Colorado Medicaid

Please follow the Enrollment Instructions below to become an electronic submitter for Colorado Medicaid.

 

The following process must be completed prior to initiation of electronic claims submission or inquiry.

 

Trading Partner Enrollment

All Providers and Billing Services who wish to submit batch EDI transactions to Colorado Medicaid must first Enroll as a Trading Partner.

  • Go to Colorado Provider Portal > Home (gainwelltechnologies.com)

  • Click on "Trading Partner" on the bottom left hand side

  • Select "Enrollment Application"

  • Enter the information requested and select the transaction types you will be exchanging

    • The entity submitting claims electronically is the Trading Partner

    • The EDI contact name should be whomever is filling out the application

    • Transactions selected should be either 837I (institutional UB04 claims) or 837P (professional CMS 1500 claims) and 835 for electronic remittance advice

  • Agree to the Trading Partner Agreement at the end of th eTrading Partner Profile process

  • You will be assigned a Trading Partner ID and Password - please save this information as this will need to be provided to the ClaimShuttle support team

  • Register for a Web Portal account (as a "Billing Agent") using the Trading Partner ID previously provided

    • If you have any questions regarding the Web Portal account registration please give ClaimShuttle a call at 602-439-2525.

    • Please Note: If you are a Billing Service, Providers you Submit for add you as a Registered Billing Agent in their Online Portal Account but you are still the entity that registers for the Trading Partner ID

  • Download the Trading Partner Testing Packet for ASC X12 transactions via the Trading Partner Information link or at Colorado.gov/HCPF/EDI-Support

  • Complete Production Authorization testing by calling ClaimShuttle

  • Make sure to provide them with the Testing Packet so they can assist you with setup and testing

 

 

If you have any questions regarding their enrollment process the CO Medicaid EDI Helpdesk can be reached at 1-844-801-8482

 

Testing

Once you have received your Submitter ID and Password from Medicaid, please call the ClaimShuttle Support Team and set an appointment for a Mailbox setup and Test Transmission.

Please have 10 test claims ready for testing for each line of business you bill for. Test files should consist of a variety of claims that represent the type of claims you will be submitting once production status is achieved. Test claims will not be processed for payment but will be validated against production files; therefore, they must contain valid patient procedure, diagnosis, and provider information.

 

ClaimShuttle Testimonials

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Wonderful team that is always willing to assist with issues or concerns.

Ann (Winston-Salem, NC)

The rep and supervisor went out of their way to get the issue resolved. It was nice to have a direct contact with the same representative until the problem was resolved.

Rachel (Anderson, IN)

It's great to have immediate help and knowledgeable support!

Alhambra, CA

A Happy Friday message from a Satisfied User! I just transmitted my first batch of electronic claims through Claim Shuttle!  My question is, "Why didn't I find out about Claim Shuttle earlier?!?"  I love it!  There simply is no comparison!  Everything about it (including your team) is great!  The ease of use and user-friendly environment is awesome.  My work is truly cut in half by using Claim Shuttle.  Please share my thanks with everyone involved.  I am so happy to have found you!  

Kris (Phoenix, AZ)

A most unexpected experience: Someone who knows and is helpful. A gold mine!!

Pearsall, TX

I just wanted to let you know how impressed I am with this service. Just as you promised, I was up and running within 20 minutes of our initial conversation. I was really concerned that this transition was going to be difficult and costly, but I was wrong on both counts. My phone line was costing 4 TIMES MORE per month than the fee for using ClaimShuttle, and it couldn't have been easier to set up and get going. Your product is everything you said it was. I am a very small company, and have actually now reduced my overhead by going with you guys! Thanks for your honesty and integrity!

Gina (New York, NY)

As always excellent, professional, knowledgeable customer service. Other companies could learn from you.

Lilian (Mesa, AZ)

Excellent service and I never give anyone "Excellent" scores on surveys. This time it was warranted. Thank you very much for the help.

Teresa (Keno, OR)

Our billers love the interface that ClaimShuttle provides and I would be happy to be a future reference if needed.  Thanks! 

Martha (Shreveport, LA)

I always get the most fabulous service when calling or emailing!!! Your customer support reps are the best!!!

Tracy (Prescott Valley, AZ)

Have never had any problems and this is the easiest claim site

Leawood, KS

I keep having great experiences every time I call your company, finding a super friendly rep on the phone, helping me with any questions I have. I have also been transferred to other staff, who helped me resolve issues in the most professional way. Your company feels young and fresh and it is a real pleasure being a client of yours. I make phone calls a lot and I find few companies as engaged as yours. That is a direct consequence of your fantastic employees. Every time I call, it feels as if I am talking directly with the owner of the company. The reps even keep records of calls from the past, to ensure continuance of care. Before selecting you as my provider, I called approximately 8 competitors.Your staff's knowledge and attitude far surpassed the others. Thank you for your excellence!

Gilgia (Kingsport, TN)

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