![]() ![]() Providers can use the Change Healthcare tool to manage ETF and ERA enrollments with multiple payers on a single platform.ĮERS will give payees multiple ways to set up EFT and ERA in order to receive transactions from multiple payers. EERS offers a standardized method of electronic payment and remittance that expedites the payee enrollment and verification process. No need for paper Explanation of Benefits (EOB) statementsĪetna Better Health has partnered with Change Healthcare to offer EFT/ERA Registration Services (EERS), a better and more streamlined way for our providers to access payment services.Reduced manual posting of claim payment info, which saves you time and money, while improving efficiency.Some benefits of setting up an EFT include:ĮRA is an electronic file that contains claim payment and remittance info sent to your office. You can get start setting up EFT here or on our Provider Portal. To see a sample of a UB-04 form, check your provider manual (PDF).ĮFT makes it possible for us to deposit electronic payments directly into your bank account. Mark resubmitted claims clearly with “resubmission” to avoid denial as a duplicate. You can also mail hard copy claims or resubmissions to: Once you’ve submitted claims, you can visit the Provider Portal to review claims payment information. To register, visit the ConnectCenter portal and follow the prompts to “Sign Up” and enter Vendor Code 214557. This is our provider claims submission portal via Change Healthcare (formerly known as Emdeon). You can submit claims or resubmissions online through ConnectCenter using payer ID: 128VA. Make sure you are enrolled as a provider through the Virginia MES Provider Portal. NPI (not required for atypical providers)įor more information, visit Chapter 13 of our provider manual. Billing and/or rendering provider taxonomy codes that are consistent with the provider’s registered specialty with DMAS.Member’s name, date of birth and ID number.You have 365 days from the paid date to resubmit a revised version of a processed claim.Īll claims must be submitted with this information: ![]() For inpatient claims, the date of service refers to the member’s discharge date. Act soon to be sure you don’t miss the filing deadline.You must file claims within 365 days from the date you provided services, unless there’s a contractual exception. Read the complete guide from Whatley Kallas at It includes detailed instructions and advice on which option is best for your situation. Also, you or your group should consider obtaining experienced health-care legal counsel advice, particularly if you or your group could have other claims against Aetna by not opting out of the settlement class, you and/or your group could be releasing Aetna of any and all legal claims from Jthrough Aug. If you choose option 2, you release your right to balance-bill the patients involved in any of those claims.
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