Please follow the Enrollment Instructions below to become an electronic submitter for Massachusetts Blue Cross Blue Shield.

Required Documents for those applying for new Submitter IDs

The following documents are required enrollment documents that must be completed, signed and returned to the MA BCBS office prior to initiation of electronic claims submission or inquiry.

1. EDI Trading Partner Enrollment Form

2. Secure FTP Account Request Form

In order to receive these forms you will need to call MA BCBS directly and let them know you need the forms listed above because you are applying for a Submitter ID in order to become a Direct Submitter using ClaimShuttle.

To begin this process please call the EDI Technical Support Center at: 1-800-771-4097 option 2

We can now process 276/277 requests (claim status). If this is a transaction you would like to utilize please make sure to enroll with the payer.

EDI Trading Partner Enrollment Form

Section 1:

• Check the box for New

Section 2:

• Enter todays Date

• The Submitters Name (You are the submitter)

• Your company’s demographic information

• If you are using a Billing Service please select the box, if not skip this section

Section 3:

• In the first field enter the name of your Practice Management Software

• In the second Field enter: the information for the software or vendor that creates your 837 files you need ClaimShuttle to transfer for you. If you have paid for our SolAce billing software please call our support line for our SolAce software information.

• Check the box for NO

Section 4:

• Enter the Name, Title, and contact information for both the main contact for your office, and the technical contact representative for your office

Section 5:

• Select the transactions you will be submitting

  • 837 I for Institutional Claims

  • 837P for Professional Claims

  • 835 for Electronic Remits

Section 6:

• Enter the information for all the Providers you will be submitting for

Secure FTP Account Request Form

Section 1:

• Enter your Name and Contact information as well as the date

Section 2:

• The first two boxes should already be checked NO if not please check

• Question 2.4 enter an estimation of the amount and frequency your files will be transferred

• Question 2.5 enter the average/max size of files you will be sending

• Question 2.6 Select Yes

• Question 2.7 Enter the Names, Emails, and Phone numbers of 2 contacts for your office

• Question 2.8 Select Https

• Call us if you have purchased SolAce for question 2.9. If you have not purchased SolAce call the software vendor you use to create your 837 claims you need ClaimShuttle.

• Sign and date the bottom in the section for Requestor

Submitting your Forms

It is recommended that you keep a copy of all the forms you will be submitting for your records. Please email these forms to:

edisupport@bcbsma.com

Waiting for a Response

Once the complete provider enrollment packet has been received, the documents will be processed. Processing times vary, but in most cases once they receive the enrollment forms testing can happen immediately.

After processing, a confirmation will be sent to you as notification to begin filing claims electronically. If neither confirmation nor a returned packet is received after two weeks, contact the Technology Support Center toll-free at 1-800-771-4097.

Testing

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