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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