1. How to check if the Enrollment is required for a particular form?
Log on to the Change Healthcare web site: https://payerfinder.changehealthcare.com/npd
Click on “Payer List” and choose “Medical / Hospital / Dental Payers“.
On the new window that appears “Claims Payer List“. On the “Payer Type” drop down select the desired option from the list, on the “Line Of Business” drop down select “Medical”, on the “Services” drop down select the desired option from the list and on the “State (Govt. payers only)” drop down select the desired state from the list or leave it as “All“. In the Payer Name box you may type in the name of a payer (AETNA, BCBS, CIGNA, HUMANA, MEDICAID, MEDICARE, UHC)
2. How to download the PSF forms from Change Healthcare
- Log on to the Change Healthcareweb site: https://support.changehealthcare.com/customer-resources/enrollment-services
- On the “Resource Library” window you can download all the required forms. Example: MEDICAID & MEDICARE
3. What are the common PSF forms we need to download from Change Healthcare?
1) MEDICAID
2) MEDICARE
4. How to download the ERA forms from Change Healthcare?
- Log on to the Change Healthcareweb site: https://support.changehealthcare.com/customer-resources/enrollment-services
- On the “Resource Library” window you can download all the required forms. Example: AETNA, BCBS, CIGNA, HUMANA, MEDICAID, MEDICARE, UHC
5. What are the common ERA forms we need to download from Change Healthcare?
1) AETNA
2) BCBS
3) HUMANA
4) MEDICAID
5) MEDICARE
6. How do I Track the claims submitted to Change Healthcare clearing house?
Once you have sent the claims to your clearing house, the submitted claims reports can be viewed on your clearing house portal. For claims submitted to Change Healthcare, you would be provided access to a tool named – ‘Change Healthcare Claims Vision’ to view the submission reports. Additionally, ERAs released for the Provider by the Payer and received by Change Healthcare also get listed here.
If your Change Healthcare clearing house enrollment has been completed and you’re yet to receive the username and password for ‘Vision’, please contact Support to have the username and password sent to you.
To login to Vision – copy and paste the URL below to your browser address bar and enter your user and password on the login page.
https://access.emdeon.com/CIHS/
You would be prompted to change your password and also create a Security question on first login.
To access the Claims reports, expand the “Reporting & Analytics” menu and click – “Claim Management (Provider)”.
Reviewing Claims Reports
The Home screen of the Claim Management screen provides a snap shot of your submitted claims activity reports –
- Batch Level Status – Shows the rejected batches on this section. Clicking on the “Click here” next to the file-level rejections lists the rejected batches.
B. File Level Status – Shows the file level acceptance and rejections. Clicking on the File ID lists the claims that were accepted or rejected in that batch.
C. Rejected Claims Work Status – A Pie chart of the % rejected worked claims as opposed to the rejected unworked claims. All rejected claims first appear on the report as unworked. After you make the necessary corrections in the billing software and resubmit the claim, you can flag the claim as “Worked” by checking the box on the report.
It’s a good practice to regularly mark all your worked claims, as this would help to efficiently track your unreviewed rejected claims.
There are additional options on the “Claims” menu to view or filter claims reports –
Listing ERA Payments
If you receive ERA from Change Healthcare, you can also view the ERA payment details by expanding the “Payments” menu and selecting “ERA Search”.
For detailed tutorial on how to track claims and ERA payments, please click the Education link on the home page of the Claims Vision.