Electronic Claims Submission, Payment and Remittance Advice Services
AmeriHealth Caritas New Hampshire contracts with Change Healthcare – one of the largest electronic data interchange (EDI) clearinghouses in the country – to offer state-of-the-art EDI and other electronic billing services. Use of EDI can boost claims submission efficiency and timeliness of reimbursement to enhance your revenue cycle.
Electronic Claims Submission (EDI)
AmeriHealth Caritas New Hampshire claims can be submitted electronically through Change Healthcare, or via another clearinghouse. Contact your Practice Management System Vendor or EDI clearinghouse to inform them that you wish to initiate electronic claim submissions to AmeriHealth Caritas New Hampshire.
AmeriHealth Caritas New Hampshire does not require you to enroll with Change Healthcare to submit electronic claims. If you already use another EDI vendor to submit claims electronically, inform your vendor of the AmeriHealth Caritas New Hampshire EDI payer ID: 87716.
Claims submission via Change Healthcare
New! As of May 2021, Change Healthcare has transitioned from WebConnect to ConnectCenter. ConnectCenter is designed to improve claims management functionality previously experienced with Emdeon Office/WebConnect. Providers who have a limited ability to submit claims through their hospital or project management system may now benefit from key features of the new ConnectCenter tool. There is no cost to providers to use ConnectCenter.
Key features are:
- Claims users no longer need to choose between data entry of claims and upload of 837 files. All users may do both.
- Secondary and tertiary claims can be submitted.
- Institutional claims are supported.
- Claims created online are fully validated in real time so that providers can correct them immediately.
- Whether providers upload their claims or create them online, the claim reports are integrated with the claim correction screen for ease in follow-up.
- Dashboard and work list views enables providers to streamline their billing to-do list.
- Remittance Advice is automatically linked to providers submitted claim, providing a comprehensive view of the status of their claim.
To transition to the new portal go to ConnectCenter Sign Up . Change Healthcare customer support is available through online chat or call 1-800-527-8133, option 2 for assistance.
To learn how to navigate ConnectCenter, visit the resources below.
- Create a Claim (Windows Media Video)
- Provider Management (PDF)
- Getting Started with Claims (PDF)
- Uploading Claims (PDF)
- Creating a Professional Claim (PDF)
- Creating an Institutional Claim (PDF)
How to Retain Long Term Access to Old Claims and Remits
If you wish to retain access to old claims after June 1, 2021, please take the following steps to establish a Reporting & Analytics account that can be accessed independently of Emdeon Office/WebConnect.
- Begin by going to https://access.emdeon.com and select the Forgot Password link.
- Provide your email address and the same Username you use to access the Emdeon Office/WebConnect portal.
- Once your new password is emailed to you, please make note of the Username, Password and access.emdeon.com URL for use in future access to Reporting & Analytics.
If you are unable to obtain a new password as described above, please contact Change Healthcare customer support for assistance at 1-800-527-8133, option 2.
Electronic Claim Payment Options
Change Healthcare is now partnering with ECHO Health, Inc., a leading innovator in electronic payment solutions, to offer more electronic payment options to our healthcare providers so that they can select the payment method that best suits their accounts receivable workflow.
Virtual Credit Card (VCC)
ECHO Health, Inc. offers Virtual Credit Cards as an optional payment method. Virtual Credit Cards are randomly generated, temporary credit card numbers that are either faxed or mailed to providers for claims reimbursement. Major advantages to VCC are that providers do not have to enroll or fill out multiple forms in order to receive VCC, and personal information, like practice bank account information, will never be requested. Providers will also be able to access their payment the day the VCC is received. In the future, AmeriHealth Caritas New Hampshire providers who are not currently registered to receive payments electronically will receive VCC payments as their default payment method, instead of paper checks. Your office will receive either faxed or mailed VCC payments, each containing a VCC with a number unique to that payment transaction with an instruction page for processing and a detailed Explanation of Payment/Remittance Advice (EOP/RA). Normal transaction fees apply based on your merchant acquirer relationship. If you do not wish to receive your claim payments through VCC, you can opt out by contacting ECHO Health, Inc. directly at 1-888-492-5579.
Electronic Funds Transfers (EFT)
Electronic funds transfers allow you to receive your payments directly in the bank account you designate rather than receiving them by VCC or paper check. When you enroll in EFT, you will automatically receive electronic remittance advices (ERAs) for those payments. All generated ERAs and a detailed explanation of payment for each transaction will also be accessible to download from the ECHO Health, Inc. provider portal. If you are new to EFT, you will need to enroll with ECHO Health, Inc. for EFT from AmeriHealth Caritas New Hampshire.
Please note: Payment will appear on your bank statement from PNC Bank and ECHO Health, Inc. as “PNC – ECHO Health, Inc.”.
To sign-up to receive EFT from AmeriHealth Caritas New Hampshire, visit https://enrollments.ECHOhealthinc.com/efteradirect/enroll. There is no fee for this service.
To sign-up to receive EFT from all of your payers processing payments on the Settlement Advocate platform, visit https://enrollments.ECHOhealthinc.com. A fee for this service may be required.
If you have questions regarding how to enroll in EFT, please reference the AmeriHealth Caritas New Hampshire EFT Enrollment Guide
Electronic Remittance Advice (ERA)
AmeriHealth Caritas New Hampshire now also offers ERAs (also referred to as an 835 file) through Change Healthcare/ECHO Health, Inc. To receive ERAs from Change Healthcare and ECHO Health, Inc., you will need to include both the Change Healthcare AmeriHealth Caritas New Hampshire payer ID 87716 and the ECHO Health, Inc. payer ID 58379.
All Change Healthcare/ECHO Health, Inc. generated ERAs and a detailed explanation of payment for each transaction will be accessible to download from the ECHO Health, Inc. provider portal (www.providerpayments.com). If you are a first time user and need to create a new account, please reference ECHO Health, Inc.’s Provider Payment Portal Quick Reference Guide (PDF) for instructions.
Contact your practice management/hospital information system for instructions on how to receive ERAs from AmeriHealth Caritas New Hampshire under Payer ID 87716 and the ECHO Health, Inc. Payer ID 58379. If your practice management/hospital information system is already set up and can accept ERAs from AmeriHealth Caritas New Hampshire, then it is important to check that the system includes both 87716 and ECHO Health, Inc. Payer ID 58379 for ERAs.
If you are not receiving any payer ERAs, please contact your current practice management/hospital information system vendor to inquire if your software has the ability to process ERAs. Your software vendor is then responsible for contacting Change Healthcare to enroll for ERAs under 87716 and ECHO Health, Inc. Payer ID 58379
If your software does not support ERAs or you continue to reconcile manually, and you would like to start receiving ERAs only, please contact the ECHO Health, Inc. Enrollment team at 1-888-834-3511.
For enrollment support, please contact ECHO Health Inc. at 1-888-834-3511.
If you have additional questions regarding VCC, EFT, or ERAs, please reference our FAQ or call ECHO Health, Inc. Health Support team at 1-888-492-5579.