Electronic Billing

Electronic Billing. It's fast and it's free!

Whether you submit one claim a month, or hundreds, any provider can benefit from switching from paper to electronic billing. Whether by using the free WINASAP5010 software or by using a clearinghouse to submit claims, electronic billing is faster, more accurate, and more secure. Electronic claims can be processed for payment in as little as a week versus three to four weeks to process a paper claim. All you need is a personal computer (Windows 98 and above) and a standard phone line to submit electronically via WINASAP5010.

In only three easy steps, you can be set up to submit your Medicaid claims electronically.

STEP 1: Click on the “EDI Enrollment” link below or download the following enrollment application forms. Complete and submit these forms to the address/fax number listed on the enrollment form.

EDI Submitter Enrollment Packet for X12 Transactions

EDI Provider Enrollment Packet for X12 Transactions

If you are a new electronic submitter in the State of Montana, an electronic billing agreement (EBA) form may be required before submitting electronic transactions.

Use the following electronic additional provider spreadsheet if you are submitting on behalf of more than 25 providers. Please call the ACS EDI Gateway Support Unit at (800) 987-6719 for instructions on how to submit this spreadsheet with your enrollment forms.

For more information on EDI enrollment, click on the "EDI Enrollment" link below.

STEP 2: Click on the “WINASAP5010” link below to download the WINASAP5010 software directly to your computer.

STEP 3: Click on the "WINASAP5010 Users Manual” link below to download/print the user manual developed specifically for Montana providers.

EDI Enrollment
To bill claims electronically, enroll with EDI. (Updated 12/2004)

WINASAP5010
Through this link to ACS EDI Gateway, you can download the latest version of the WINASAP5010 field software.

WINASAP5010 is a Windows-based electronic claims entry application for Montana Medicaid. This software was developed as an alternative to submitting claims on paper. If you have questions regarding WINASAP5010, contact ACS EDI Gateway at (800) 987-6719. (Updated periodically)

WINASAP5010 Users Manual
WINASAP5010 software users guide (Version 1.01, Updated 01/18/12)

WINASAP5010 Montana Users Guide
WINASAP5010 software users guide for Montana Medicaid, MHSP and HMK (Version 1.0, Updated 02/29/2012)

Four Ways to Submit Claims to Montana Medicaid
Description of the four ways providers may submit claims to Montana Medicaid. (Updated 04/11/05)

Montana DPHHS Guidance for All Providers
Montana DPHHS guidance on submitting claims to DPHHS after October 16, 2003 (Updated 08/19/03)

Montana DPHHS Guidance for Pharmacies
Montana DPHHS guidance on submitting pharmacy claims to DPHHS after October 16, 2003. (Updated 08/19/03)

Federal Guidance for All Providers
Federal guidance from CMS on compliance and enforcement with HIPAA transactions and code sets after the October 16, 2003, implementation deadline. (Updated 07/24/03)

Companion Guides
Companion guides provide useful information about sending and receiving data to and from ACS EDI Gateway, Inc. This is a link to the ACS EDI Gateway web site. (Frequently Updated)

HIPAA Compliance Reminder
HIPAA-Compliant Diagnosis Codes Required for Billing Medicaid (Updated 08/13/03)

Numeric Codes for HIPAA Mandated Transactions and Their Descriptions
(Updated 09/19/06)