Frequently Asked Questions
What is the process for enrolling as an EDI provider?
Choose a software vendor or billing agency.
Contact the EDI helpdesk (800-205-4696) for a Trading Partner ID and password.
Ky Medicaid offers a free alternative for low and medium volume providers known as KY HealthNet.
Where do I get a Trading Partner ID and Password?
You may call the Electronic Claims
helpdesk toll free at 800-205-4696. This area will be happy to assist you with
any questions you may have regarding electronic claims submission. The helpdesk
will take your calls Monday through Friday between the hours of 7:00 am and
6:00 pm, EST.
What are the testing requirements?
for a comprehensive list of testing requirements.
Once I submit and electronic file, how long is it before I receive payment?
In order to make the weekly payment cycle, your electronic claims file must be
submitted\accepted into the system by 5:00 EST each Friday.
Can I get my Remittance Advice (RA) electronically?
We offer electronic RA's in the 835 X12 format. If you are interested
in retrieving your remittance advice in the 835 format you will need to contact
the EDI Department at (800)205-4696. A paper image is available through RA Viewer from KY Health Net for business needs.
Click here for the 835 Request Form.
What is Ky HealthNet?
KY Health Net is a web-based system designed to allow Medicaid Provider instant access to pertinent member information,
claim inquiry, PA inquiry, RA viewer and claim submission. A user manual is available for downloading and is designed to assist you in navigating
through the system. If at any time you have questions please contact the EDI Helpdesk at 800-205-4696 or by email at KY_EDI_Helpdesk@hp.com.
Please keep in mind the information contained on the KY health Net system is highly confidential and access should be strictly limited to those with
valid reasons. It is the responsibility of the provider and the system administrator to ensure all persons with access understand the appropriate use
of this data. We highly recommend the creation and implementation of guidelines within your office outlining appropriate and inappropriate uses of this data.
To create a KY Health Net account please complete the Pin Release form to the EDI Helpdesk along with
a copy of your driver license to fax 502-209-3242 or 502-209-3240 attention: EDI Helpdesk. For questions about the Pin Release form contact the EDI Helpdesk at 800-205-4696