payer_enrollment_la_medicaid
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| payer_enrollment_la_medicaid [2025/02/10 14:30] – created brad.sharp | payer_enrollment_la_medicaid [2025/02/10 14:45] (current) – brad.sharp | ||
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| **Enrollment Instructions for Medicaid Louisiana EDI** | **Enrollment Instructions for Medicaid Louisiana EDI** | ||
| + | |||
| + | *Louisiana Medicaid requires claims to be submitted via a dial-up modem connection. We have partnered with Office Ally to get your claims to this payer.* | ||
| + | |||
| To enroll for Electronic Data Interchange (EDI) with Medicaid Louisiana, please complete the following steps: | To enroll for Electronic Data Interchange (EDI) with Medicaid Louisiana, please complete the following steps: | ||
| Line 7: | Line 10: | ||
| - **Louisiana Medicaid EDI Agreement: | - **Louisiana Medicaid EDI Agreement: | ||
| - Choose the appropriate form: | - Choose the appropriate form: | ||
| - | - EDI for Individual; or | + | - [[https:// |
| - | - EDI for Entity / Business | + | |
| - | - **2025 EDI Annual Certification Form:** | + | - **2025 EDI Annual Certification Form [[https:// |
| - Submitter Number: **4507197** | - Submitter Number: **4507197** | ||
| - Submitter Name: **Office Ally, Inc** | - Submitter Name: **Office Ally, Inc** | ||
| - | - Primary Contact: **EDI Enrollment Dept** – [payerenrollment@officeally.com](mailto: | + | - Primary Contact: **EDI Enrollment Dept** – payerenrollment@officeally.com |
| - | - Secondary Contact: **Cara Trahey** – [cara.trahey@officeally.com](mailto: | + | - Secondary Contact: **Cara Trahey** – cara.trahey@officeally.com |
| - Phone number: **360-975-7000** | - Phone number: **360-975-7000** | ||
| Line 23: | Line 26: | ||
| - **EDI Contract(s): | - **EDI Contract(s): | ||
| - Mail to: | - Mail to: | ||
| - | | + | < |
| - | | + | |
| - | | + | PO Box 80159 |
| + | Baton Rouge, LA 70898-0159 | ||
| + | </ | ||
| - **2025 Annual Certification Form:** | - **2025 Annual Certification Form:** | ||
| - Mail to: | - Mail to: | ||
| - | | + | < |
| - | | + | |
| - | | + | PO Box 91025 |
| + | Baton Rouge, LA 70821-9025 | ||
| + | </ | ||
| 3. **Processing Time:** | 3. **Processing Time:** | ||
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| 4. **Post-Approval Steps:** | 4. **Post-Approval Steps:** | ||
| - | - Once you receive confirmation that you’ve been linked to Office Ally, email [payerenrollment@officeally.com](mailto: | + | - Once you receive confirmation that you’ve been linked to Office Ally, email brad.sharp@claimrev.com with the following information prior to submitting claims electronically: |
| - **Email Subject:** Medicaid Louisiana (MCDLA) – EDI Approval | - **Email Subject:** Medicaid Louisiana (MCDLA) – EDI Approval | ||
payer_enrollment_la_medicaid.1739197817.txt.gz · Last modified: 2025/02/10 14:30 by brad.sharp