Electronic Billing
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.
Montana-Specific HIPAA 5010 Changes (Updated 05/18/2012)
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 Submitter Enrollment Form Instructions
- EDI Submitter Enrollment Form
- EDI Trading Partner Agreement
- EDI Trading Partner/Business Associate Agreement
EDI Provider Enrollment Packet for X12 Transactions
- EDI Provider Enrollment Form Instructions
- EDI Provider Enrollment Form
- EDI Trading Partner Agreement
- EDI Trading Partner/Business Associate Agreement
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 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 (Updated 12/2004)
To bill claims electronically, enroll with EDI. - Federal Guidance for All
Providers (Updated
07/24/2003)
Federal guidance from CMS on compliance and enforcement with HIPAA transactions and code sets after the October 16, 2003, implementation deadline. - Four Ways to Submit Claims
to Montana Medicaid (Updated 04/11/2005)
Description of the four ways providers may submit claims to Montana Medicaid. - HIPAA Compliance Reminder (Updated
08/13/2003)
HIPAA-Compliant Diagnosis Codes Required for Billing Medicaid - Montana DPHHS
Guidance for All Providers (Updated 08/19/2003)
Montana DPHHS guidance on submitting claims to DPHHS after October 16, 2003 - Montana DPHHS Guidance
for Pharmacies (Updated 08/19/2003)
Montana DPHHS guidance on submitting pharmacy claims to DPHHS after October 16, 2003. - Montana-Specific HIPAA 5010 Changes (Updated 05/18/2012)
Montana HIPAA 5010 information for providers. - Numeric Codes for HIPAA Mandated Transactions and Their Descriptions (Updated 09/19/2006)
- WINASAP5010 (Updated periodically)
Through this link to 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 EDI Gateway at (800) 987-6719. - WINASAP5010
Users Manual (Version 1.01, Updated 01/18/2012)
WINASAP5010 software users guide - WINASAP5010 Montana
Users Guide (Version 1.0, Updated 02/29/2012)
WINASAP5010 software users guide for Montana Medicaid, MHSP and HMK
