For All Submitters

In an effort to simplify the process of updating your transactions with EDI, we have created a basic list of the steps needed. Whether you are changing vendors or switching to direct, this list has you covered.

Option 1: Change to a new vendor

1. Provider will log into their EDISS Connect account at https://connect.edissweb.com/
   Note: If it has been more than 90 days since your last login, select the 90 days since last login? option to regain access to your account.
2. Select Manage Transactions.
3. For the 837 transaction, select Add Vendor.
   Note: Only two submission methods can be listed in the EDISS Connect account. If you already have two listed, one will need to be removed to add the new vendor.
4. Search for the new Vendor by name or Trading Partner ID and Add the correct option once located.
5. Allow 7-10 business days for the transaction to be moved into production.
   Note: You will not receive a notification when the new vendor has been moved to a production status. We encourage you to log into your account frequently to confirm the status of the transaction.

Option 2: Change to direct

1. Provider will log into their EDISS Connect account at https://connect.edissweb.com/
   Note: If it has been more than 90 days since your last login, select the 90 days since last login? option to regain access to your account.
2. Select Manage Transactions.
3. For the 837 transaction, select the I will and/or check box.
   Note: Only two submission methods can be listed in the EDISS Connect account. If you already have two listed, one will need to be removed to add the I will and/or check box.
4. Direct claim submission does require testing.
   • Medicare testing requirements, visit https://www.edissweb.com/web/cgpblue/registration
   • Iowa and North Dakota Medicaid testing requirements, visit https://www.edissweb.com/web/medicaid/registration
5. Once a test file is submitted, please allow 72 hours for review of the file.
6. If the test file is clean, the 837 I will and/or will be moved to a production status in your Connect account.
   Note: You will not receive a notification when the direct transaction has been moved to a production status. We encourage you to log into your account frequently to confirm the status of the transaction.
7. Methods of submitting direct transactions:
   • Network Service Vendor (NSV)
   • Noridian Medicare Portal (NMP) Claim Submission (Medicare only)
   • Iowa Web Portal (Iowa Medicaid only)

Message Sent:
March 5, 2024

For All Submitters

Submitters may contact EDISS over the phone or through email. Please be sure to use the correct Line of Business phone number and follow our email guidelines (below).

Note: Please call the appropriate phone number for assistance with Gateway and Connect access questions. Email cannot be used for these questions at this time.

Phone:

Medicare Lines of Business
Jurisdiction E (JE) Part A and B: 855-609-9960
Jurisdiction F (JF) Part A and B: 877-908-8431

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

All Other Lines of Business
800-967-7902

Monday - Friday 8:00 A.M. - 5:00 P.M. (CT)
See Training Closure Schedule

Email:

Non-critical questions or issues
support@edissweb.com

Concerns or praise to EDISS management
edimgmt@edissweb.com

Include

• Your name
• Business name and location
• NPI
• Business phone number and extension
• Complete description of your issue

To ensure delivery to your inbox, please add these addresses to your address book or safe list.

Do not e-mail requests to EDISS for the status of a claim or remittance or for questions about claim processing and denials. EDISS does not handle such inquiries.

Message Sent:
March 1, 2022
July 6, 2021

For All Submitters

There have been some improvements made to EDISS Connect registration. Some of the biggest updates are as follows:

• The contact listed on the Providers EDISS Connect account will receive a Production alert email for every transaction that is moved into production.
  • For a Provider it's important that the contact is up to date on the account profile page to ensure delivery of the production emails
  • It is important to pay attention to the information in each email, so you know which transaction is ready
  • Typically for the 837I/837P, you will want to wait the overnight cycle before submitting claims to avoid any rejections
  • These emails will include the Provider Trading Partner ID
  • It will alleviate calling and/or emailing in for status of your account (which was stopped back in 2019)
  • It provides you with the confirmation request that you can pass onto your Vendor/Clearinghouse to begin submitting on your behalf
• Lines of Business no longer in service were removed.
• Our Contact page on the main login and the contact tab within the Connect account now has the states listed for each jurisdiction.

This provides you with the correct number to call, to avoid any confusion or redialing

Message Sent:
May 7, 2024

For All Submitters

EDISS cannot address Gateway or Connect access issues over email. Requests or questions around access or needing a Submitter ID must come through a phone call.

Medicare Lines of Business

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

Message Sent:
March 5, 2024

For All Medicare Submitters

EDI Support Services (EDISS) assigns a Trading Partner ID, also known as a Submitter ID, when an entity registers for an electronic transaction in EDISS Connect. The Trading Partner ID is used to submit electronic transactions and to register for the Noridian Medicare Portal (NMP).

To obtain and locate the Trading Partner ID for NMP registration, the Provider will need to complete the following steps:

• Register for access to EDISS Connect, if not already registered.
  • Note: If an EDISS Connect account exists but no one currently has access, contact EDISS for assistance in obtaining the Provider Submitter ID.
• Register within EDISS Connect for an electronic transaction, if not already registered.
  • Log into EDISS Connect and look for the blue header within the account.
  • Locate the field titled 'SubmitterId' within the blue header.
  • Use the 'SubmitterId' listed when registering for the Noridian Medicare Portal.

Note: The EDISS Connect Registration is a separate registration from the Noridian Medicare Portal Registration. EDISS Connect will only supply the Provider Submitter ID.

Message Sent:
July 5, 2022

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:
July 11, 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:
October 1, 2024

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:
May 3, 2022

For New Medicare Direct Submitters

Medicare testing process information is available at https://www.edissweb.com/web/cgpblue/registration.

After adding a direct Medicare 837 transaction in EDISS Connect, allow 10 business days for EDI Support Services (EDISS) to complete testing setup. When setup is complete, submit a Medicare 837 Test file and review the TA1, 999, and 277CA Acknowledgement Reports.

Once a provider has received a clean 277CA Acknowledgement Report, EDI Support Services (EDISS) will ensure the 837 transaction is approved in EDISS Connect. For help, please contact EDISS.

Message Sent:
December 10, 2024
July 5, 2022

For Medicare Submitters

Smart Edit translation help is available on the EDISS Website. Spreadsheets for Institutional and Professional Smart Edits (also known as Custom Edits) can be found in the same manner as the 837 and 277/276 documents.

Go to EDISSweb.com, click on your state, and under Quick Links on the right-hand side, select either Part A or Part B Custom Edits.

Message Sent:
June 6, 2023

For All Submitters

EDISS has come across Provider Connect accounts where both 'I will' and a Vendor are selected for an 837 Claim Submission transaction, but the provider has not tested the direct request. See below for clarification on these options to ensure correct electronic transaction registration.

• I will and/or: Providers should check only if submitting/receiving transactions directly
• Add Vendor: Providers should select if using a vendor for transactions
  • Select Add Vendor
  • Type the vendor name or Submitter ID
  • Highlight the vendor and click add

Message Sent:
May 7, 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:
October 1, 2024

For All Medicare Submitters

To ensure callers reach the department best able to assist with their issue, EDISS would like to clarify the terms Rejection and Denial.

REJECTION means the claim file stopped processing before it reached Medicare. This results in an error on one of the three acknowledgement reports generated by our front-end system the TA1, 999, and 277CA reports. A remittance advice will NOT be generated. EDISS can assist with Rejection related questions.

DENIAL means the claim processed through EDI, was received by Medicare for processing, but was either not paid or not paid in full by Medicare. This information is communicated to the provider on a remittance advice. The Provider Contact Center can assist with Denial related questions.

Message Sent:
July 11, 2023

For All Submitters

EDISS Connect Medicare submitters can now begin enrolling for Dental 837D transactions within their Connect account. Submitters can enroll and complete the testing process at this time only, live production claims processing will begin at a later date. For additional information on the testing process visit www.edissweb.com, select your state and the Registration tab.

To assist providers with their testing process, there is a Dental Companion Guide and an 837D Edit spreadsheet available at www.edissweb.com.

Message Sent:
June 4, 2024

For All Submitters

When using the support email option, support@edissweb.com, include the following information within the email inquiry.

• Your name
• Business name and location
• NPI
• Business phone number and extension
• Complete description of your issue

To ensure response delivery to your inbox, please add these addresses to your address book or safe list.

Do not e-mail requests to EDISS for issues such as the status of a claim or remittance or questions about claim processing and denials. EDISS does not handle such inquiries.

Note: Gateway and Connect access questions cannot be done via email, please call the appropriate phone number for assistance.

Message Sent:
July 5, 2022

For All Vendors

Public Contact Information has been added to the Vendors Account Profile in EDISS Connect. This update allows a Vendor to list both public contact information for the 5010 Approved Vendor List as well as contact information for EDI. Please ensure the Profile information is accurate and publishable for the public view. If no information is listed for the Public Contact Information, it will continue to default to the current registration information. This list can be found on the EDISS website at https://www.edissweb.com/web/cgpblue/vendors.

Message Sent:
October 4, 2023

For All Submitters

If you need to email EDISS for help with an error or a re-post, please be sure to verify NPI and/or Trading Partner ID (TPID) numbers that are being sent. We often receive information containing typos, which causes delays in resolution due to additional research. The email address, as well as additional contact information, can be located at https://www.edissweb.com/.

Message Sent:
May 2, 2023

For Medicare Part A Submitters

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

Message Sent:
July 2, 2024
January 9, 2024
October 4, 2023
April 7, 2023
February 7, 2023
August 4, 2022
April 5, 2022

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:
July 2, 2024
January 9, 2024
October 4, 2023
September 6, 2023
April 7, 2023
February 7, 2023
September 8, 2022
April 5, 2022

For All PC-ACE Users

Due to reported issues with the Install PC-ACE link on the EDISS website at https://www.edissweb.com, EDISS has posted the corrected link. No issues were reported for the Update PC-ACE link.

We apologize for the inconvenience.

For further assistance with software updates, please contact EDISS.

Message Sent:
November 7, 2023