

Message Sent:
October 7, 2025
April 1, 2025
January 20, 2025
July 2, 2024
January 9, 2024
October 4, 2023
April 7, 2023
February 7, 2023

For All PC-ACE Users

An updated version of the HIPAA-compliant PC-ACE software is now available for download from the EDISS website at https://www.edissweb.com.

An update to PC-ACE is available every quarter (i.e., January, April, July and October). Updating quarterly is important to ensure edits, codes and other information is current within the PC-ACE program. The update installation may either be run from the website or saved to your local computer or network.

ATTENTION: If saving the update to your local computer or network, DO NOT save the update file in the current WINPCACE folder on the drive where PC-ACE is installed. Doing so will cause loss of data to any information you have saved within PC-ACE.

Message Sent:
October 7, 2025
April 1, 2025
January 20, 2025
July 2, 2024
January 9, 2024
October 4, 2023
September 6, 2023
April 7, 2023
February 7, 2023

For All Medicare Submitters

EDISS provides the following overview of the Noridian Interactive Voice Response (IVR) system prompts to help our Submitter community become more familiar with what to expect when calling. For more information, visit https://med.noridianmedicare.com/.

Message Sent:
September 5, 2025
September 6, 2024

For All Submitters

EDI Support Service (EDISS) will be implementing a change effective 11/1/2024 regarding what information is required when calling or emailing for electronic remittance advice assistance. As a reminder, EDISS retains all electronic data for 30 days.

If the request is made by phone:

• Unique Submitter ID used to retrieve and/or download the file
• Billing NPI
• The check example that is missing

Note: If there are more than 5 missing ERAs, it is recommended that you send an email for the request.

If the request is made by email:

• Unique Submitter ID used to retrieve and/or download the file
• Billing NPI
• Check number, check date, check amount - this must be sent via a secure email

Note: For JE providers utilizing a vendor, EDISS must receive the request from the Vendor.

To prevent delays in receiving assistance, please ensure you have this information ready when making the request or you may be asked to call back once you have obtained the required information.

Message Sent:
July 1, 2025
October 1, 2024

For All Medicare Submitters

The assigning of a Submitter ID is completed after the registration for EDISS Connect is complete. There are two Types of Submitter IDs that are assigned at different times.

Vendors: Vendor Submitter IDs are assigned 5-7 business days after they register in EDISS Connect.

Providers: Providers have a two-part registration for EDISS Connect. The following steps will occur:

• Initial registration
• Receive validation email (3-5 business days)
• Log back in and complete registration by adding transactions and method they plan to use to complete each transaction
• Submitter ID is assigned and transactions are granted production status (5-7 business days)

Message Sent:
August 5, 2025
July 1, 2025
April 2, 2024

For All Submitters

EDI Support Services (EDISS) requires all submitters to use the Gateway Self-Service Password Reset (SSPR) website to gain access to their account when their password has been forgotten or has expired.

The "Forgot password?" option uses the security questions and answers that were created during registration. EDISS recommends Gateway users store their security questions and answers in a safe and secure location where they can be accessed for future use.

To access the Gateway SSPR,

• IA Web Portal Users should use https://accountmgt3.edissweb.com
• All other users should use https://accountmgt2.edissweb.com

For help using this feature,

• IA Submitters should visit: https://www.edissweb.com/med/software/gateway.html
• All other Submitters should visit: https://www.edissweb.com/cgp/software/gateway.html

Message Sent:
September 2, 2025
July 11, 2023

For All Medicare Submitters

To ensure callers reach the appropriate department, EDISS would like to provide some clarification on the terms "Rejection" and "Denial." EDISS can help with Rejections, but not Denials.

Rejection (EDISS):

The claim file stopped processing before it reached Medicare. The submitter received an error on one of the three EDISS front-end system acknowledgement reports - the TA1, 999, or 277CA report. A remittance advice will NOT be generated.

EDI can help with Rejection questions.

Denial (PCC):

The claim processed through EDI, was received by Medicare for processing, but was either not paid or not paid in full by Medicare. The submitter will receive the Denial information on a Remittance Advice.

The Provider Contact Center (PCC) can help with Denial questions.

Message Sent:
September 2, 2025
February 5, 2025
February 6, 2024

For All Medicare Part B Submitters

If your NPI is currently set up for electronic claim submission in Connect, receiving a new PTAN may cause a delay in processing claims associated with the new PTAN. To avoid this delay, contact EDI Support Services before submitting your first batch of claims. Provide the Customer Service Representative with the NPI and new PTAN. Please allow 7-10 business days for completion.

Message Sent:
June 3, 2025
September 6, 2023

For All Submitters

To provide the most efficient customer service possible for our Submitter community, EDISS implemented a change to what information is required when calling or emailing for claim submission assistance. Effective 11/1/2024, EDISS requires additional elements from the inbound file for questions regarding claim submissions.

• Date of Submission - must be within the last 30 days
• ISA13 (Interchange Control Number) - this is typically nine digits in length
• Unique Submitter ID used to send the file

Providing this information ensures that EDISS reviews the correct file. To prevent delays in receiving assistance, please ensure you have this information ready when calling as those who do not have this may be asked to call back once they have obtained the required elements.

Message Sent:
July 1, 2025
February 5, 2025
October 1, 2024

For All Medicare Part B Submitters

For the most current version of Medicare Remit Easy Print (MREP), visit https://www.cms.gov/data-research/cms-information-technology/access-cms-data-application/medicare-remit-easy-print. This link will bring you to the cms.gov downloads webpage. For further assistance with software updates, please contact EDISS or visit the Software/Connectivity tab of the EDISS website.

Message Sent:
March 11, 2025
February 7, 2023

For All Submitters

If you will be changing your Connect account in the near future, EDISS would like to provide a few helpful tips.

• Transaction changes can be completed in Connect by selecting Manage Transactions and then clicking directly on the NPI. The transactions requirements are as follows:
  • Electronic Remittance Advice (835) and Claim Status Request (276) transactions may have only ONE receipt method selected.
  • Claim Submission (837) transactions can have up to TWO submission methods selected.
• Registration processing takes 7-10 business days from the date the change is made, provided no testing is required. Once a transaction is set up, Connect will reflect that is is Completed/Approved.
  • For 837 transactions, wait until the day after the approval date to send claims.
• Edit Profile allows you to edit your company information. Make sure to select Save when done.

Message Sent:
March 11, 2025
August 4, 2022

For All Trading Partners

EDI Support Services (EDISS) is committed to helping Trading Partners read and understand the reports generated by our front-end collection system. The following are some tips to ensure Trading Partners maximize the benefit of the information found on these reports.

The reports are created in a specific order:

• Interchange Acknowledgement (TA1): Will not generate if no errors are detected
• Functional Acknowledgement (999)
• Claims Acknowledgement (277CA)

Reports assist Trading Partners track their claims through the electronic collection process, and to the appropriate payment floor. For instructions on downloading reports, refer to the Reports page at https://www.edissweb.com/.

EDISS requires the ISA13 (Interchange Control Number) element from the inbound file for questions regarding claim submissions. This will specifically be required for Submitters who send more than 500 inbound files per day or in cases where the inbound file is not able to be located. Providing this information ensures that EDISS reviews the correct file. Callers who do not have this may be asked to call back once they have obtained the ISA13 element.

Message Sent:
March 11, 2025

For All Submitters

On 2/09/2024 providers will have access to the EDI Rejection Lookup Tool that will replace the Rejection Spreadsheets.

The EDI Reject Lookup Tools will allow submitters to access rejection information received on their TA1, 999 or 277CA reports. The tool provides the user with detailed information as to what the rejection is related to.

To use the Edit Lookup Tool, enter in either part of the rejection code or a keyword.

Message Sent:
February 5, 2025
December 10, 2024
February 6, 2024

For All Submitters

In an effort to assist providers with identifying their submitter ID, EDI has created a look up tool which can be located on the Connect login page at connect.edissweb.com/.

Note: This tool is for providers only. Vendors that are needing the submitter ID for a provider, will need to reach out to the provider to obtain the submitter ID.

For Medicare Submitters

EDISS provides a valuable tool for decoding and interpreting errors incurred in the processing claim files. The EDISS website, www.edissweb.com, houses both the Professional and Institutional edit spreadsheets, which can be used to research rejection error codes. The edit spreadsheets are designed to interpret errors listed on acknowledgement reports; they do NOT provide information on denial error codes received on remittance advice.

To access the edit spreadsheets, choose the appropriate state from the main EDISS page, then click on either the 837P Edit Spreadsheet or the 837I Edit Spreadsheet located under the Quick Links.