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EDI E-Signature User Guide

The Guided Enrollment collects the required information across all EDI Enrollment forms included with the request. NGS allows you to enter the information one time and only complete the remaining fields within the individual forms.

Topic Last Updated
Entry Process Questions 7/2016
General Information 7/2016
Choose Transaction Status 7/2016
Submitting the Packet 7/2016
EDI Enrollment Agreement Form 7/2016
EDI ERA Enrollment Form 7/2016
EDI Registration Form 7/2016
Part A Logon Request Form: Provider/Facility Requesting Access 7/2016
Provider Letter of Authorization 7/2016
Part A Logon Request Form:  Billing Service Using a Letter of Authorization PIN 7/2016
Tracking My Enrollment Packet and Checking Status 7/2016
EDI Gateway Self-Service Password Portal 7/2016

Disclaimer: This online resource was prepared as a service to the public and is not intended to grant rights or impose obligations. The information provided is only intended to be a general summary. It is not intended to take the place of either the written law or regulations. We encourage readers to review the specific statues, regulations, and other interpretive materials for a full and accurate statement of their contents.

EDI E-Signature User Guide
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