How to Enroll as a Trading Partner

You can complete the North Dakota MMIS Web Portal online pages to enroll as a qualifying trading partner.

Optionally, you can:

• Delete information. To delete information from a record, in the table, click the appropriate row and on the panel's action bar, click Delete.
• Save the application. To complete the application at a later time, click Save.
• Exit the application. To exit the application without saving your changes, click Exit Application.
• Reset your entries. To clear the fields and remain on the page or panel, click Reset.
• Cancel your entries. To close the page or panel without saving your changes, click Cancel.

To enroll as a trading partner

1. Do one of the following:
   • On the Provider menu, click Enrollment.
   • On the Quick Links pod on the public Home page, click Provider Enrollment.

The Provider Enrollment page is displayed.

2. In the Become a Trading Partner panel, click Trading Partner Enrollment.

   The Trading Partner Enrollment Instructions page is displayed.

3. Read the instructions and click Continue.

   The Agreement page is displayed.

4. Read the participation agreement and click Accept or Decline, as appropriate.

   If the agreement is accepted, the first of several online enrollment pages is displayed. If it is declined, a message is displayed and the enrollment process is canceled.

5. To page through and complete the following enrollment pages, click Continue:
• Identifying Information
• Transactions
• Provider Affiliations (only displays when applicable)
• Carrier Affiliations (only displays when applicable)

Tip: To complete or submit an application at a later time, click Save.

Caution: All entered information is lost if you choose to exit the application before saving.

6. At the end of the application pages, on the Submit Application Step 1 page, complete all required fields to register for Web access to receive and submit transactions.

7. To check your application for errors, click Validate Application and resolve any issues.

   If there are no errors found, the Submit Application Step 2 page is displayed.

8. Optionally, to go back and edit the application before you submit it, on the Submit Application Step 2, do the following:

   1. Click Edit Application.
   2. Starting from Step 4, edit the application as needed.

9. If you have no errors or additions, click Confirm Submit. After you submit your application, you cannot recall it to change or add information. Your enrollment application information is submitted to North Dakota for approval.

   The Submit Complete page is displayed.
   

10. If you submitted the application, on the Submit Complete page, you must also do the following:
    • Record your trading partner application tracking number.
    • Review any listed documents.
    • To print a copy of the enrollment application you just completed, click Print Application.
    • To exit the application form, click Exit Application.

See Also

Trading Partner Enrollment (Identifying Information) Page

Trading Partner Enrollment (Transactions) Page

Trading Partner Enrollment (Provider Affiliations) Page

Trading Partner Enrollment (Carrier Affiliations) Page

Trading Partner Enrollment (Submit Application Step 1) Page

Trading Partner Enrollment (Submit Application Step 2) Page

Trading Partner Enrollment (Submit Complete) Page

How to Download a PDF Trading Partner Instructions

How to Recall a Trading Partner Application

How to Check Your Application Status

How to Access Provider or Trading Partner FAQs

What Is Provider Enrollment?

About Provider Tasks

Version as of 5/16/14.