ATTENTION PROVIDERS AND SUBMITTERS OF ELECTRONIC CLAIMS: The deadline for receiving the 2023 Annual Certification Forms is December 31, 2022. If you have not submitted a Certification Form for your submitter number (beginning with 450), immediate action is required. Submitters who do not submit the required form will be deactivated February 1, 2023. Providers should verify with their submitter that this requirement has been met to ensure no delays in claims payment.
Submitters must mail the Annual Certification Forms to Gainwell Technologies at the following address:
Gainwell Technologies - EDI Department PO Box 91025 Baton Rouge, LA 70821-9025
2023 Annual EDI Certification Letter
2023 EDI Annual Certification Form
2023 Magellan Annual Certification Form
2023 Prepaid EDI Annual Certification Form
2023 Dental EDI Annual Certification Form
2022 Annual EDI Certification Letter
2022 EDI Annual Certification Form
2022 Magellan Annual Certification Form
2022 Prepaid EDI Annual Certification Form
2022 Dental EDI Annual Certification Form
2021 Annual EDI Certification Letter
2021 EDI Annual Certification Form
2021 Magellan Annual Certification Form
2021 Prepaid EDI Annual Certification Form
2021 Dental EDI Annual Certification Form
2020 Annual EDI Certification Letter
2020 EDI Annual Certification Form
2020 Magellan Annual Certification Form
2020 Prepaid EDI Annual Certification Form
2020 Dental EDI Annual Certification Form
ATTENTION: Providers and Submitters of Electronic Claims – Urgent Message
2019 Annual EDI Certification Letter
2019 EDI Annual Certification Form
2019 Magellan Annual Certification Form
2019 Prepaid EDI Annual Certification Form
2019 Dental EDI Annual Certification Form
ATTENTION: Providers and Submitters of Electronic Claims—Urgent Message
Attention Users of the 5010 837P Claim Transaction
ATTENTION PROVIDERS AND SUBMITTERS OF ELECTRONIC CLAIMS
EDI Submitter Self-Test System Maintenance
Read the Frequently Asked Questions memo before contacting EDI for help.
Please refer to the EDI Certification Notices and Forms Archive page for forms from previous years.
5010 EDI General Companion Guide 5/25/17