EDI Enrollment Process User Guide

Selecting the Submitter Type

Each submitter type includes a description and the available tasks that can be completed for each.

There are three submitter types: 

  • Provider – The provider of service. 
    • The Authorized or Delegated Official is required to sign this form.
  • Billing Service - A Billing Service collects a providers claim information and then bills the appropriate insurance companies, including Medicare.
  • Clearinghouse - A Clearinghouse transfers or moves EDI transactions for a provider or Billing Service, and generally translates the EDI transactions from or into a proprietary format. They cannot alter information in any way.

Select one submitter type and click, Next

Note: Click anywhere inside the description box to make a selection.

EDI Enrollment Form, selection of type of submitter