Electronic Data Interchange (EDI)

Enrollment Progress:


    Enrollment Type: Healthcare Provider

    Transaction Type

    Third Party Trading ID

    Insurance Type

    Contact Information

    Business Information

    Provider Identification

Need Help?
For questions about online registration, password resets, how to login,
missing files or any other technical concerns:

For help with Medicare J5 Part A/B:
Please call: 1-866-518-3285 Option 1

For help with Medicare J8 Part A/B:
Please call: 1-866-234-7331 Option 1

For help with TRICARE, VA, WPS Health Insurance(private),
Family Care and Children’s Waiver Program, Arise:
Please call: 1-800-782-2680 Option 1