CMS HETS EDI Enrollment (Provider Attestation) Form

CMS HETS EDI Enrollment (Provider Attestation) Form 

If you are seeing a pop-up in Synergy EMR about the CMS HETS Provider Attestation, here's what you need to know.

To ensure uninterrupted access to your Medicare eligibility feature in Synergy EMR, you'll need to complete a quick enrollment form with CMS called the HETS Provider Attestation. This is required for all providers and only takes a few minutes.

Here's what you'll need when filling out the form:

• Trading Partner ID: VQAS
• Submitter Name: Inovalon
• Offshore Organizations: Choose NO
• End Date: Choose No End Date

Next, visit the website for your Medicare Administrative Contractor — that's either Wellpoint Federal (formerly NGS), Palmetto GBA, or CGS — and submit the form using those details.

Once you have completed and submitted the attestation to CMS, go back to the pop-up in Synergy EMR and check the box that says "I have completed and submitted the attestation to CMS. Do not remind me again." This will prevent the message from appearing again. If you are not ready to complete it yet, simply click OK or Cancel to close the pop-up — it will reappear the next time you log in until the attestation has been completed. When you are ready, just click the link in the pop-up to visit our page for the required HETS Submitter Name/ID and full instructions.

If you're unsure which MAC you belong to, please speak with your biller. If you need help finding the form link, please reach out to our support team and we'll be happy to assist you.

Disclaimer: This information is provided for administrative guidance regarding Synergy EMR connectivity and does not replace or supersede official CMS regulations. Each provider is solely responsible for understanding and complying with all CMS HETS enrollment rules and deadlines. Please verify requirements directly via official CMS communications or your designated Medicare Administrative Contractor (MAC).