Skip to main content

Trading Partner ID

Answered

Comments

28 comments

  • Gillian

    Hi Karen, can you clarify for us which payer you need the Trading Partner ID?

    Comment actions Permalink
  • Karen M. Foley

    I need to enlist on Humana’s self service military provider site for multiple services. It’s asking me for the clearinghouse used and Trading Partner ID.
    Eligible Inc is not listed as an option if that’s the clearinghouse used.

    Comment actions Permalink
  • Jeremiah

    Hi Karen,

    I see that you have not submitted an enrollment to either file claims electronically through SimplePractice or to receive payment reports through SimplePractice from Humana

    In this case, it sounds like you're still in the paneling/credentialing phase and you'll want to let the payer know that you aren't going to be using a billing agent. Our clearinghouse's information is typically not requested unless you are using our clearinghouse as the "billing agent" which is not possible as our clearinghouse is unable to provide the information that may be requested after you give our clearinghouse's information to the payer. 

    For further context, if you send the payer our clearinghouse's information they will try to send our clearinghouse documents that need to be signed by them and they'll ask for W-9 forms from our clearinghouse, neither of which our clearinghouse will be able to do. 

    However, if you let this payer know that you'll be billing on your own (without a billing agent) they will process your application without needing any of this information from our clearinghouse. I don't want you to submit our clearinghouse's information and have that stall the process of you getting paneled/credentialed with them. Therefore, the best thing to do in this case would be to submit an enrollment through SimplePractice, if available for this payer. Thank you for your understanding. 

    In the meantime, I recommend that you continue to file your claims to this payer outside of SimplePractice so you don't experience an interruption to your cashflow.

    Comment actions Permalink
  • Karen M. Foley

    I am already an in network provider for Humana.
    I am being asked to use their self service provider claims system on their website. It’s Humana TriCare East Military. Please advise how to proceed. They are asking for this info.

    Comment actions Permalink
  • Gillian

    Hi Karen, please read the above - the enrollment process in SimplePractice creates a connection between our clearinghouse and your payer. It is different from the credentialing process. 

    Comment actions Permalink
  • R. Chris Turner

    This is an issue with myself as well. They are asking for the Trading Partner ID for Tricare West. I submitted an enrollment a WHILE back, to no avail. 

    Comment actions Permalink
  • Mandy Carr

    Would you suggest waiting until we are paneled with Tricare East before attempting to enroll with Simple Practice? When I attempted to enroll with SP, Tricare East requested I do the above-referenced application process through CAQH. Please advise. Thank you.

    Comment actions Permalink
  • Jeremiah

    Hi Mandy,

    Yes, I recommend paneling/credentialing with Tricare East before submitting your enrollment with Tricare East. The credentialing process is completed so that your information is on file with the insurance payer. After you've been credentialed with the insurance payer, you can file claims (directly on the website or via mail), receive ERAs, and accept payments directly from the insurance payer.

    In our system, the enrollment process is completed so that you can file electronic claims and receive payment reports directly in your SimplePractice account. This process involves connecting the insurance payer's system, our clearinghouse's system, and your SimplePractice account together so that your claims and payment reports can smoothly travel through all 3 systems.

    In light of this, the insurance payer will only accept your enrollment if they're able to find your information in their system (by being a credentialed provider).

    Comment actions Permalink
  • Penny Kittelsrud

    I do not see an insurance enrollment available for TriWest Healthcare Alliance.  Am I not able to process claims through Simple Practice for them?

     

    Comment actions Permalink
  • Gillian

    Hi Penny, I'd be happy to help with this. We recognize that payer as "VA Patient Centered Community Care Region X," where X is the region your practice is. 

    Comment actions Permalink
  • Penny Kittelsrud

    Great, thanks so much Gillian! I will work on the enrollment now.

    Comment actions Permalink
  • Jacqueline Kirkbride

    I need the trading partner ID.  They rejected my ERA enrollment through CAQH (this was required by Tricare East/Humana when I went through the simple practice enrollement).

     

    This is what I received.

    "Subject: Enrollment Decline Details
      [11/16/2019 2:15:44 AM]: WPS-TRICARE East Region declined-Eligible, Inc ERA enrollment for Alfred Kirkbride, LPCC because Trading Partner ID Missing"
    Comment actions Permalink
  • Gillian

    Hi Jacquie, for Payer ID 99726 (Tricare West), the Trading Partner ID to use is 7GW1357CA3. 

    Comment actions Permalink
  • Jacqueline Kirkbride

    Thank you, they have rejected my requested stating wrong Trader ID. I actually need Tricare East.  thank you.

     

    Comment actions Permalink
  • Gillian

    Hi Jacquie, the Trading Partner ID for Tricare East (TREST) is 31084.

    Comment actions Permalink
  • Shea Graham

    i am trying to complete the edi for tri west

    need

    !.  the training partner ID

    2. email

    3.  contact person

    4.  phone number

     

    Comment actions Permalink
  • Jeremiah

    Hi Shea,

    I understand that you're trying to complete the EDI for TriWest. In this case, I took a look at your enrollments, and I noticed that you haven't submitted an enrollment to TriWest through your SimplePractice account yet. Before jumping into next steps, I wanted to clarify that the required EDI information will be available after you've submitted the enrollments to TriWest through your SimplePractice account. 

    To do this, you can follow the steps below:

    First, you can add TriWest as one of your client's insurances by following these steps:

    1. Search for and select the client in your search bar.



    2. Click Edit Details > Billing and Insurance.
    3. Scroll to the "Insurance Information" section and click +Insurance Info.
    4. Search "VAPCCC3" for the "Insurance Payer" field. Fill in the remaining insurance information and click Save Client.

    Second, you'll want to submit the TriWest enrollments to begin the processing for the enrollments. You can follow these steps to do this:

    1. Go to My Account > Settings > Insurance Payers.
    2. Search for "VAPCCC3"
    3. Under the "Payment Report Enrollment" and "Claim Filing Enrollment" columns, click +Enroll
    4. Here you can update your information as needed and click Submit/Update Payer Enrollment.

    After you complete the steps above, the enrollments' statuses will update to Submitted and then Document Required. When the enrollments' statuses have updated to Document Required, then you'll want to click the Document Required link, download the required document which all of the needed EDI information, complete the steps on the document, and then upload the completed document back into the enrollment.

    The documents need to be completed so that the insurance payer is connected with our clearinghouse's system and your SimplePractice account. Once you've completed the steps on the document, our clearinghouse will be able to connect all three systems together (insurance payer > clearinghouse > SimplePractice) so that you can file electronic claims and/or receive ERAs through your SimplePractice account.

    For more detailed information regarding how to download and upload the enrollment document, please check out this Help Center guide: Why is my enrollment requiring additional steps?

    We will email you when your enrollment has been completed or if there are any other steps needed from you in order to complete this process. However, please let me know if you hear back directly from the payer on this enrollment; I will do the same on my end. If you do receive a notice from the payer stating that they've accepted your enrollment, please share it with me and I'll make sure we get it to our clearinghouse. Sometimes payers will update clinicians directly but not our clearinghouse.

    If for any reason I misunderstood what you're looking to do here, can you provide me with some additional context on the situation?

    Comment actions Permalink
  • Olivia Cichon

    Hello, I am having the same issue, but with Medicaid.  Simple Practice is asking me to "complete payer enrollment".  Medicaid won't allow me to complete the ERA enrollment form without the Trading Partner ID.  Can you tell me what that might be?

    Comment actions Permalink
  • Olivia Cichon

    Oops, nevermind.  I found it on Eligible, Inc's instructions for this process. Enter Trading Partner ID 10534523.

    Comment actions Permalink
  • Aleta L. Sisson

    i tried to do online enrollment at https;//edi.wpsic.com/edit/home. SimplePractice sent me a list of steps to follow. However,  the TBID you gave me is invalid and kicks me out of the enrollment process. Please send me the correct information, I am trying to be able to enroll for electronic billing for VAPCCC3, VA Region 3. I have been working on this and getting zero response, way before COVID-19, please answer this question.

    Comment actions Permalink
  • Dora Huron

    HI I need help with trading partner id #for wps health solutions

    Edi express enrollment

    Comment actions Permalink
  • Ayelette

    Hi Aleta and Dora,

    If you're still encountering any issues with your enrollments, please email us directly so we can review your accounts.

    You can contact us by clicking the blue question mark icon on the bottom right of your SimplePractice account > clicking Get Help.

    Comment actions Permalink
  • Micha Savage

    Hello, 

    I am having the same issue with Change HealthCare, we need to get a provider account for eligibility, claims search, remittance, and EFT enrollments for Cigna, Medcost, GEHA, APWU, and UHC to name a few. I have contacted support numerous times requesting the trading partner ID as it is required to move forward with creating the provider account. I've been told that there is not a trading partner ID for their clearinghouse Eligible, Inc, but a trading partner ID is required when transmitting electronic health care transactions either to or from an EDI. I would really appreciate if the trading partner ID for Eligble, Inc could be supplied.

    Comment actions Permalink
  • Ayelette

    Hi Micha,

    I see that you've been working with my colleague Monika on your enrollments. Feel free to follow up with her in that thread with any additional questions.

    Comment actions Permalink
  • Wendy Becker

    Hello,

    I need the Trading Partner ID for Medicare in Washington state to set up my Noridian and EDISS account. Can you help me get that?

     

    Comment actions Permalink
  • Ayelette

    Hi Wendy,

    I see that you also reached out directly to our Customer Success team. Thank you for sending us that request as this relates to your specific account. A member of the team will be reaching out to you shortly.

    Comment actions Permalink
  • Wendy Becker

    Thank, Ayelette, but if you have the answer I need, can you give it to me so I don't have to wait?

    Comment actions Permalink
  • Ayelette

    Hi there, Wendy,

    I see that my colleague Ben is working with you. Because this issue requires insurance expertise, the team member working on your emailed request can provide the most accurate information.

    Comment actions Permalink

Post is closed for comments.