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
