The RCM Tasks page is designed to help you keep on top of tasks necessary for our RCM team to submit and follow up on claims timely. You can view a list of patient charts that need action, whether it is insurance/demographic or clinical re...
So, you've completed all of your initial enrollments (EDI for claims; ERA for electronic remits; and RTE for real-time eligibility, if required) but now need a few more. How do you proceed? With TriZetto's STEM portal, the process is very eas...
As you submit and track your EDI/ERA enrollments, you will now be able to see the date/time/user/action all within the EDI portal under the Activity Log. ...
If you've entered an enrollment request with ePS and need to cancel it, you can from the Continue Unsubmitted tab. Simply press on the Cancel button under Actions and it will be removed from your list. To review...
After submitting your insurance enrollments through the ePS (eProvider Solutions) enrollment module, ePS will forward them to the payer. If the status of your request changes, such as to deny, provider action required, etc, the DrChrono system...
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...
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 clai...
If your account is utilizing eProvider Solutions (ePS) as your clearinghouse, any payer that you have either completed or started an EDI enrollment with will appear at the top of any payer search you complete. They will show at the top...
The short answer is, that they can. 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 information is the eP...
What determines a payer’s turn-around time for EDI/claim submissions?
Each payer determines its own turn-around time (TAT) based on its internal processes, requirements, and volume. Each payer’s processing time may change based on...