Payer ID: Per the payer list
www.esolutionsinc.com 2020-02-19
ESH+
Noridian All Plans
837 and 835
EDI Enrollment Instructions:
• EDI enrollment is completed through the EDISS Connect portal.
• For assistance in using EDISS, refer to the EDISS Provider User Guide.
• Enrollment is usually completed within 5-10 business days.
• To check status of EDI enrollment, please contact Noridian at either 855-609-9960 for JE or
877-908-8431 for JF.
837 Claim Transactions and 835 Electronic Remittance Advice:
Please complete Step 1 before submitting the email in Step 2.
1. Use the link provided to access the EDISS Connect Portal and link your NPI with the appropriate
clearinghouse Submitter ID (see table on page 2).
Access EDISS Connect portal.
Enter your login credentials.
Using the table on page 2, enter the appropriate TPA/Submitter ID for the 837 format you
will be submitting.
Be sure to include:
835 (5010X221) Health Care Claim Payment/Advice and 276 (5010X212) Claim Status Request
when available.
2. Once you have linked your NPI to the appropriate Submitter ID on the EDISS Connect Portal,
complete the table below and Submit by E-Mail. Please provide the date you linked your NPI in
the EDISS Connect Portal to the appropriate clearinghouse Submitter ID.
Provider/Billing Group Name
