Please use the links below to find the information you need. If you cannot find the information you need, or have further questions please contact us.
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Log on to PROMISe™
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Download/Order Medical Assistance Forms
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PROMISe™ Provider Enrollment Information
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PROMISe™ CHIP Enrollment
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PROMISe™ Certification
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PROMISe™ Provider Handbooks & Billing Guides
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Eligibility Verification Information (EVI)
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Place of Service Crosswalk
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Electronic Funds Transfer (EFT)
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Remittance Advice Alerts/PROMISe Banner Pages
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Electronic Remittance Advice
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PA PROMISe™ Claim Region Codes
Error Status Codes (ESC)
Click on one of the PDF documents below to get more detailed information about Error Status Codes (ESC) and what they mean. Error Status Codes appear on Remittance Advices and are returned on interactive claims to indicate the disposition of claim(s) submitted to PROMISe™ for processing.
If you do not have access to e-mail, please write to us. Once DHS receives your written inquiry, we can check our files or work with experts on your specific situation and get back to you. If necessary, a staff member will call you back, so please include your phone number. Please mail all inquiries to:
Bureau of Fee-for-Service Programs
Office of Medical Assistance Programs
P.O. Box 2675
Harrisburg, PA 17105-2675