As
a result, clients who are not enrolled with Change Healthcare's Provider
Complete program will generate fees for claims submission, ERA retrievals
and/or patient eligibility inquiries.
The following applies only to clients NOT CURRENTLY ENROLLED with Change Healthcare's PROVIDER
COMPLETE program:
To
continue sending electronic submissions to a non-participating carrier, you
will not need to do anything; just continue submitting files as usual and
you will be charged for them.
To discontinue electronic
submissions to a non-participating carrier, you will need to:
a)
Remove the Payor ID# from the carrier's "Payer ID#" field in the
Insurance Carrier's Setup screen, and
b)
Remove the checkmark from the "Send Electronically to"
field, also in the carrier's setup screen.
To
continue receiving Electronic Remittance Advices (ERA's) from a
non-participating carrier, you will not need to do anything; you will continue
to receive them and you will be charged for them.
To discontinue receiving
ERA's from a non-participating carrier, you will need to contact our Support
Services office directly, or simply create an e-Track, for our
Enrollment and Eligibility Department, and let us know... be sure
to include (1) the carrier's name, (2) the payor ID# and (3) the
practice's Tax ID#. We will remove the service and forward a Confirmation
of Completeness to you when finalized.
To
continue accessing patient eligibility information from a
non-participating carrier, you will not need to do anything; just
continue eligibility inquiries as usual and you will be charged for them.
To
discontinue accessing patient eligibility information from a
non-participating carrier, you will need to remove the Payor ID# from the
carrier's "Eligibility Payer ID#" field in the Insurance Carrier's
Setup screen.
