Common Electronic Data Interchange (CEDI) Enrollment Forms

Attention All CEDI Trading Partners, Suppliers, Billing Services, Clearinghouses, and Vendors

CEDI Enrollment has been receiving enrollment requests using older versions of the enrollment forms. The new enrollment forms have a Record Identification Number (RID#) located on the bottom right hand side of the form once it has been submitted electronically. This RID# is a tracking number that allows CEDI Enrollment to track enrollment requests for Centers of Medicare and Medicaid Services (CMS) Audit purposes.

All requests must be submitted online at www.ngscedi.com and then printed, signed, dated and faxed to CEDI Enrollment at 315-442-4299. The RID# will only be shown on the printed copy of the enrollment form after the submit option is selected. Beginning October 26, 2009, if CEDI Enrollment does not receive the enrollment forms with the RID# at the bottom right hand side, the request(s) will be returned to the submitter.

For more information, please contact the CEDI Enrollment Department at cedienrollment@wellpoint.com or the CEDI Help Desk at ngs.cedihelpdesk@wellpoint.com or 866-311-9184.

Post Date 10/26/09