Provider Enrollment   Skip portlet
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Become a Provider
Enroll to become a Provider by completing the appropriate online entry forms. An individual provider submitting claims to the State of North Dakota will be reported as income under your SSN to the IRS. A group provider submitting claims to the State of North Dakota will be reported as income under the groups' Employer Identification Number (EIN) to the IRS. If you need assistance, please contact Provider Enrollment at (701) 277-6999 during business office hours from Monday to Friday 8 am - 5:00 pm CST.
Become a Trading Partner
Each billing provider, clearinghouse, or billing service who will directly exchange electronic data with North Dakota Medicaid must enroll as a Trading Partner.To complete the online Trading Partner Agreement, click the link below. For additional information regarding the application process, please contact the EDI Help Desk at (844) 848-0844 during business office hours.
Application Status
To check the status of your North Dakota Provider or Trading Partner Application, use your Application Tracking # and click the SUBMIT button.
  
Recall Provider Application
To recall an application that you have partially completed, enter your Application Tracking Number, and SSN / EIN and click the SUBMIT button.




Recall Trading Partner Application
To recall an application that you have partially completed, enter your Application Tracking Number and SSN / EIN and click the SUBMIT button.