Learn how to exchange HIPAA-compliant health care transactions with DMAP.
If you submit 15 or more claims a month, EDI claim submission may be right for you. Questions? Contact EDI Support Services (888-690-9888).
Choose how will you submit your EDI transactions
You can submit them directly to DMAP using your current office management software, or contract with a service that transmits the EDI claims for you (e.g., a clearinghouse or billing service).
Register and test with DMAP
To exchange EDI transactions with DMAP, you must become a registered EDI Trading Partner. You or the service that will submit transactions for you must also register as an approved EDI submitter.
Once DMAP approves your completed Trading Partner Agreement, EDI Support Services will call your designated EDI submitters and provide them with specific instructions, logins and passwords to complete business-to-business (B2B) testing to make sure the transactions you submit can be processed by our system.
Exchange EDI transactions with DMAP
As with paper claims, before submitting EDI claims with DMAP, you must verify that the client was eligible on the date services were provided.
Keep DMAP informed
You must notify DMAP of any material changes within 10 business of the change. DMAP will only accept change notifications that include the signature of the authorized signer on your current Trading Partner Agreement.
- Complete the Exhibit C (EDI Registration Change Form - DMAP 2083) to update your contact information, add a secondary authorized signer; or update authorized transactions for the EDI submitter listed in your current Exhibit B (DMAP 2082).
- If you have a new EDI Submitter, you must complete a new Exhibit A (DMAP 2081) and Exhibit B.
- If you have a have new Oregon Medicaid ID, you need to complete a new TPA, Exhibit A and Exhibit B.
If your business name or Tax ID changes, you must complete a new Trading Partner Agreement (TPA – DMAP 2080).