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  Attention: Medi-Cal Long Term Care Providers  
     
 

Claim Agent customers began billing CMC in HIPAA compliant ANSI 4010A1 in October 2005. Since then 10’s of thousands of claims have been submitted and paid by CMC.

 
     
 

We can have get you up an running in as little as 30 days after CMC’s approval of your Medi-Cal Telecommunications Provider And Biller Application/Agreement.

 
     
 

Click here  to download a copy of the Application/Agreement. Section 1.1 of the form should be completed as indicated:

 
 
  • For CMC Batch Submission Type, check Internet.

  • For ANSI X 12 837 Version, specify 4010A1 and check Long Term Care (02)

 
     
 

Each new HIPAA compliant submitter must test with CMC. We do the testing for you.

 
 

Contact us at 888-362-7638 or bruceb@emcsoft.com for more information.

 
     
 
Medi-Cal Long Term Care
 
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