1. Access the Medicaid Portal
Go to the Florida Medicaid Portal at https://home.flmmis.com/home/
Enter your username and password to log into your account.
2. Enter the Web Portal
Once logged in, click on the Florida Web Portal link.
3. Complete the Security Verification
Enter the CAPTCHA code displayed in the image to pass the security verification test.
4. Access Trade Files
Once you reach your account’s main page, click on Trade Files, as shown in the image.
5. Select Upload
On the next page, click on the Upload option.
6. Upload the E-Billing File
On the upload page:
Select the Radio Button:
“HIPAA (270, 276, 837D/DE, 837I/IE, 837P/PE only)”Click Choose File, and in the pop-up window, locate the file Ebilling (green) or Batch_Ebilling (red) you want to upload.
Select it by double-clicking or by pressing Open.Once the pop-up window closes, click the Upload button at the bottom-right corner of the page.
7. Upload Confirmation
If the file was uploaded successfully, the message “Upload Success” and the file name will appear, as shown in the image.
8. Processing Time
After the E-Billing file is uploaded, processing on the Florida Medicaid Web Portal server may take 30 to 60 minutes.
To check whether the file has been processed, verify if the payment for one of the Recipients (beneficiaries) included in the E-Billing has already been updated.
You’ll need the Medicaid ID of one of the Recipients from the submitted E-Billing.
To obtain the Medicaid ID:
In AdminTCA, go to the left sidebar and open E-Billing → List.
Select the date range and click the blue E-Billings button to display the list.
Copy the Medicaid ID of one of the Recipients being billed.
9. Verify the Claim in the Medicaid Portal
Back in your Florida Medicaid Web Portal account:
Click Claims.
Go to the Search tab.
In the Recipient ID field, paste the Medicaid ID copied in the previous step.
In the Claim Type dropdown, select M-Professional.
Click Search.
In the list of Claims for that Recipient, look for entries that match the submitted claim dates and check whether they are now available.
10. Upload the Request E-Billing File
If you’ve already received a response for at least one claim from the submitted E-Billing, you can now upload the Request E-Billing file to obtain the processing results.
To do this:
Go to Trade Files → Upload.
Select the Radio Button:
“HIPAA (270, 276, 837D/DE, 837I/IE, 837P/PE only)”Click Choose File, then locate the Request (green) or Batch_Request (red) file in your folder.
Select it by double-clicking or clicking Open.
Once the window closes, click the Upload button at the bottom-right corner of the page.
11. Upload Confirmation
If the file was uploaded successfully, the message “Upload Success” and the file name will appear, as shown in the image.
12. Download the Response File (277)
After uploading the Request file, the server may take 5 to 15 minutes to process it.
Once that time has passed:
Go to Trade Files → Download.
In the Document Type dropdown, select 277.
Click Search to display the list of available files.
If the most recent file matches the upload date and the number of Claims included in your submission, check its Download box and click the Download button, as shown in the image.
13. Extract the Downloaded File
Go to your Downloads folder and locate the file named (number)_Documents.zip.
Right-click on it and select Extract All.
14. Extract Any Additional ZIP Files
In some cases, the extracted folder may contain another .zip file.
If so, right-click on it and select Extract All again.
15. Prepare the File for AdminTCA
Once the .dat file is extracted into the new folder, it is ready to be uploaded into AdminTCA for response verification.
16. Import the File into AdminTCA
In AdminTCA, go to the left sidebar and open E-Billing → Import EDI Files.
Click the BROWSE button and navigate to your Downloads folder to locate the extracted .dat file.
17. Select the File
When you find the .dat file, double-click it to select it.
18. Process and Review Results
Once the file is loaded, click the SUBMIT button to display the list of E-Billing Claims and their corresponding Status column results.
Possible statuses include:
Paid → The claim has been paid.
Denied → The claim has been denied.
Rejected → In most cases, it has been paid but without a clear response.
In this case, it is recommended to verify the claim directly in the Florida Medicaid Web Portal.