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Providers Using a Billing Agent or Clearinghouse

Registration Information

To minimize effort for providers and staff, DSHS moved existing provider records from the old Medicaid payment system to ProviderOne. Information on this page is specific to the registration activity for providers who use a billing agent or clearinghouse to submit transactions on their behalf.  If you are not a provider who uses a billing agent or clearinghouse, please click here to visit our Registration page.  Your registration activities may be different based on how you bill DSHS.

Billing Agents and Clearinghouses are third party entities - businesses - that submit information directly to DSHS Medical Assistance Program on behalf of an enrolled provider.

Step 2

Learn how to complete registration in ProviderOne

DSHS periodically schedules training webinars for providers. Dates and time will be posted on the Training page when available. During webinars, DSHS explains "how to" while providers view the actions taken and have an opportunity to ask questions.

These resources are available to assist you:  

• E-Learning on ProviderOne Registration (recorded webinar training)

• DSHS ProviderOne Provider Registration and Security Administration Manual

• Self-paced online Group Provider Registration Tutorial (Depending on your system configuration, you may see pop-up warning messages associated with the Flash Player.  These warnings do not affect the performance of the tutorial,  and can be safely ignored each time.)

• Self-paced online Individual Provider Registration Tutorial (Depending on your system configuration, you may see pop-up warning messages associated with the Flash Player.  These warnings do not affect the performance of the tutorial,  and can be safely ignored each time.)

• Slides used during Registration Webinars

• Registration FAQ's from previous Webinars

Step 3

Find out what information you need about your organization when you register

• Click here for a fact sheet that describes the information you will need

 Complete Registration                     

New!
Ten Common Problems Providers Face in the Registration Process
Please read this tip sheet for some answer to some common problems.

• Word format
• PDF format

Step 4

ProviderOne users obtain log on and password

• Obtain your log on and password information from your Security Administrator.

Step 5

Obtain your Billing Agent's or Clearinghouse's ProviderOne number

• You will need their ProviderOne number to complete your registration.  You should get this number directly from your billing agent or clearinghouse.

Step 6

Register in ProviderOne

• Register your Group.  You should focus first on the information associated at the organization level that could affect our ability to pay you.

• Register servicing providers.  Once you have completed registration for the organization, you should complete registration for performing providers associated with your business.  You will eventually need to complete registration for all of your performing providers.

• Don't forget to select the "submit" button once you've completed registration!  Once you select submit, DSHS will be prompted to review your registration and any changes you may have made to your provider file.

Click here to access ProviderOne and register! https://www.waproviderone.org/

(Refer to the DSHS ProviderOne Provider Registration and Security Administration Manual if needed)

Step 10

Test with your billing agent or clearinghouse each HIPAA transaction type you plan to use in ProviderOne. Your billing agent or clearinghouse will follow instructions in the HIPAA Companion Guides to test and make sure it can receive your transactions and submit them to ProviderOne.

• Read our fact sheet HIPAA Batch Testing - Getting started

• Companion Guides can be retrieved by visiting http://hrsa.dshs.wa.gov/dshshipaa

Step 11*

Download and review the new DSHS Trading Partner Agreement

* If Needed: If your organization plans to send/receive HIPAA electronic batch files directly to/from DSHS you will need a Trading Partner Agreement (all transaction types - 837, 835, 270/271, etc.)

• Click here for the Trading Partner Agreement (Upper right corner of page under "What's New")

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