Florida Medicaid

Please follow the Enrollment Instructions listed below to become an electronic submitter for Florida Medicaid.

 

This connection is available for SolAce users ONLY.

 

SolAce Basic users Please Note: Our connection to FL Medicaid cannot be scripted due to the EDI system’s website structure therefore, once your EDI file has been generated, you will need to upload and download your files manually. We have a guide that will walk you through this process.

 
If you would rather submit your claims to the Availity Clearinghouse, who will then forward your claims to FL Medicaid, please click here for the enrollment instructions. Please make sure you call Availity for assistance completing the additional enrollment forms required by this Payer.
 

Required Documents for those applying for new Submitter ID's

The following documents are required enrollment documents that must be completed, signed and returned to the FL Medicaid office prior to initiation of electronic claims submission or inquiry.

1. Electronic Data Interchange Agreement (now only available within the FL Medicaid Provider Portal)

  • To access the new EDI Agreement, visit http://home.flmmis.com and log into the secure Web Portal using your account credentials

  • From the secure Web Portal landing page, select Providers, then below the Providers option, select demographic maintenance

  • From the Provider Informational panel, select EDI Agreement

If you have any questions regarding any of the documents in this package, please call the EDI Technology Support Center at 1-866-586-0961.

 

We can now process 276/277 requests (claim status). If this is a transaction you would like to utilize please make sure to enroll with the payer.

 

Electronic Data Interchange Agreement

  • Please select the first option to indicate you want to submit or receive electronic transactions to/from Medicaid

  • Check the box for 837 Health Claim Institutional if you bill on a UB-04

  • Check the box for 837 Health Claim Professional if you bill on a CMS 1500

  • Enter your contact information

  • Check the box to agree to the terms then press Save

  • You will then see the message displaying your new Trading Partner ID (Please write this down as you will need to provide it to your SolAce representative)

Once you have your Trading Partner ID, please then register for a Ramp Manager account which will be used for testing

 

Testing

Once you have received your FL Medicaid Trading Partner ID and have the Ramp Manager Login ID and Password, please call the SolAce Support Team and set an appointment for a Mailbox setup and Test Transmission.

Please have 25 test claims ready for testing. Test files should consist of a variety of claims that represent the type of claims you will be submitting once production status is achieved. Test claims will not be processed for payment but will be validated against production files; therefore, they must contain valid patient procedure, diagnosis, and provider information.

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