Change Healthcare has developed processes to allow payers and providers to electronically exchange sensitive medical claims, patient eligibility, ERA, and EFT payment information. Please make your selection from the following available transaction types:
To submit claims for patient visits, providers must first be set up in the Change Healthcare system. The provider can submit an enrollment form themselves, or instruct their vendor to access the Change Healthcare self-service enrollment portal to create a direct linkage.
To receive ERA files directly from your vendor, providers must be set up in the Change Healthcare system to receive ERAs. This is completed by the submission of either an enrollment form or direct link by a vendor who has access to the Change Healthcare self-service enrollment portal.
Real-time functions provide the ability to verify eligibility, check claims status, locate providers, review requests and responses, and make claim-related financial inquiries.
ePayment/EFT allows providers to receive payments electronically from payers that have contracted with Change Healthcare to perform this service.