ACS EDI Services offers technical assistance to providers who electronically submit Colorado Medical Assistance Program claims. This assistance includes:

• Enrolling providers in Electronic Claims Submission and Report Retrieval
• Providing technical assistance to Billing Agents, Clearinghouses, and Software Vendors
• Providing assistance with Submitter testing
• Identifying and troubleshooting technical problems
• Verifying claim receipt

Our Support Unit can provide you with detailed information that will make your transition to an electronic environment an easy one.

EDI X12N Transaction Forms:

EDI Enrollment

Download, complete and submit all pages of the Provider Application for EDI Enrollment with the completed W-9. Providers should follow the instructions carefully to avoid EDI processing delays.

After processing, EDI Services will fax or mail your trading partner information to you. The State will follow-up on the enrollment process and send you the necessary user names and passwords for accessing the Web Portal.

EDI Submitter Enrollment Form

Providers already enrolled for EDI

• Provider EDI Update Form - Please use this form to update previously submitted EDI enrollment information.

Approved Vendors

Approved Vendors List (05/07)- This is a list of approved vendors for providers who are interested in using a software vendor for X12N transactions. Please contact the specific vendor for additional information.

Contact Us! Our trained staff is available Monday through Friday from 8 a.m. to 5 p.m. MST. Please call us at 1-800-237-0757 to discuss your EDI options.