If you will be submitting electronic claims directly to ACS, please complete the attached enrollment form.  If, however, you are using a third party vendor to submit electronic medical bills on your behalf, please contact them and have them complete and return the enrollment form to ACS EDI Gateway, Inc. by faxing to (850) 385-1705, or by mailing to:

EDI Enrollment Unit
ACS EDI Gateway, Inc.
2324 Killearn Center Blvd.
Tallahassee, FL  32309

• ACS EDI Enrollment Form Instructions
• ACS EDI Enrollment Form