You must have Organization Administration Permissions in order to enroll as you will be the main point of contact for the entire enrollment process, including questions, clarifications, contact for any additional enrollment forms needed, and enrollment status notification with Change Healthcare Clearinghouse (CHC).
Jump to: [Find Out if Your Payer Requires EDI/ERA Enrollment] [Know How You are Credentialed with Each of Your Payers] [If You Submit to Medicare, Know or Find Your PTAN Number] [IMPORTANT: When to you can SUBMIT or have to HOLD claims]
Before you begin enrollment, you will want the following information handy:
Find Out if Your Payer Requires EDI/ERA Enrollment
Some Payers required EDI Enrollment before you can submit Claims to them. Check out this list of CHC EDI Payers to see if yours requires EDI/ERA Enrollment. Search for your payer(s) using the criteria provided and look at the Enroll column for your provider(s):
- 'N' in the Enroll column means EDI Enrollment IS NOT required.
- 'R' in the Enroll column means EDI Enrollment IS required.
IMPORTANT:
- Your account needs to be connected to CHC. Please wait until you are contacted by your Change Healthcare Enrollment rep before submitting ANY claims.
- A Change Healthcare (CHC) enrollment representative will contact you within 5 days of submitting this form confirming your connection with CHC has been established. This representative will begin the process of enrollments with you.
You may begin submitting claims to payers that DO NOT require payer approval.
These are payers with an 'N' in the Enroll column of the CHC EDI Payers list - For those payers who require EDI Enrollment approval, it may take up to 45 days. DO NOT submit claims to those payers until approval has been received.
These are payers with an 'R' in the Enroll column of the CHC EDI Payers list.
EDI and ERA are both types of communication.
- EDI is permission for the Customer/Provider to send the claims electronically to the insurance.
- ERA is permission for the insurance to send the processing information back to the Customer/Provider.
Know How You are Credentialed with Each of Your Payers
If you are not 100% sure how you are credentialed with your Payer (Type 1 or Type 2), it is very important for you to find out. This will save you a lot of work and time in the future. If you enroll incorrectly you will be rejected and have to complete the enrollment process again for each Payer that rejects you. You may be credentialed different with each Payer. Some Payers you may need to enroll as a Group and other Payers you may need to enroll each Provider individually. We suggest you find this information out before enrollment opens.
Learn more about enrolling as a Type 1 or a Type 2.
If You Submit to Medicare, Know or Find Your PTAN Number
You can find your PTAN number on the Welcome Letter you received from Medicare when you were credentialed. If you can’t find that letter, simply call your Provider Representative at Medicare and they can give you that.
IMPORTANT: When you can SUBMIT, or have to HOLD claims.
Find Out if Your Payer Requires EDI/ERA Enrollment
Check out this list of CHC EDI Payers to see if yours requires EDI/ERA Enrollment.
- 'N' in the Enroll column means EDI Enrollment IS NOT required.
- 'R' in the Enroll column means EDI Enrollment IS required
If the payer DOES NOT require enrollment:
- A Change Healthcare (CHC) enrollment representative will contact you within 5 days of submitting this form confirming your connection with CHC has been established.
- SUBMIT claims to payers that DO NOT require payer approval AFTER contact from your Change Healthcare Enrollment representative.
If the payer does require EDI Enrollment approval:
- It may takes up to 45 days to receive EDI Enrollment approval from a payer.
- HOLD claims until you have received approval from the payer.