Medicare HETS EDI Enrollment Requirement
Billing / Fees / Insurance

Medicare HETS EDI Enrollment Requirement – Effective May 11, 2026

Samuel A. Collins  |  DIGITAL EXCLUSIVE

The Centers for Medicare & Medicaid Services (CMS) is implementing a new HETS Trading Partner Management System (TPMS) effective May 11, 2026.

All providers and suppliers (including doctors of chiropractic) must complete HETS EDI (HIPAA Eligibility Transaction System Electronic Data Interchange) attestation and enrollment to maintain the ability to electronically verify Medicare beneficiary eligibility.

  • HETS is used to verify Medicare Part B (fee-for-service) eligibility via 270/271 transactions.
  • This requirement does not apply to Medicare Advantage (Part C) plans.
  • Claims submission (837 transactions) is not affected.
  • Each provider mus attest individually and link each NPI to their clearinghouse/vendor using the HETS Submitter ID. This linkage is no longer automatic, even for existing vendor relationships.

Failure to complete enrollment will result in rejection of eligibility transactions and loss of real-time Medicare eligibility verification.

Click here for enrollment instructions.

Trending
News / Profession
Remembering Dr. Warren Hammer - A Pioneer in Soft-Tissue Care
Remembering Dr. Warren Hammer - A Pioneer in Soft-Tissue Care

For chiropractors practicing today, Dr. Warren Hammer’s legacy is particularly visible in several areas that have become familiar components of modern musculoskeletal care: his early work with the Graston Technique and instrument-assisted soft-tissue mobilization; his extensive writing and teaching on functional soft-tissue examination and treatment; his role in bringing fascial manipulation to U.S. clinicians; and his decades spent educating chiropractors and other health professionals.

Dynamic Chiropractic Staff
Education & Seminars
Chiropractic Colleges in Crisis
Chiropractic Colleges in Crisis

Financial pressure, enrollment declines and institutional challenges are emerging at several U.S. chiropractic colleges. Life Chiropractic College West's and Life University's struggles may be the most talked about but appear to be part of a larger story. And with recent USDE requirements threatening to hamstring federal student financing for DC degree programs, chiropractic education is facing questions for which it has no immediate answers.

 |  Digital Exclusive
Dynamic Chiropractic Staff
Your Practice / Business
Are You Meeting the Chiropractic Standard of Care?
Are You Meeting the Chiropractic Standard of Care?

The term standard of care is a legal term and a medical concept. There is no single, universally recognized standard of care document or authoritative reference. The medical concept defines what practitioners should do in practice. The legal term used determines whether a practitioner failed to meet that expectation. This article examines the standard of care for the doctor of chiropractic.

 |  Digital Exclusive
Mark Balderston, DC, FPSC