Payer IDs with Relay Exchange

During the migration to the Relay Exchange clearinghouse via Change Healthcare, Payer ID mapping was completed behind the scenes to ensure that Payers you were connected to prior to the outage will continue to accept your enrollment now that we’ve fully migrated to Relay Exchange, without the need for re-enrollment. 

 

What is the difference between the OKC Clearinghouse and the Relay Exchange Clearinghouse?

  1. Both are Change Healthcare Clearinghouses. 
  2. Prior to the outage, RXNT utilized the OKC Clearinghouse. 
  3. RXNT has now fully migrated to the Relay Exchange Clearinghouse, which utilizes different Payer IDs than OKC. Relay Exchange also utilizes an additional identifier for Payers called CPIDs. 
    1. Fields for CPIDs have been added to Payer screens in the Billing Utilities for the corresponding fields to the left (Professional Claim, Professional ERA, Institutional Claim, and Institutional ERA).

See the below FAQs to learn more about which Payer IDs you should be utilizing for claim submission.

You mentioned that Relay Exchange uses different Payer IDs than OKC. Do I need to update my Payer IDs in the Billing Utilities?

    • RXNT has updated Payer IDs in the system for most Payers to include the corresponding CPID with Relay Exchange. If you are receiving rejections related to CPIDs, please check the CPID in the Billing Utilities and ensure it matches the CPID on the Exchange Claims and Remittance Payer List, then re-submit the claim(s).

I’m not a new customer, and I was connected to the Payer prior to the Change Healthcare outage. What Payer ID should I use?

    • Please utilize the CPID on the Exchange Claims and Remittance Payer List (Column B). If there is an option for (OKC Only) for a Payer, please utilize the CPID associated with the line that lists “OKC Only” beside the Payer name.

I’ve created a Custom Payer in RXNT, what Payer ID should I use?

    • Please utilize the CPID on the Exchange Claims and Remittance Payer List (Column B). If there is an option for (OKC Only) for a Payer, please utilize the CPID associated with the line that lists “OKC Only” beside the Payer name.

I’m not a new customer, but I’ve recently connected to a new Payer. Which Payer ID should I use for this new Payer?

    • Please utilize the CPID on the Exchange Claims and Remittance Payer List (Column B). If there is an option for (OKC Only) for a Payer, please utilize the CPID associated with the line that lists “OKC Only” beside the Payer name.

I’m a new customer to RXNT and was not connected to any Payers prior to the outage. Which Payer IDs should I be utilizing?

    • Please utilize the CPID on the Exchange Claims and Remittance Payer List (Column B). If there is an option for (OKC Only) for a Payer, please utilize the CPID associated with the line that lists “OKC Only” beside the Payer name.

A new Payer has been added to the Relay Exchange Payer List and I’d like to begin sending claims to this Payer. What are my next steps?

    • Please go to the Billing Utilities and add the new Payer if needed. Ensure the CPID in the Billing Utilities matches the CPID on the Exchange Claims and Remittance Payer List. If there is an option for (OKC Only) for a Payer, please utilize the CPID associated with the line that lists “OKC Only” beside the Payer name.
    • If enrollment is required:
      • If you were connected to the Payer prior to the outage, you do not need to re-enroll with the Payer.
      • If you were not connected to the Payer prior to the outage, please reach out to Customer Support to enroll with the Payer.

I’ve received a rejection for Payer ID Not Found or Payer ID Expired. What does that mean?

  • Please check the Exchange Claims and Remittance Payer List to ensure the Payer is enabled for electronic claim submission. 
        • If the Payer is not listed, they are not currently connected through Relay Exchange.
        • If the Payer is listed and you’ve followed the appropriate steps from the FAQs above and still have questions, please contact Customer Support.

 

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