Please follow the Enrollment Instructions below to become an electronic submitter for CDPHP.

Required Documents for those applying for new Submitter IDs

The following documents are required enrollment documents that must be completed, signed, and returned to the ACS office prior to initiation of electronic claims submission or inquiry.

1. 837 Entity Information Request Form
2. 835 Access Request Form

If you have any questions regarding any of the documents in this package, please call the CDPHP EDI Technology Support Center at 1-518-641-3000


We can now process 276/277 requests (claim status). If this is a transaction you would like to utilize please make sure to enroll with the payer.


837 Entity Information Request Form


  • Enter your CDPHP Provider number
  • Leave the next line blank

Section 1

  • Enter your Business Name, Tax ID, and the address your Paper Remits go to

Section 2

  • Enter the contact information for the main Business Contact in your office

Section 3

  • Enter your Technical Contact information, if other than the Business Contact you entered above
  • Sign and date the application

835 Access Request Form

Fill out this form after receipt of your CDPHP User ID

  • Enter the date and your CDPHP User ID

Section 1

  • Enter your Business Name, NPI, and Tax ID
  • Enter the Current Paper Remit Address

Section 2

  • Enter the contact information for the main Business Contact in your office

Section 3

  • Enter your Technical Contact information, if other than the Business Contact you entered above
  • Fill in the next section only if authorizing a third party such as a billing service to receive your remits
  • Sign and date the application


Submitting your Forms

It is recommended that you keep a copy of all the forms you will be submitting for your records.


FAX to (518) 641-3301

It is very important that you complete and return the entire enrollment packet as described above. Incomplete packets will not be processed and will be returned to the submitter.


Waiting for a Response

Once the complete provider enrollment packet has been received, the documents will be processed. Processing will take approximately two weeks from the date of receipt. (Remember that mailing time can take as much as five days.)

After processing, a confirmation will be faxed to you as notification to begin filing claims electronically. If neither confirmation nor a returned packet is received after two weeks, contact the Technology Support Center at 1-518-641-3000.


Once you have received your Submitter ID and password from CDPHP, please call the Claimshuttle Support Team and set an appointment for a Mailbox setup and Test Transmission to CDPHP

Please have 25 test claims ready for testing. Test files should consist of a variety of claims that represent the type of claims you will be submitting once production status is achieved. Test claims will not be processed for payment but will be validated against production files; therefore, they must contain valid patient procedure, diagnosis, and provider information.

ClaimShuttle Testimonials


I would like to thank you for helping me get up to speed with ClaimShuttle. Your system, by far, beats every other provider we've ever tried. It is simple, straightforward, and user friendly. It can't be easier. Thanks.


I keep having great experiences every time I call your company, finding a super friendly rep on the phone, helping me with any questions I have. I have also been transferred to other staff, who helped me resolve issues in the most professional way. Your company feels young and fresh and it is a real pleasure being a client of yours. I make phone calls a lot and I find few companies as engaged as yours. That is a direct consequence of your fantastic employees. Every time I call, it feels as if I am talking directly with the owner of the company. The reps even keep records of calls from the past, to ensure continuance of care. Before selecting you as my provider, I called approximately 8 competitors.Your staff's knowledge and attitude far surpassed the others. Thank you for your excellence!


Very Friendly staff! Every time I have called, someone answers who is nice and courteous, never rude or snippy. Thanks for great customer service.


I have always had professional, speedy help whenever I have called with an issue and truly appreciate all of the support personnel's caring, patience and professionalism!


I was nervous having to pick a new communication with my billing. We are a small business and the boss wanted me to pick through the NGS EDI website who we wanted. I am so happy with my choice. You guys have been great. I get help right away if I need it and callbacks immediately. Just a note to you saying thanks for making me look good for choosing your company. Very satisfied.


I was given the list of service providers to call in order to begin transmitting our Medicare claims via the internet due to the recent changes. I called several and almost immediately decided on Claimshuttle once I spoke with the representative. Her knowledge and willingness to actually do her job as well as volunteer information for questions I didn't even know I would have were refreshing. The Claimshuttle website is so easy to use and user friendly so it was very simple to set up and begin using right away. Thanks ClaimShuttle for making our transition so easy.


Your staff is always very polite and helpful. They have helped me resolve issues even though it should have been referred to my IS dept. I always recommend ClaimShuttle if asked how I connect to MCAR, etc. I also like that I am able to interpret my MCAD 277 reports without additional software. Keep up the good work.


A Happy Friday message from a Satisfied User! I just transmitted my first batch of electronic claims through Claim Shuttle!  My question is, "Why didn't I find out about Claim Shuttle earlier?!?"  I love it!  There simply is no comparison!  Everything about it (including your team) is great!  The ease of use and user-friendly environment is awesome.  My work is truly cut in half by using Claim Shuttle.  Please share my thanks with everyone involved.  I am so happy to have found you!  


Our billers love the interface that ClaimShuttle provides and I would be happy to be a future reference if needed.  Thanks! 


Everyone that I have spoken with in regards to the acct has always been polite and professional.


I just wanted to let you know how impressed I am with this service. Just as you promised, I was up and running within 20 minutes of our initial conversation. I was really concerned that this transition was going to be difficult and costly, but I was wrong on both counts. My phone line was costing 4 TIMES MORE per month than the fee for using ClaimShuttle, and it couldn't have been easier to set up and get going. Your product is everything you said it was. I am a very small company, and have actually now reduced my overhead by going with you guys! Thanks for your honesty and integrity!



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