ELECTRONIC DATA INTERCHANGE STATUS

4/11/24 Webinar Recording: Recovery Best Practices – Optimizing Revenue Cycle Management

Our Revenue Cycle Consultant leaders reviewed the most efficient strategies to reinstate comprehensive revenue cycle management following the Change outage. Guidance was provided on accessing and using the Availity Essentials Pro Portal, along with key updates on EDI Enrollments (Claims, Remittance, and Eligibility). Participants benefited from a full review of best practices for refiling stagnant claims and securing remittances. Registration is required to view the recording.

4/11/24 Webinar Q&A
With Change Healthcare coming back online, will the Switch direct claims to that pathway?

Yes, as Change Healthcare restoration progresses and Change claim pathways come online, we will route claims to Change for payer’s that cannot be filed to through Availity, and for payers that are not approved for submission via the Availity gateway.

When Change Healthcare remittance pathways are re-established, will I receive the 835 files from Change?

Yes, Change Healthcare remittance pathways are in place and live. As Change forwards new remittance files we are relaying them to g4-Centricity and Unlimited Financials.

If we can download 835 files from one of the alternate ERA options (PaySpan, Zelis, Echo), once imported into g4-Centricity or Unlimited Financials will they process automatically?

Yes, for g4-Centricity, 835 files can be imported into EDI Response Management. They will then populate in Resolve for the auto-processing. For Unlimited Financials, 835 files can be saved to the Z drive and will then populate in the Bank Reconciliation workflow.


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