Payer Details
Payer: ACS - MEDICAID Payer ID: 77016 - Enter the payer ID in the Payer Library (Tools > Payer Library) State(s): CO Web Site: http://www.acs-gcro.com/index.html EDI Specs: Payer EDI Specifications Minimum EZClaim Version and Release: Advanced 7 Release 22 or higher (To check your version and release, click the Support/Help menu and select About EZClaim. The first line shows the version and release.)
Carrier Specific Instructions: Trading Partner Name: EZCLAIM Trading Partner ID / Submitter ID: 8094963
|
Location: Tools menu > Options > Submitter Info > Submitter/Receiver
Library button
|
Submitter/Receiver Library Entries |
| Export Format: |
ANSI 837 w/~ |
| Receiver Name NM103 (Loop 1000B): |
CO Medicaid |
| Receiver ID NM109 (Loop 1000B): |
77016 |
| Receiver Code GS03: |
77016 |
| Interchange Receiver ID ISA08: |
100000 |
|
EZClaim's ANSI 837 Reference Guide
Payer List