Providers
All health care providers who would like to submit the CMS-1500 using the electronic submission process must first complete the online Medical Portal registration. After logging into the Medical Portal, providers who have not already signed up for electronic submission of the CMS-1500, will see a link for "Agreement for electronic submission of CMS-1500," under the Billing section. Select the link and click the "I Accept" button. The provider's name will be added to the Listing of Providers Authorized to Submit CMS-1500 Data (MS Excel), which is updated daily. Once accepted, the link will no longer appear when you sign in again.
Sign Up for Access to the Medical Portal
Electronic Submission Partner
Businesses who would like to register to become an electronic submission partner must first register with the Board and will be required to successfully pass XML testing prior to their approval to submit XML data to the Board. Once the registration is received and eligibility to participate verified, the electronic submission partner will be required to sign and return the testing legal agreement. The Board will notify the electronic submission partner by email, at the email address provided on the registration, that the registration has been approved and testing can begin. Once the electronic submission partner has successfully passed testing, the Board will notify the electronic submission partner by email that they have been approved for production submissions and require the electronic submission partner to sign and return a production legal agreement.
Additional information regarding becoming an electronic submission partner and the testing process.
Payers
The electronic process, prescribed by the Chair, requires payers to partner with at least one Board-approved electronic submission partner to transmit and accept health care provider medical bills via Electronic Data Exchange (EDI), or another format agreed upon with the electronic submission partner.
Payers must designate with the Board the electronic submission partner(s) from whom they accept medical bills. The payers' Medical Portal Online Administrators must keep electronic submission partner information accurate and update the online administrator application with any changes within three (3) business days. Detailed instructions on updating electronic submission partner designations can be found on the Designating an Electronic Submission Partner page.
A list of approved electronic submission partners for the CMS-1500 is posted on the CMS-1500 Electronic Forms Submission section of the Board's website and is updated after each entity successfully completes testing and executes an Electronic Submission Partner Agreement with the Board.
Please contact the WCB Online Services Technical Support Unit if you have technical questions regarding adding an electronic submission partner.