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Get the free Vermont Medicaid EDI Registration

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This document provides instructions and requirements for the pre-enrollment process for Vermont Medicaid, detailing necessary forms, submission methods, and specific conditions for Trading Partners.
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How to fill out vermont medicaid edi registration

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How to fill out Vermont Medicaid EDI Registration

01
Visit the Vermont Department of Vermont Health Access (DVHA) website.
02
Download the Vermont Medicaid EDI Registration Form.
03
Complete the form with your practice information, including NPI and tax ID number.
04
Specify your preferred EDI method (e.g., Direct Connect or Clearinghouse).
05
Provide contact information for your billing staff.
06
Sign the form to confirm all information is accurate.
07
Submit the completed form via email or fax to the appropriate DVHA contact.

Who needs Vermont Medicaid EDI Registration?

01
Health care providers wishing to bill Vermont Medicaid electronically.
02
Medical practices and facilities that accept Medicaid patients.
03
Billing companies managing claims for Medicaid providers.
04
Any entity requiring access to Vermont Medicaid claims submissions.
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People Also Ask about

Vermont's Medicaid program is called Green Mountain Care, and the program for children and pregnant women is called Dr. Dynasaur.
Please visit the Medicaid Renewals section for more information. Or call 1-800-250-8427. Medicaid is a government-funded health insurance plan for income-eligible people and people who are categorically eligible.
1-800-MEDICARE (1-800-633-4227) For specific billing questions and questions about your claims, medical records, or expenses, log into your secure Medicare account, or call us at 1-800-MEDICARE.
Income Limits - Medicaid The monthly income limit for adults ages 19 through 64, who are not blind or disabled, is 138% FPL. (Get more information on Medicaid coverage benefits.) The monthly income limit for children under age 19 is 317% FPL. The monthly income limit for Vermonters who are pregnant is 213% FPL.
Providers may contact the Provider Assistance Center at 1-800-842-8440. An alternate TTY/TDD line is also available at 1-866-604-3470. Logging in for the first time? Forgot your password?

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Vermont Medicaid EDI Registration is the process through which healthcare providers and entities register to submit electronic claims and other transactions to Vermont Medicaid.
Healthcare providers, billing agencies, and organizations that wish to submit electronic claims to Vermont Medicaid are required to file for EDI Registration.
To fill out Vermont Medicaid EDI Registration, providers must complete the registration form available on the Vermont Medicaid website, ensuring that all required information is accurately provided.
The purpose of Vermont Medicaid EDI Registration is to establish a formal process for healthcare providers to submit electronic claims efficiently and to ensure compliance with Medicaid regulations.
The information that must be reported includes the provider's NPI (National Provider Identifier), CMS-855 enrollment information, contact details, and the types of electronic transactions the provider intends to submit.
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