Electronic Funds Transfer (EFT)

Fast, confidential and secure claims payments deposited directly into one or more designated bank accounts. EFT is now required for all QualChoice participating providers.

To enroll, contact:

Change Healthcare

877.389.1160

 

270/271 Eligibility Request and Response

An eligibility and benefits request should be completed for every patient at every visit to confirm membership, verify coverage and determine other important information such as co-pay, coinsurance and deductible amounts.

To enroll, contact:

Optum Insight — https://optuminsight.com

 

835 Electronic Remittance Advice

Electronic Remittance Advice offers an automated process for providers who accept auto posting transactions through a vendor, billing agency or clearinghouse. Upon enrollment, replaces paper version of explanation of remittance.

To enroll:

Complete 835 Enrollment Form

835 Enrollment Clearinghouses

837 Electronic Claims

Claims accepted in ANSI X12837 5010 format

To enroll, contact either:

Availity — http://www.availity.com

Emdeon — http://www.emdeon.com