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payer_enrollment_la_medicaid [2025/02/10 14:35] brad.sharppayer_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 Individualor +       - [[https://cms.officeally.com/OfficeAlly/Forms/ERA/Medicaid-LA-EDI%20Individuals_1.1.25.pdf?ver=7JbMW71_Dw4CWMDnhpXdOA%3d%3d|EDI for Individual]] or 
-       - EDI for Entity / Business+       [[https://cms.officeally.com/OfficeAlly/Forms/ERA/Medicaid-LA-EDI%20Entities%20-%20Businesses_1.1.25.pdf?ver=7sDNRtdLQjUCSwkJGO4G1Q%3d%3d|EDI for Entity / Business]]
  
-   - **2025 EDI Annual Certification Form:**+   - **2025 EDI Annual Certification Form [[https://cms.officeally.com/OfficeAlly/Forms/ERA/2025%20EDI%20ANNUAL%20CERTIFICATION%20FORM.PDF?ver=N6zp-2ZSfv2lbQGvHIr1UQ%3d%3d|2025 EDI Annual Certification Form]]:**
      - Submitter Number: **4507197**      - Submitter Number: **4507197**
      - Submitter Name: **Office Ally, Inc**      - Submitter Name: **Office Ally, Inc**
payer_enrollment_la_medicaid.1739198120.txt.gz · Last modified: 2025/02/10 14:35 by brad.sharp

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