ePS - eProvider Solutions

If you are utilizing eProvider Solutions (ePS) as your clearinghouse, your claims will now have a pre-scrubbing before being submitted to the payer.  This scrubbing will alert you to any missing information or errors in the claim in rea...

When utilizing the ePS clearinghouse,  your payer IDs may change.  There are several national payers, such as Aetna, Cigna, Humana, and United Healthcare, that keep the same payer ID number across all clearinghouses.   The best source of...

For customers utilizing eProvider Solutions (ePS) as your clearinghouse, you can now see in your patient's chart what services (Electronic Claims, ERAs, Eligibility) are available for each payer.  If you are not currently enrolled for a service an...

For those payers who cannot accept secondary claims electronically, eProvider Solutions (ePS) can print the claim and submit it to the payer on paper for processing. There is nothing that you need to do to make this happen.  When a cl...

The Insurance Setup screen has multiple functionalities. Depending on how the provider/organization is credentialed, some claims may need to be billed with an individual NPI or SSN while another is billed with the group NPI and TIN. This scree...

When requesting real-time eligibility (RTE) requests through ePS for Medicare, please use payer ID  MCELG . This payer ID will return eligibility for traditional Medicare, Railroad Medicare, and Durable Medical Equipment (DME) payers. You do not n...

Customers utilizing eProvider Solutions (ePS) can now validate claims on demand.  This ability will identify any errors quickly and allow for correction before the claim is submitted to the clearinghouse for processing.   Navigate to Billing...

**** Please note, if you submit any request other than real-time eligibility (Claims and/or ERA) you could potentially impact  ALL  of your claim submissions **** For any questions, please reach out to support .  Here is how you ...