payer_enrollment_la_medicaid
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| payer_enrollment_la_medicaid [2025/02/10 14:32] – 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** | ||
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| + | *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.* | ||
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| 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: | ||
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| - **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** | ||
| 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:** | ||
payer_enrollment_la_medicaid.1739197979.txt.gz · Last modified: 2025/02/10 14:32 by brad.sharp