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Kentucky Medical Management Information System (KYMMIS)

EDI Forms

What are Electronic Claims
Advantages of EDI
Becoming an EDI Provider
Frequently Asked Questions
EDI Forms

Department for Medicaid Services
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Medicaid Preferred Drug List

Contact Information

If you need assistance, contact us by sending an e-mail to the following address:

KY EDI HelpDesk

EDI Forms

Electronic Media Addendum (MAP 380)

Electronic Media Billing Agency (MAP 246)

835 Request Form

BBS EDI Application

Dialup User Manual

Pin Release form

Recommended EDI Billing Agency Clearing House Contact List

Recommended EDI Vendor list

EDI Contact information

Last Updated 8/8/2005

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