Institutional Electronic Filing
Please use the links below to download the Electronic Claims Filing Guidelines & Electronic Claims Filing Template.
Electronic claims filing applies to entities that are filing multiple Claim Forms on behalf of themselves and/or others. Electronic claims filings are subject to rejection if not prepared in compliance with these electronic claims filing guidelines.
Note: These documents are in PDF format. To view the
documents, you will need Adobe Acrobat Reader on your computer or other internet-enabled device.