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 Four-Step Process • Reconciliation Process Using the Re-association Trace Number • Payment Manager • Frequently Asked Questions • Questions and Answers • Attachments • o Quick Guide to EFT Forms/Materials o Our Plan Payer IDs o Sample Email Notifications Prestige Health Choice 2
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. Prestige Health Choice 3
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. • o Access the Change Healthcare EFT Enrollment Landing Page and click on EFT Enrollment Forms. o For Change Healthcare assistance, call 1-866-506-2830. Prestige Health Choice 4
EFT Enrollment – A Four-Step Process 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. Prestige Health Choice 5
Step 1: Access the Change Healthcare EFT Enrollment Landing Page Landing page: EFT Enrollment Forms General information: FAQ, payer list, etc. Initial EFT Enrollment: Use this form Prestige Health Choice 6
General Information EFT Participating Payers. A Prestige Health Choice EFT FAQs. B EFT Data Element Descriptions. C Not applicable to Prestige Health Choice. D Prestige Health Choice 7
For New and Existing Providers Signing up for EFT For new providers For existing providers already signed up for EFT Prestige Health Choice 8
Step 2: Complete the ePayment Enrollment Authorization Form Please fill out the following pages: ePayment Enrollment Authorization Form. 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. Select payers to enroll Select payers to enroll (information about payers you wish to receive Pages 5 ‒ 7: EFT from). Page 8: Not applicable as we do not send payments directly to providers. Page 9: Your authorized signature. 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. • Prestige Health Choice 9
Step 3: Print, sign, and fax or email the form 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 the form as a PDF. 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). Prestige Health Choice 10
Step 4: Confirm Test Deposit to Verify Account Change Healthcare will make a test deposit between $0.01 and $0.99 with a reference • note of “EFT Enroll.” Once the deposit is made, you must contact Change Healthcare to verify the deposit: • ‒ Call 1-866-506-2830 or ‒ Send confirmation to eftenrollment@changehealthcare.com . Key points of interest You must contact Change Healthcare to confirm receipt of test deposit. • EFT will not begin until you have confirmed receipt of the test transaction. If you do not • confirm the deposit within 60 days, you will need to fill out a new form. Change Healthcare will make at least four attempts to reach out to you. Prestige Health Choice 11
Summary — A Four-Step Process Step 1: Access the ePayment Enrollment Authorization Form. Step 2: Complete the ePayment Enrollment Authorization Form. Step 3: Print, sign, and send the form via fax or email. Step 4: Confirm test deposit to verify account. Prestige Health Choice 12
Reconciliation Process Using the Re-association Trace Number Re-association number 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. Prestige Health Choice 13
Reconciliation Process Using the Re-association Trace Number (Continued Step 3: Match the EFT and electronic remittance advice (ERA). The 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 number — see below. Payee ID: 12345 Tax ID: 111111111 NPI #: 1555555555 Check No.: 0529999 Check Ref. ID: 1234567890123 Payment Amount: 500.00 Date: 6/1/2017 Prestige Health Choice 14
Payment Manager Access to view payment and remit • images. Can print remit as well. • 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. Prestige Health Choice 15
Frequently Asked Questions 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 a.m. to 4:30 p.m. CT. 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 sample email (slide 22). I am already enrolled in EFT with another payer. Do I need to re-register if I am adding a new payer? Yes. If you are adding payers, fill out the EFT Payer Add/Change/Delete Authorization Form available on the above web page (see first question above). 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 1-800-617-5727. Prestige Health Choice 16
Frequently Asked Questions (continued) 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 to 45 business 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 1-800-617-5727. More questions? Visit Prestige Health Choice EFT FAQs or call 1-866 506-2830. Prestige Health Choice 17
Questions and Answers Prestige Health Choice 18
Attachments Prestige Health Choice 19
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