CEDI Enrollment Forms
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CEDI Enrollment Forms
On May 1, 2009, CEDI completed enhancements to its online enrollment forms.  Forms will still be accessed from the CEDI Web site at http://www.ngscedi.com/.
With these enhancements, all forms must be completed online and submitted electronically.  It will still be necessary to sign and date the forms and fax all pages to CEDI to meet CMS and CEDI verification and audit requirements.  Requests for CEDI enrollment submitted online that do not have a signed, faxed copy submitted within three (3) business days of receipt of the electronic submission will be rejected and will not be processed.
These enhancements will allow for more accurate submissions by our Trading Partners and suppliers as critical fields on the form, such as NPI number and demographic information, will be required.  By submitting the forms online, CEDI will also be able to more accurately track the status of enrollment requests and prevent forms from being returned for missing or invalid information.
CEDI will send an e-mail confirmation stating the application has been received with the subject of the e-mail indicating the form submitted and received by CEDI.  As the forms are processed, notifications will be generated to advise the status of the request.  The notifications include that the form was "Accepted" (the form has been prescreened and will be processed), "Rejected" (the form will be returned via mail and a brief description of the reason for rejection will be included in the e-mail), and "Completed" (the enrollment request has been completed at CEDI and an e-mail confirmation letter will be sent within 24 hours).  At this time, CEDI cannot accept responses to the e-mail status updates; however, questions and comments may be directed to the CEDI Enrollment e-mail address: cedienrollment@wellpoint.com.
All trading partners, suppliers, vendors, billing services and clearinghouses should begin utilizing the enhanced CEDI enrollment process and should discontinue the process of submitting legacy and/or handwritten forms.
Contact the CEDI Help Desk at 866-311-9184 or the CEDI Enrollment Team at cedienrollment@wellpoint.com with questions or assistance in completing the online forms.
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