AccessPro — Payer & Clearinghouse Setup

Payer & Clearinghouse Setup

Enter your agency's Medicare, Medicaid, Availity, and private insurance credentials. This information is encrypted and used only for your agency's claims and eligibility verification. Each agency's credentials are completely separate.

🔒 Security Notice: All credentials entered here are encrypted using AES-256 and stored securely in your agency's private database. AccessPro staff cannot view your passwords or API keys. You can update or remove credentials at any time.

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Medicare (CMS)

PECOS enrollment · MAC connection · Part A Home Health claims

Not Connected ⌄

Where to find this information:
Log in to PECOS (pecos.cms.gov) to find your Medicare Provider Number and NPI. Your MAC (Medicare Administrative Contractor) is assigned based on your state. Contact your MAC for EDI enrollment and submitter ID.

Medicare Provider Number (PTAN) *

Your Provider Transaction Access Number from CMS PECOS

National Provider Identifier (NPI) *

Your agency's Type 2 (organizational) NPI

Medicare Administrative Contractor (MAC) *

Your MAC is based on your agency's state location

EDI Submitter ID

Obtained after EDI enrollment with your MAC

PECOS Username

PECOS Password

🔒 Encrypted · Never shared

Taxonomy Code

Home Health Agency taxonomy code for claims

✓ Saved securely

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Medicaid

State Medicaid · Managed Care · STAR+PLUS · Waiver programs

Not Connected ⌄

Where to find this information:
Log in to your state Medicaid portal to find your Medicaid Provider ID. For Illinois: HFS Portal (hfs.illinois.gov). For Texas: TMHP (tmhp.com). For Florida: AHCA (ahca.myflorida.com). Each state has different requirements.

State *

Medicaid Provider ID *

Medicaid Portal Username

Medicaid Portal Password

🔒 Encrypted · Never shared

Medicaid Program Type

Payer ID (EDI)

Payer ID used for electronic claim submission

✓ Saved securely

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Availity Clearinghouse

EDI claims submission · Real-time eligibility · ERA posting · Prior authorization

Not Connected ⌄

Where to find this information:
Log in to Availity Essentials (availity.com) → My Providers → select your organization → Payer Spaces. Your API credentials are under Organization Settings → API Keys. Contact Availity at 1-800-282-4548 if you need help enrolling.

Availity Organization ID *

Found in Availity Essentials under My Organization

Availity Username *

Availity Password *

🔒 Encrypted · Never shared

API Client ID

Required for real-time eligibility API access

API Client Secret

🔒 Encrypted · Never shared

EDI Submitter ID

Used for 837 claim file submission

Enrolled Payers (select all that apply)

Medicare Medicaid Blue Cross Blue Shield Aetna UnitedHealthcare Humana Cigna Molina Healthcare Other

✓ Saved securely

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Private Insurance Companies

BCBS · Aetna · UnitedHealthcare · Humana · Cigna · Medicare Advantage plans

Not Connected ⌄

Note: Most private insurance claims are submitted through your clearinghouse (Availity). Enter the payer-specific provider numbers below for each insurance company you bill. These are obtained from your provider contracts with each payer.

Blue Cross Blue Shield

Provider Number

Group Number

Payer ID (EDI)

Aetna

Provider Number

Group Number

Payer ID (EDI)

UnitedHealthcare

Provider Number

Group Number

Payer ID (EDI)

Humana

Provider Number

Group Number

Payer ID (EDI)

✓ Saved securely

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Agency Billing Information

NPI · Tax ID · CLIA · Address used on all claims

Not Set Up ⌄

Agency Legal Name *

Doing Business As (DBA)

NPI (Type 2) *

Tax ID / EIN *

🔒 Encrypted

CLIA Number

Billing Address *

City *

State *

ZIP Code *

Billing Contact Name

Billing Contact Phone

✓ Saved securely