Provider Electronic Solutions (PES) Software

Providers should be using the most current version of the PES software. New users must do a full installation of the most current version.  Existing users will need to apply the upgrade that is the next consecutive version of your current software. It is recommended to download and install each upgrade as it becomes available.

Provider Electronic Solutions Claim Guides

• Creating Provider and Client Lists
• Electronic Replacements and Voids for PES Users
• 837 Dental
• 837 Professional
• 837 Institutional Home Health
• 837 Institutional Hospice
• 837 Institutional Nursing Home
• 837 Professional Waiver
• 837 Institutional Outpatient
• 837 Institutional Inpatient
• Other Insurance Billing
• Other Insurance Billing - Dental
• Patient Liability for Waiver Claims

View instructions on how to download the Claim Accept/Reject Report.

EDI questions can be directed to:

Phone:  (401) 784-8100 for local and long distance calls or (800) 964-6211 for in-state toll calls

Email:  RI EDI Services 

For Healthcare Portal password resets, be sure to include your NPI and Trading Partner ID.