To test on the Maryland Medicaid Electronic Exchange (MMEE):
Submit an email to firstname.lastname@example.org requesting enrollment for HIPAA 5010 testing.
The following forms will be supplied to you:
005010 TP EDI Enrollment Form, Submitter Identification Form, and the Trading Partner Agreement
These forms are also available for download at the following website. You will complete forms, sign forms (original signatures required) and then submit the completed forms via email to email@example.com.
You will also receive a document called HIPAA ELECTRONIC CLAIM SUBMISSION going over the testing steps and processes in further detail.
Upon receipt of your Trading Partner EDI Enrollment Form, Submitter Identification Form, and Trading Partner agreement you will then be enrolled for testing. You will be given login, password, URL and connectivity instructions for the Maryland Medicaid Electronic Exchange (MMEE) web portal.
201 W. Preston Street, Baltimore, MD 21201-2399
(410) 767-6500 or 1-877-463-3464