Transaction Services Available

Transaction Services allows providers and submitters to perform secure transactions with their login credentials. Transaction Services applications are available based on provider and submitter enrollment type. The most commonly used applications are listed below.

Visit Transaction Enrollment Requirements  for instructions on how to gain access to transaction services.

Provider Portal

  • Early Access to the Provider Portal is by Invitation Only
  • Coming Soon
    • User Creation/Management
    • Electronic Document retrieval (RAD, 1099, NOA, Welcome Letters)
    • Single Sign On to Transaction Services
    • Other Services

Eligibility

  • Single Subscriber
  • Multiple Subscribers
  • Share of Cost (SOC)/Spend Down Clearance
  • Eligibility Benefit Inquiry (270)
  • Eligibility Benefit Response (271)

Provider Services

  • Blood Factor Rates
  • Case Status Inquiry
  • Continuing Care Inquiry
  • Medical Supply Code Inquiry
  • National Drug Code Inquiry
  • Procedure Code Inquiry
  • Provider Checkwrite Inquiry

eTAR

  • Inquire Only
  • Medical Services
  • TAR 3 Attachment Form

Enrollment

  • Breast and Cervical Cancer Treatment Program
  • Child Health and Disability Prevention Gateway
  • COVID-19 Uninsured Group
  • Every Woman Counts
  • Family PACT
  • Hospital Presumptive Eligibility
  • Presumptive Eligibility for Pregnant Women

Claims

  • Appeal Status Inquiry
  • Claim Status Inquiry
  • Claim Status Request (276)
  • Claim Status Response (277)
  • CMC Claims Upload
  • CMC Claims Upload Inquiry
  • CMC Error Reports
  • Health Care Claim Payment/Advice (835)
  • Internet Professional Claim Submission (CMC only)
  • Internet Professional Claim Submission Inquiry (CMC Only)
  • Lab Services Reservation System
  • Medical Services Reservation
  • Current Remittance Advice Detail
  • Historical Remittance Advice Detail
  • Supplemental Claims Payment Information