Provider Express Billing Sign In
Provider Express Billing (PEB) is a free and secure way to submit bills electronically and receive remittances through My L&I. You will need an Active L&I Provider Account Number.
There are three ways to bill electronically:
- Direct Entry using a free online form (no need to purchase software or use a clearinghouse).
- Upload billing files using your own software.
- Submit bills through a Clearinghouse.
Direct entry allows you to submit bills using an online billing form and is ideal for providers with no billing software.
- Online form is a modified version of the CMS-1500 billing form.
- Provider and claim information are pre-loaded onto the form.
- Finalized Direct Entry bills can be adjusted or voided online.
- Can be used standalone or in addition to uploading files or billing through a clearinghouse.
Use the Provider Express Billing Guide (F245-237-000) that includes step-by-step instructions to learn how to:
- Sign up, submit, adjust, or void a Direct Entry bill.
- Find your L&I Remittance Advice, and
- Manage your employee's access.
Submit bills and adjustments electronically using your billing software. For this option, your software must be able to create billing files in the HIPAA Compliant 837 format.
- EDI X12 837 (5010) Professional Health Care Claim
- EDI X12 837 (5010) Institutional Health Care Claim
- For a copy of the EDI 837 Companion Guide, email: ebuLni@Lni.wa.gov
The L&I EDI 837 Companion Guide is specific to L&I’s business requirements for conducting electronic billing in the HIPAA 837 format and is to be used in conjunction with the ASC X12 Type 3 Technical Reports, commonly known as Implementation Guides (IG).
The Implementation Guides are copyrighted documents and can be purchased through the Washington Publishing Company. To purchase code list subscriptions call WPC: 425-562-2245 or email WPC: admin@wpc-edi.com or through the ASC X12 Store at http://store.x12.org/store/
Setting up your EDI File Upload
Before you begin, L&I must enable your account to be able to submit a test file.
Email our electronic billing unit at ebuLni@Lni.wa.gov, include your submitting provider account number and your request to submit a test file.
Our electronic billing unit will contact you with additional information and instructions when your account is ready to submit a test file.
Once you submit a test file, we process it overnight to see if it formatted correctly into our system. If it formats correctly, we can put you into a production status and you can start uploading files for bill submission.
You may submit billing electronically through your clearinghouse. L&I accepts electronic billing from most commercial clearinghouses.
To get setup:
- Complete an Electronic Billing Authorization form (F248-031-000)
- To send an 835 Payment Advice to your clearinghouse, submit a complete and notarized Power Of Attorney for Electronic Remittance Advice form (F248-011-000)
Email a copy of the completed form(s) to the Electronic Billing Unit at:
- ebuLni@Lni.wa.gov, or
- Fax the completed form(s) to 360-902-6192
L&I produces a remittance advice for each payment cycle. The remittance advice reports on your bills that have been paid, denied, or are still in-process at the time of the payment cycle.
- A remittance advice is generated and available for all providers in a PDF document format.
- The PDF remittance advice contains L&I’s Explanation of Benefits (EOB) codes.
- L&I does not offer an opt out option for the paper remittance advice by mail.
- If you do not want the full remittance advice, you may request a summary remittance advice be generated for your account instead.
- Send a request for a summary remittance advice, with your Payee Account number to: ebuLni@Lni.wa.gov.
- Optionally, a HIPAA compliant 835 (5010) Payment Advice can be generated and routed to the provider or to the provider’s clearinghouse upon request.
- The 835 payment advice contains HIPAA Explanation of Benefits (EOB) codes.
To request an 835 Payment Advice
- To receive an 835 Payment Advice in addition to your PDF remittance advice, contact the Electronic Billing Unit at ebuLni@Lni.wa.gov.
- To send an 835 Payment Advice to your clearinghouse, submit a complete and notarized:
- Power Of Attorney for Electronic Remittance Advice form (F248-011-000)
Email a copy of the completed form(s) to the Electronic Billing Unit at:
- ebuLni@Lni.wa.gov, or
- Fax the completed form(s) to 360-902-6192
User ID and Password for My L&I (powered by SecureAccess Washington)
- Go to the My L&I (powered by SecureAccess Washington) login screen.
- Select one of the following:
- 'Get User ID?' or
- 'Reset my password?'
- Provide your email address.
- You will receive an email with instructions.
Technical Information
- Be sure you have:
- Applied for the 'Provider Express Billing (PEB)' services (Add Service).
- Selected and established a 'PEB Provider' relationship (Request Access).
- For electronic billing, do not select 'Medical and Vocational Providers'
- Activated your 'PEB Provider' relationship. Log into My L&I (powered by SecureAccess Washington) and follow the instructions mailed to you in your activation letter using the Activation Code to activate your account.
- PEB may be experiencing technical difficulties. You can contact the:
- Electronic Billing Unit
- Phone: 360-902-6511
- Email: ebulni@Lni.wa.gov
- Electronic Billing Unit
- Be sure you have:
- Created an account with My L&I (powered by SecureAccess Washington).
- Activated your registration with SAW.
- The correct User ID and password (case sensitive) you registered with SAW.
- Close your browser. Open a new browser and attempt to login again.
General Questions
- To determine when your bills are processed, you can view the cut off and payment schedule. Your payment will be mailed within 3 days of the payment date.
- When giving authorization to a clearinghouse to submit electronic billing on your behalf.
- When changing clearinghouse's.
- Electronic Billing Authorization form (F248-031-000). Fax the completed form to 360-902-6192.
- No, our system does not allow dual submitters.
- Each clearinghouse may assign L&I a different Payer ID. If you need a Payer ID, please contact your clearinghouse. Often, clearinghouses will post a list on their website.
- You will need to print, sign and submit the completed forms to the Office of Financial Management:
- SCAN to PDF format and EMAIL to: PayeeForms@ofm.wa.gov OR
- FAX to: (360) 664-3363 OR
- MAIL to: Statewide Payee Registration, PO Box 41450, Olympia, WA 98504-1450
- Yes. An adjustment can be submitted to a finalized bill that has been paid or partially paid. For additional adjustments information, see Getting A Payment Adjusted.
- Direct Entry Adjustments - Bills submitted via Direct entry can be adjusted through the Adjust Direct Entry Bills function. You can find instructions for adjusting a bill in the Adjust, Submit or Void a Direct Entry Bill document (F245-437-000).
- Electronic Adjustments - Any bill can be adjusted or voided via the HIPPA 837 format.
- Paper Adjustments - Any bill can be adjusted or voided by submitting a paper adjustment.
- No. The bill or adjustment cannot be deleted once you submit it.
- No, only one authorization is required for your provider group.
- The Statewide Payee Help Desk can assist with you questions about your EFT payment.
- Email address: Payeehelpdesk@watech.wa.gov
- Phone: (360) 407-8180, option 5
Effective 07/04/2020, the Office of Financial Management (OFM) manages all statewide payee registration forms, including requests to set-up, modify or cancel Direct Deposit or Electronic Funds Transfer (EFT). To obtain the current forms or learn more, visit: ofm.wa.gov/payee
Note: L&I can no longer accept or forward these forms, including the Statewide Payee Registration form (F248-036-000) to OFM on the providers behalf.