Providers who use a billing service can skip this section because their billing service already has a web portal registration. Note for Billing Services: Once you have received your Medicaid ID, you must also have each of the providers you invoice for complete a copy of this form and indicate that they are a “supplier” providers who use ClaimShuttle must complete this section. If you are a provider that uses ClaimShuttle to bill your claims directly to Medicaid, select Provider For transaction rates, choose either 837I or 837P and 835 providers that use a billing service, select the third option, and enter the business id assigned to the billing services in the line. Billing services must complete this section. Billing the supplier directly through ClaimShuttle can skip this section. Providers who use ClaimShuttle for direct billing can choose the second option and enter 64103 portal.flmmis.com/FLPublic/Provider_EDI/Provider_EDI_RegistrationForms/tabId/64/Default.aspx scroll down and click on the EDI agreement link. . . .