Summary
Practices that bill Alaska Medicaid through billing software, a billing agent or a clearinghouse need a trading partner ID, and they submit a PISA form for each separate Medicaid provider enrollment account. Starting October 1, 2024, behavioral health providers have a dedicated phone line, 855-293-3568, for claims, member eligibility and other Alaska Medicaid questions. Attachments sent with electronically submitted claims must use the Claims Attachments Coversheet, and without it the documentation is returned to the provider.
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What to do
Action · 13 steps
01Already effective October 1, 2024: Behavioral health providers call 855-293-3568, Monday through Friday 8:00 am to 5:00 pm AKST, for claims, member eligibility or other Alaska Medicaid questions.
02EDI setup for off-the-shelf billing software: get a trading partner ID by submitting a Trading Partner Enrollment on the Alaska Medicaid Enrollment Portal, submit a Billing Agent Information Submission Agreement (BAISA) to start connection testing with Conduent, and submit a PISA form naming the new trading partner ID as the billing agent for each separate Medicaid provider enrollment account.
03Veradigm: submit a PISA form identifying Veradigm as the billing agent.
04Clearinghouse: confirm the clearinghouse has an active connection with Payer ID 77200 before transactions are sent, and if it is not enrolled, complete the same Trading Partner Enrollment and BAISA steps and submit a PISA form identifying the clearinghouse's new trading partner ID for each separate Medicaid provider enrollment account.
05Remittance (835): submit an Electronic Remittance (835) Authorization Form, selecting Self for practice management software that can receive it, Other for the Health Enterprise portal, Billing Agent with Veradigm trading partner ID AK03122 for Veradigm, or Clearinghouse for a clearinghouse.
06Multiple service locations: submit a separate request for each Alaska Medicaid provider enrollment, even when they share the same billing software, trading partner or clearinghouse.
07Claims attachments: use the Claims Attachments Coversheet for every attachment sent with an electronically submitted claim, and complete it fully and accurately so the documentation can be matched to the claim.
08Supporting documents do not change a claim that has already denied.
09Adjustments and voids: complete the Adjustment/Void form fully and accurately, and use the Attachment Cover sheet for any attachments to an electronically submitted adjustment.
10Appeals: submit appeal documentation with a correctly completed Provider First-Level Appeal Request form.
11Mailed medical records: attach the form stating whether the records are for adjustments or voids, claims attachments or appeals.
12Signatures on forms must be digital or handwritten, because typed signatures are not acceptable.
13Organization administrator: appoint in writing the administrator for the Health Enterprise portal, submit the Organization Administrator Change Request form by mail only after the provider has a valid, active enrollment, and do not submit it with the enrollment application.
Original notice
October 2024 Town Hall Presentation
extranet-sp.dhss.alaska.gov · Always check the source before changing claims.
Related changes
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