CEDI Logo CEDI Enrollment Application Status Tool

 

Using the CEDI Enrollment Application Status Tool

Click here to access the CEDI Enrollment Application Status Tool

This inquiry tool gives you an update on your application instantly and can be used to check the status of the following common electronic data interchange (CEDI) enrollment forms:

  • CEDI Enrollment Form
  • CEDI Submitter Action Request Form
  • CEDI Supplier Authorization Form

How to Search

Step 1: Choose the Search Method

There are two ways to search for your forms.

  1. With Request ID: You can search by the Request ID (RID) number located on the form; this was also included in your confirmation e-mail
  2. Without Request ID: You can search by the National Provider Identifier (NPI), Provider Transaction Access Number (PTAN), and request date; the request date is the date the form was submitted electronically
    • Note: All three are required for this search method.

Image of the CEDI Enrollment Application Status Tool with the With Request ID and Without Request ID radio buttons highlighted

  • Select a radio button

Step 2: Select the Form Type

You will need to select the type of form you submitted.

There are three forms you can check status for:

  1. CEDI Enrollment Agreement
  2. CEDI Submitter Action Request
  3. CEDI Supplier Authorization

Use the drop-down arrow to the right of the box to select the Form Type.

Image of the CEDI Enrollment Application Status Tool showing the Form Type drop-down menu selections

  • If you chose With Request ID, proceed to Step 3
  • If you chose Without Request ID, proceed to Step 4

Step 3: Search With Request ID

  • Enter the Request ID

Image of the CEDI Enrollment Application Status Tool with the Requester ID field and Search button highlighted

  • Select Search

Step 4: Search Without Request ID

  • Enter the request date; this is the date of the electronic submission of the form
  • Enter the PTAN located on the form
  • Enter the NPI located on the form
    • Note: All three fields are required for this search.

Image of the CEDI Enrollment Application Status Tool with the Request Date, PTAN and NPI fields and Search button highlighted

  • Select Search

How to Read the Search Results

Image of the CEDI Enrollment Application Status Tool search results page which provides the following data: status ID, original faxed receipt date, facility/trading partner name, request ID, PTAN, NPI, current status, and the rejection reason

  • The status date is the date when the status of the form was last changed
  • The original faxed received is the date the CEDI enrollment department received the faxed copy of the request forms
  • The current status indicates at what point the form is in process: Pending, Approved, Completed or Rejected
  • If the form is rejected, the rejection reason will be indicated in the rejection reason field
  • Notes will be used to indicate additional information about the rejection

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Post Date Date 09/16/11

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