EDI Online Application

JM Part A EDI Enrollment

Welcome to EDI Online Enrollment

Palmetto GBA now offers Electronic Data Interchange (EDI) online enrollment.

Please select the appropriate options to access the forms needed to submit your request. Once the forms have been completed, you will receive a tracking number. This tracking number can be used to check the status of your request using our EDI Request for Enrollment Status Tool. Please allow 15 days for processing before checking status.

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