To submit Claims in WebABA using Apex as your Clearinghouse, you will need to subscribe to WebABA Claims and then enroll with your Payers through Apex. This is a great article to bookmark for reference as you work through the Enrollment Process.
IMPORTANT: Apex has now partnered with Change Healthcare to process Enrollments.
This is the process listed above with all the handy links you could need to walk you through every step of your enrollment.
STEP 1: Subscribe to Claims with WebABA. This tells WebABA that you want to use our services and enroll with Apex.
- Click Organization tab in primary navigation bar.
- Click Claims Service in side menu.
- Click Request Electronic Claim Service and Agree to Terms and Conditions.
STEP 2: Enroll with Apex in WebABA.
- Enroll as a Individual (Type 1 NPI)
- Enroll as a Group (Type 2 NPI)
- Enroll as a Combination (Type 1 NPI and Type 2 NPI)
- I'm not sure how I should enroll.
STEP 3: Apex, Change Healthcare, and YOU! - Apex will send your enrollments to Change Healthcare, a 3rd party automation service that helps process your Enrollments more efficiently. Once received, Change Healthcare will reach out to you.
STEP 4: Process your Enrollments with Change Healthcare - A Change Healthcare Rep will reach out to you within 2 business days of your Enrollment and will then work with you to complete your Enrollments with each Payer. They will also help navigate any rejections.
STEP 5: Payer Approved -
If an EDI Enrollment is not required for this payer and you are only doing an ERA Enrollment, you can begin submitting claims to this payer immediately. You will receive paper remits/EOBs until the ERA enrollment is approved.
WebABA Claims FAQs
Do I have to enroll with Apex Clearinghouse for WebABA Claims?
Yes, if you want to subscribe to our Claims service, Apex Clearinghouse is the clearinghouse you must use.
What exactly is Enrollment (or Apex Enrollment)?
Enrollment is a process that lets your Payers know that you will be submitting electronic Claims (EDIs) and receive ERA's through our Clearinghouse partner, Apex EDI.
IMPORTANT: This is not the same as getting credentialed with Payer.
I'm already enrolled with my Payer. Do I have to enroll again?
Yes, if you're enrolled with another Clearinghouse or with a Payer, you will still need to enroll with that Payer in Apex through WebABA in order for Claims to come into WebABA using Claims.
How long does enrollment take?
It can up to 45 business days to be approved. This is will be different for each Payer and may depend on if additional forms are required to process your enrollment. Learn more about your Enrollment Status.
IMPORTANT: Because the enrollment time varies from Payer to Payer, we suggest that you do NOT hold on to Claims until you are approved.