Please follow the Enrollment Instructions below to become an electronic submitter for Missouri Medicaid.

Enrollment Procedures:

Applicants must first enroll for an EMOMED account at www.emomed.com
Please follow the instructions below on how to apply for your Emomed account:

• Open your Internet browser and go to www.emomed.com

• On the right, in the Login box, click on Register Now

• Press Continue

• Click I Agree on the Agreement

• Enter the characters as seen

• Select your biller type

• Complete the rest of the form with your information, see notes below

• Once you finish your application, you will receive your EMOMED user Id and password, please write it down and keep it somewhere safe. You will need this to transmit your claims once approved

Documents to Submit:

Applicants must submit a Trading Partner Agreement in order to be approved to send electronic claims to MO Medicaid

To download the Trading Partner Agreement form, please follow these procedures:

• Return to www.emomed.com

• Under “Public News” click on the link for “5010 Inbound Trading Partner Agreement for eMOMED Batch users”

• Please print and complete the Trading Partner Agreement Form

• You will get an email confirming it has been received

Remember when filling out your form:

• Version/Transaction select the following:

  • Institutional or Professional, or both

• For Method of Retrieval, select "INET-eMomed"

• Submitter Demographic Data

  • Please complete this section with your Business/Practice or Provider information

  • Please enter the name of the main contact person for your office

  • Please enter the Emomed Id you received earlier from your emomed web application above

• Check off the “Internet” box for Electronic Remittance Advice type of media

• For the receiver information please fill in all of YOUR information again

  • Receiver Id will be your Medicaid PIN #

We can now process 276/277 requests (claim status). If this is a transaction you would like to utilize please make sure to enroll with the payer.

Submitting your Forms

It is recommended that you keep a copy of all the forms you will be submitting for your records.

Fax the Trading Partner Agreement form to:
(573) 635-0316

It is very important that you complete and return the Trading Partner Agreement as described above.Incomplete forms will not be processed and will be returned to the submitter.

Waiting for a Response

Once the complete provider enrollment packet has been received, the documents will be processed. Processing will take approximately two weeks from the date of receipt.

After processing, a confirmation will be faxed to you as notification to begin filing claims electronically. If neither confirmation nor a returned packet is received after two weeks, contact the Technology Support Center toll-free at (573) 635-3559

Testing

Once you have received your Submitter ID and password from MO Medicaid, please call the ClaimShuttle Support Team and set an appointment for a Mailbox setup and Test Transmission to EMOMED.

Please have test claims ready for testing. Test files should consist of claims that represent the type of claims you will be submitting once production status is achieved. Test claims will not be processed for payment but will be validated against production files; therefore, they must contain valid patient procedure, diagnosis, and provider information.