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Music hello and welcome to our video on how to complete the electronic data interchange or EDI enrollment form in our secure self-service portal ngsconnex this EDI enrollment form is required in order for Part B providers to send claims and retrieve remittances within our portal first to locate the form go to the log on screen for ngsconnex from here on the right hand side of the screen under links you're going to click the EDI enrollment form link this will open a new window the first screen of the new window is the attestation screen read this and then click the accept button in order to submit claims and/or retrieve remittance advices check the box next to the ima provider who only needs to fill out an EDI enrollment agreement and then click the next button once in the form you will need to complete all of the required information this includes the provider name and address email address phone number and the contractor code after you fill out all of the required fields click the sub

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