An ongoing Change Healthcare outage is blocking electronic claims from being sent. In the meantime, we are introducing a workflow to help create paper claims for impacted electronic claims stuck in scrubbing or unbilled review.

While the disruption continues, we understand that establishing a claim submission workaround is key to restoring the flow of funds to your practice or business. As such, we are excited to introduce Optum's Intelligent EDI (IEDI) clearinghouse as a temporary workaround for claim submission only. Click here to learn more!

Encounters tab

Claim Scrubbing

To begin, navigate to the Encounters tab located in the top navigation bar and select Scrubbing for Errors.

To drop encounters to paper, you can either individually select them by clicking the box next to each encounter number or choose to select all encounters by clicking the box in the header.  

Click Cancel Send.

By clicking the Cancel Send button it will update the status of claims stuck in scrubbing to Ready to Send to Payer as well as move them to the To Send Electronic tab under the Claims tab.

 

Review

Navigate to the Encounters tab located in the top navigation bar and select Review.

You can either individually select them by clicking the box next to each encounter number or choose to select all encounters by clicking the box in the header.

Click Save Claim(s).

By clicking the Save Claim(s) button it will begin the claim scrubbing process, and move the claims to either To Send Electronic or To Print based on the claim filing method. From the To Send Electronic tab, claims can be dropped to paper. 

Claims tab

From the To Send Electronic tab, you can move them to paper claims via the Drop to Paper button located on the top right side. 

The selected claims will be moved to the To Print tab.

Click Print Selected.

After the claims are printed, they will be moved to the Pending tab where they will stay until resolved.

Additional Information

Change Healthcare outages also include the following:

  • Receiving ERAs - Click here to learn more about manually uploading 835 files!
  • Sending Statements to CHC printing service - Click here to learn about manually printing statements!
  • Eligibility (Billing and Scheduler) - We recommend leveraging payer portals or calling payers to check eligibility during the outage. 
  • Providers can submit claims directly to the payer through Electronic Data Interchange (EDI) - Click here to learn about claims EDI. 

 

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