Common Contracts

• Submitter/Provider Relationship EDI Agreement

Pre-Enrollment Instructions • September 19th, 2019

• Contract Type
  Pre-Enrollment Instructions
• Filed
  September 19th, 2019

All New Jersey Medicaid and Charity Care Providers desiring to submit HIPAA formatted electronic claims must complete a New Jersey Medicaid HIPAA 837 Claims EDI Agreement. The various EDI agreements used by New Jersey Medicaid and the corresponding instructions for their completion are provided later in this section. The EDI Agreement and HIPAA certification received for the specified HIPAA transaction sets must be prior approved and on file with Gainwell Technologies before HIPAA formatted claims may be submitted electronically. Gainwell Technologies will notify the EDI Submitter of New Jersey Medicaid’s approval for the submission of HIPAA formatted electronic claims.