Where can I get a copy of the 1343 form? (1343 form = Billing Agent Authorization)
Call provider enrollment (517) 335-5492.


We receive files monthly through the Data Exchange Gateway (DEG) that lists those individuals enrolled in Medicaid and covered by our agency. Will that continue?
For the time being, you will continue to receive your list of enrollees through the DEG. As progress toward HIPAA compliance continues, that will change. Enrollment information will be transmitted using the 820 and 834 formats. These will be ready for testing by April 1, 2003 leading to full implementation by October 16, 2003.