Selecting a Payer for Enrollment Form Completion

Use this task to select a payer for enrollment form completion.

  1. Select the EDI Payer List tab to access the EDI Payer List screen.
  2. Search for payers using available filters.
  3. Select single or multiple payers by selecting the check box You can select the header check box to select all payers displayed on a page.
    note: Select the Yes hyperlink under Enrollment Required to launch the enrollment form for a single payer. There is no need to select the check box in this case.
  4. Select Fill Forms. The Select Accounts screen appears.
  5. Select the accounts for which to fill forms, or select the checkbox near the top of the screen to select all available accounts.
  6. Select Next. The Enrollment Form appears.
  7. Complete the form.
  8. Select Finalize to submit the form. The Enrollment Form Status screen appears with the message, "Enrollment form finalized successfully."
  9. Select to have the form Emailed, Downloaded, Printed, or Skip All to skip these options. If there are other forms to be filled select Continue.