Enroll as a billing agent or clearinghouse

A billing agent/clearinghouse (BA/CH) must be enrolled with Apple Health (Medicaid) to make sure electronic data from HIPAA transactions is tracked.

On this page

Compile your application materials then proceed to ProviderOne.

Complete your enrollment

What forms are required to enroll as a BA/CH?

Complete the Trading Partner Agreement and fax it to the Health Care Authority.

How long is the application?

The online application has seven steps.

How do I get help with the online application?

There are multiple ways to obtain assistance with enrolling a BA/CH:

  • For any online application issues contact Provider Enrollment 1-800-562-3022 ext. 16137
    Phones are open on Tuesdays and Thursdays from 7:30 a.m. to 4:30 p.m. (Closed from noon to 1 p.m.)
    Phones are closed on Mondays, Wednesdays, and Fridays.
  • Submit a help request.

Where can I learn more about electronic data interchange (EDI)?

Visit HIPAA Electronic Data Interchange (EDI) or email your question to HIPAA help.

Contact

Phone: 1-800-562-3022, ext. 16137
Phones are open: Tuesdays and Thursdays from 7:30 a.m. to 4:30 p.m. (Closed from noon to 1 p.m.)
Phones are closed: Mondays, Wednesdays, and Fridays.