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Provider Enrollment allows individual or group providers of institutional, professional, or dental services to enroll in the Alaska Medical Assistance program. You must be enrolled in the Alaska Medical Assistance program before obtaining health care information about members or submitting claims and service authorizations online or electronically.
A provider is categorized according to the following:
| Provider Category | Description |
|---|---|
| Individual Provider | An individual provider who reports income under a Social Security number, but does not have a Federal Employer Identification Number (FEIN). This also includes sole proprietor providers who are individuals that may employ other individual healthcare providers. Sole proprietor providers must enroll with their SSN, but may also choose to report income under their FEIN, if they have one. |
| Group Providers | A group organization provider that has a Federal Employer Identification Number (FEIN) under which income is reported. |
| Trading Partners | Billing agents or business entities that transmit and receive electronic transactions on the behalf of a provider or provider group. A Trading partner can also be a provider who owns their own software which allows them to submit and receive their own electronic transactions. |
Once enrollment is complete, letters are automatically sent by mail to notify you when your application is approved, canceled, or denied, and to notify you if your license must be re-certified or information must be verified. Once approved as an enrolled provider, you are issued a Medicaid ID number and you can begin to submit claims.
If you are an individual or group provider, please select the area where you want help:
Provider enrollment also allows billing agents, clearinghouses, providers, other payers, and switch vendors to enroll as trading partners to transmit and receive transactions electronically. If you are a trading partner, please select the area where you want help:
See Also
Version as of 6/30/2015.
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