Enrollment Operations Hub

Track and manage provider payer enrollment across all transaction types

Active Enrollments
2
Pending Review
3
Rejected
1
Missing Docs
2
All Enrollments
6 total
IDOrganizationPayerTransactionRoute OwnerStatusSubmittedEffectiveRepDocs
ENR-001
Lakewood Family Medicine Group
Blue Cross Blue Shield837P / 835Claim.MDActive via Claim.MD2024-11-152024-12-01Maria
Complete
ENR-002
Horizon Behavioral Health Partners
Aetna270/271Claim.MDPending Payer Review2025-01-02PendingDerek
Complete
ENR-003
MedBridge Billing Solutions
Cigna837P / 835 / 270MASE DirectPending Signature2025-01-05PendingMaria
2 missing
ENR-004
Summit Outpatient Surgery Center
UnitedHealthcare835Claim.MDRejected2024-12-10PendingDerek
1 missing
ENR-005
CardioVascular Associates of Texas
MedicareERA / EFT / 276-277Claim.MDActive2024-10-012024-11-01Maria
Complete
ENR-006
Lakewood Family Medicine Group
Medicaid837PClaim.MDPending Testing2025-01-08PendingDerek
Complete
ENR-003MedBridge Billing SolutionsPending Signature
Cigna · 837P / 835 / 270 · Full Transaction Bundle
Rep: Maria Santos
Missing Documents
Trading Partner Agreement Provider Roster
ENR-004Summit Outpatient Surgery CenterRejected
UnitedHealthcare · 835 · ERA / EFT Enrollment
Rep: Derek Owens
NPI mismatch between enrollment form and NPPES registry
Missing Documents
NPI Documentation