Streamlining Your Payment Workflow via Electronic Fund Transfer - - PowerPoint PPT Presentation

Streamlining Your Payment Workflow via Electronic Fund Transfer (EFT)

Cesar Morales, Director, Applications Development

Session Outline

• EFT Definition and Benefits
• The Basics
• EFT Enrollment – A 4-Step Process
• Simplifying the Reconciliation Process – EFT and ERA
• Payment Manager
• FAQs
• Q&A
• Attachments
• Quick Guide to EFT
• Our Payer List
• ePayment Enrollment Authorization Form
• Sample email notifications

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EFT Definition and Benefits

Definition of electronic fund transfer: Any transfer of funds initiated through a terminal, telephone, computer, or magnetic tape for the purpose of instructing or authorizing a financial institution to debit or credit an account. Benefits:  Providing fast, easy, and secure payments.  Reducing paper and eliminating checks being delayed.  Simplifying your bank connectivity when multiple banks are required.

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The Basics

• Change Healthcare manages EFT enrollment on our behalf. You must enroll

with Change Healthcare to receive EFT from us.

• All enrollment forms are available online (see below). Forms are editable.
• An authorized user must sign and either fax or email the form.
• There is no fee from Change Healthcare or our plans to enroll in EFT. Please

check with your bank to see if they impose any fees.

• You must enroll for each payer.
• Change Healthcare is available to assist with questions.
• Access the Change Healthcare EFT Enrollment Landing Page and click on

EFT Enrollment Forms.

• For Change Healthcare assistance, call 1-866-506-2830.

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EFT Enrollment – A 4-Step Process

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Step 1: Access the ePayment Enrollment Authorization Form. Step 2: Complete the ePayment Enrollment Authorization Form. Step 3: Print, sign and send form via fax or email. Step 4: Confirm test deposit to verify account.

Step 1: Access Change Healthcare EFT Enrollment Landing Page

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Initial EFT Enrollment: Use this form. Existing Enrollment: Use these forms General information: FAQ, payer list, etc.

Landing Page: EFT Enrollment Forms

Step 1: General Information

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EFT Frequently Asked Questions. List of Payers accepting EFT. All of our plans participate in EFT. Description of EFT Enrollment Data Elements. Not Applicable to Select Health.

A B C D D A B C D

For New and Existing Providers Signing up for EFT

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For new providers For existing providers already signed up for EFT

Step 2: Complete ePayment Enrollment Authorization Form

Please fill out the following pages: ePayment Enrollment Authorization Form. Key Points of Interest

• Provide contact information (name /phone number) in case Change Healthcare needs to

contact you.

• The form must include original signature along with supporting documentation.
• Include bank authorization letter or voided check.

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Page 1: Form Instructions. Page 2: Provider Identifier. Page 3: Financial Institution Information (information about your bank). Page 4: Only if you need to update your bank information if already enrolled. Pages 5 ‒ 7: Select payers to enroll Select payers to enroll (information about payers you wish to receive EFT from). Page 8: Not applicable as we do not send payments directly to providers. Page 9: Your authorized signature.

Step 3: Print, sign and send form via fax or email

Sign the completed form and either email it as a PDF attachment to eftenrollment@changehealthcare.com, or fax it to 1-615-238-9615.

Key Points of Interest

• Allow 15 business days for processing.
• Send form as a PDF format. Email is the preferred option to expedite processing.
• Call 1-866-506-2830 if you have any questions.
• You will receive an email indicating acceptance or rejection (see Attachment

section for sample email sent).

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Step 4: Confirm test deposit to verify account

• Change Healthcare will make a test deposit between $.01 and $.99 with a

reference note of “EFT Enroll”.

• Once deposit is made, you must contact Change Healthcare to verify deposit:
• Call 1-866-506-2830 OR
• Send confirmation to EFTEnrollment@changehealthcare.com

Key Points of Interest

• It is imperative that you contact Change Healthcare to confirm receipt of test

deposit.

• EFT will not begin until you have confirmed receipt of test transaction. If you do

not confirm deposit within 60 days, you will need to fill out a new form. Change Healthcare will make at least 4 attempts to reach out to you.

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Summary – A 4-Step Process

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Step 1: Access the ePayment Enrollment Authorization Form. Step 2: Complete the ePayment Enrollment Authorization Form. Step 3: Print, sign and send form via fax or email. Step 4: Confirm test deposit to verify account.

Reconciliation Process Using Re-association Trace Number

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EFT Payments Payer Remits

Three easy steps Step 1: Contact your bank. Ask your bank to include the re-association trace number in the Corporate credit or debit entry (CCD) transaction. The CCD is a transaction received with your EFT payment. The re- association trace number will be displayed in field 3 of the Addenda Record of a CCD transaction. Step 2: Find the re-association trace number. You should talk to your bank about how you wish to receive addenda record information containing the re-association trace number. Your billing system may receive a CCD transaction, or you can request a downloadable report from the bank that provides the re- association trace number.

Re-association number

Reconciliation Process Using Re-association Trace Number (cont.)

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Step 3: Match the EFT and ERA. This Re-association Trace Number can also be found within the corresponding ERA file to match the EFT and the ERA together.

• If you auto-post your payment into your billing system, contact your vendor and ask

where the Re-association Trace Number is populated and how the ERA and payment are married.

• If you receive a report, you can match the Re-association Trace Number found on your

reports against the electronic remit available in Payment Manager. The Re-association Trace Number is the Check No. Payee ID: 12345 Tax ID: 111111111 NPI #: 1555555555 Check No.: 0529999 Check Ref. ID: 1234567890123 Payment Amount: 500.00 Date: 6/1/2017

Payment Manager (aka Claims Denials Advisor)

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• Access to view and

print payment and remit images.

• Free to use if enrolled

in EFT. Registration required.

• If you are already

signed up for EFT but never signed up for Payment Manager, please contact 1-866-506-2830 for assistance.

Frequently Asked Questions (FAQ)

Where are the online EFT enrollment forms located? All forms are available at EFT Enrollment Forms. Who do I contact if I need assistance? Please contact Change Healthcare at 1-866 506-2830. Hours of operation are from 8:00 AM- 4:30 PM (CST). How long does it take Change Healthcare to complete my enrollment in EFT? Approximately 15 business days. How do I verify if my enrollment application was accepted or rejected? You can call 1-866 506-2830 to obtain status. A confirmation email will also be sent when your application has been processed or rejected. See attached sample emails (Attachments section). I am already EFT enrolled with another payer. Do I need to re-register if I am adding a new payer?

• Yes. If adding additional payers, fill out the EFT Payer Add/Change/Delete Authorization Form

available on the above web page (see first question above).

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Frequently Asked Questions (FAQ)

What key provider identifiers are required to enroll? You must include your TAX ID, NPI and the Provider ID assigned to you by our plan. If you do not have your Plan’s Provider ID, please contact your Account Executive or call our Provider Services Department at 1-800-741-6605. Are there any plans to modify the EFT enrollment process to require only TAX and NPI? We are actively assessing the need to relax the requirement to include our Plan’s Provider ID. Currently, it is still required when filling out the form. Your Plan’s Provider ID can be found on your remit. Please contact your Account Executive if you need assistance. If I sign up for EFT, will I stop receiving paper remits automatically?

• Yes. Once you sign up for EFT, your paper remittance advice will stop within 31-45 days from

verification of EFT enrollment. However, an image of your remit is available via Payment Manager for viewing and printing. This is a free tool for those who sign up for EFT. If you have not registered, contact 1-866 506-2830 for assistance. What is a “Trading Partner ID” and where do I obtain it? This is the internal number we assign to you also called a Provider ID, Legacy ID, PIN ID or Payee ID. It is located on your recent remittance. If you are unsure, please contact your Account Executive or call our Provider Services Department at 1-800-741-6605.

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More Questions?

Visit the Select Health website EFT Frequently Asked Questions

• r call

Change Health care 1-866-506-2830

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ATTACHMENTS

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Quick Guide to EFT Forms/Materials

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To enroll in EFT for the first time: Payment Enrollment Authorization Form (all pages). To add a new provider to an existing enrollment: EFT Payer Add/Change/Delete Authorization Form. To update bank information: ePayment Enrollment Authorization Form (pages 3 and 4). To terminate EFT enrollment: EFT Payer Add/Change/Delete Authorization Form. To update provider information: ePayment Enrollment Authorization Form (page 2). To add, change, or delete payers: EFT Payer Add/Change/Delete Authorization Form. To resubmit an EFT test transaction: EFT Test Transaction Resubmission Form (all pages). For questions: EFT Frequently Asked Questions Training: Streamlining Your Payment Workflow EFT presentation

Our Plan Payer IDs

Payer ID Plan Name Payer ID Plan Name 77799 AmeriHealth Caritas Delaware 65391 PerformCare 77002 AmeriHealth Caritas District of Columbia 77062 AmeriHealth Caritas VIP Care 77075 AmeriHealth Caritas Iowa 77741 Keystone First VIP Choice 27357 AmeriHealth Caritas Louisiana 77013 AmeriHealth Caritas VIP Care Plus 77001 AmeriHealth Caritas Northeast 77009 First Choice VIP Care Plus 22248 AmeriHealth Caritas Pennsylvania 32002 Blue Cross Complete of Michigan 23284 Keystone First 77003 Prestige Health Choice 23285 Select Health of South Carolina 61129 Passport Health Plan 77062 AmeriHealth Caritas Pennsylvania Community HealthChoices

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Sample Email – EFT Enrollment Status / Test Deposit

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• Current Status
• Request to confirm

deposit

• Accessing Payment

Manager

• Quick tour of

Payment Manager

• EFT payer list
• Number to call for

assistance

Sample Email – Rejection Status

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Sample Email – Rejection Status

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Sample Email – EFT Payment Manager

Document ID: Tax I.D.: XXXXX Facility Name: Thank you for enrolling in Change Healthcare to switch from paper to electronic claims payments! Search, View, Download and Print ERAs Your enrollment with Change Healthcare ePayment automatically gives you FREE access to Change Healthcare Payment Manager, an online solution that equips providers with a set of self-service tools to easily search, view, print and download electronic remittance advice (ERA) from payers across the country in a human-readable format. Emdeon Payment Manager Login Instructions Visit https://cda.changehealthcare.com/Portal/AccountLoginNew.faces Your Username is XXXXX Please call 866-506-2830 option 2 to receive your password Questions? Concerns? Call 866-506-2830 and choose option 3. Thank you, EFT Enrollment

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