Electronic Claims Submission, Payment, and Remittance Advice Services
Select Health of South Carolina contracts with Change Healthcare — one of the largest electronic data interchange (EDI) clearinghouses in the country — to offer state-of-the-art EDI and other electronic billing services. Use of EDI can boost claims submission efficiency and timeliness of reimbursement to enhance your revenue cycle.
Electronic Claims Submission (EDI)
Select Health claims can be submitted electronically through Change Healthcare, or via another clearinghouse. Contact your Practice Management System Vendor or EDI clearinghouse to inform them that you wish to initiate electronic claim submissions to Select Health.
Select Health does not require you to enroll with Change Healthcare to submit electronic claims. If you already use another EDI vendor to submit claims electronically, inform your vendor of the Select Health EDI payer ID: 23285.
Submission via Change Healthcare
Providers can submit claims directly to Change Healthcare through a direct entry claims portal, ConnectCenter, formerly known as Emdeon Office/WebConnect. This portal improves the functionality of the former Emdeon Office/WebConnect and provides a one-stop resource for claims management.
ConnectCenter can be accessed through the NaviNet Provider portal via the Claims Submission link under Workflows for this Plan.
With ConnectCenter:
- Claim submitters no longer need to choose between data entry of claims and upload of 837 files. All users may submit claims using either method.
- Institutional claims are supported.
- Claims created online are fully validated in real time. Claims can be corrected immediately.
- Whether claims are uploaded or created online, claim reports are integrated with the claim correction screens for easy follow-up.
- Remits are automatically linked to submitted claims, providing a comprehensive view of the status of the claim.
- Dashboard and work list views make it easy to manage billing to-do lists.
- On-shore customer support is available through online chat or by phone.
The following guides are available to provide step-by-step instructions for important tasks in ConnectCenter:
- Enrollment Central (PDF)
- Claims – Getting Started (PDF)
- Claims – Status (PDF)
- Claims – Uploading a Claim (PDF)
- Eligibility – Getting Started (PDF)
- Keying Institutional Claims (PDF)
- Keying Professional Claim (PDF)
- Provider Management - Getting Started (PDF)
- Provider Sign-up and User Management (PDF)
- Remits - Getting Started (PDF)
Change Healthcare has also developed a new video to assist with claims submission:
- “Create A Claim” available at: https://vimeo.com/791259989
If you expect to need continued access to old claims, please follow the steps below to ensure that you have independent access to Reporting & Analytics.
- Begin by selecting Customer Portal from ConnectCenter’s claims menu.
- Choose the Forgot Password link.
- Provide your email address and the same username you formerly used to access the Emdeon Office/WebConnect portal.
- Once your new password is emailed to you, please make note of the username and password.
- Use these credentials on the Customer Portal page whenever you need access to old claims.
Need Help?
Call 1-800-527-8133, option 2, for questions about:
- Submitting new claims.
- Eligibility.
- Claim status.
Call 1-877-667-1512, option 2, for questions about:
- The status of old claims.
- Access to Reporting & Analytics.
For more information or questions, contact Change Healthcare customer support for assistance at 1-877-667-1512.
Electronic Claim Payment Options
Change Healthcare is now partnering with ECHO Health Inc. (ECHO Health), a leading innovator in electronic payment solutions, to offer more electronic payment options to our health care providers so that they can select the payment method that best suits their accounts receivable workflow.
Virtual Credit Card (VCC)
ECHO Health offers Virtual Credit Card as an optional payment method. VCCs are randomly generated, temporary credit card numbers that are either faxed or mailed to providers for claims reimbursement. Major advantages to VCC are that providers do not have to enroll or fill out multiple forms in order to receive VCC, and personal information, like practice bank account information, will never be requested. Providers will also be able to access their payment the day the VCC is received.
In the future, Select Health providers who are not currently registered to receive payments electronically will receive VCC payments as their default payment method, instead of paper checks. Your office will receive either faxed or mailed VCC payments, each containing a VCC with a number unique to that payment transaction with an instruction page for processing and a detailed Explanation of Payment /Remittance Advice (EOP/RA). Normal transaction fees apply based on your merchant acquirer relationship. If you do not wish to receive your claim payments through VCC, you can opt out by contacting ECHO Health directly at 1-888-492-5579.
Electronic Funds Transfers (EFT)
Electronic funds transfers allow you to receive your payments directly in the bank account you designate rather than receiving them by VCC or paper check. When you enroll in EFT, you will automatically receive electronic remittance advices (ERAs) for those payments. All generated ERAs and a detailed explanation of payment for each transaction will also be accessible to download from the ECHO provider portal (www.providerpayments.com).
For assistance with using the provider payments portal, see the ECHO Provider Payment Portal Quick Reference Guide (PDF). If you are new to EFT, you will need to enroll with ECHO Health for EFT from Select Health.
Please note: Payment will appear on your bank statement from PNC Bank and ECHO as “PNC – ECHO.”
To sign up to receive EFT from Select Health, visit https://enrollments.ECHOhealthinc.com/efteradirect/enroll. There is no fee for this service.
To sign up to receive EFT from all of your payers processing payments on the Settlement Advocate platform, visit https://enrollments.ECHOhealthinc.com. A fee for this service may be required.
If you have questions regarding how to enroll in EFT, please reference the EFT Enrollment Guide (PDF).
Electronic Remittance Advice (ERA)
Select Health now also offers ERAs (also referred to as an 835 file) through Change Healthcare/ECHO Health. To receive ERAs from Change Healthcare and ECHO, you will need to include both the Change Healthcare Select Health payer ID 23285 and the ECHO payer ID 58379. Contact your practice management/hospital information system for instructions on how to receive ERAs from Select Health under Payer ID 23285 and the ECHO Payer ID 58379.
If your practice management/hospital information system is already set up and can accept ERAs from Select Health, then it is important to check that the system includes both the Select Health and ECHO Health payer IDs for ERAs.
If you are not receiving any payer ERAs, please contact your current practice management/hospital information system vendor to inquire if your software has the ability to process ERAs. Your software vendor is then responsible for contacting Change Healthcare to enroll for ERAs under 23285 and ECHO Health Payer ID 58379.
If your software does not support ERAs or you continue to reconcile manually, and you would like to start receiving ERAs only, please contact the ECHO Health Enrollment team at
1-888-834-3511.
For enrollment support, contact ECHO Health Inc. at 1-888-834-3511.
If you have additional questions regarding VCC, EFT, or ERAs, reference our FAQ (PDF) or call Echo Health Support team at 1-888-492-5579.