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Change Healthcare Medical E-Claims  

Change Healthcare (formerly Emdeon) is the only E-claims Clearinghouse currently available for Medical E-ClaimsOpen Dental version 12.4.23 or greater is required for Medical E-Claims to work.

For more information about Change Healthcare's services, visit their website at changehealthcare.com or call them at 877-363-3666.  To locate payer IDs for carriers that Emdeon/Change Healthcare Medical supports, visit https://access.emdeon.com/PayerLists/
Information Flyer

Step 1: Fill out this registration form
EmdeonMedicalRegForm.pdf

Step 2: Fax the completed form to 615-340-6181.

Step 3: Within 3 to 5 business days of receipt, an Emdeon rep will contact you to deliver your ITS credentials (used in step 5), discuss payer agreement requirements, and review reporting and support tools you will be given access to.

Step 4: In Show Features, enable Medical Insurance.

Step 5: In Open Dental, set up the Emdeon Medical clearinghouse. In the Main Menu, click Setup, Family/Insurance, Clearinghouses, then double click on Emdeon Medical. Enter the username and password provided by Emdeon.

Electronic Attachments
Medical attachments cannot currently be sent through Open Dental. Most medical payers do not accept electronic attachments. However, it may be possible to send electronic attachments to a few select carriers with a third party application called MEA Fast Attach.  Emdeon Medical is directly integrated with MEA Fast Attach. Please call Emdeon Medical and MEA Fast Attach support lines for details.

Multiple Emdeon Medical Accounts
To set up more than one Emdeon Medical account within the same database (e.g. if using Clinics), follow these steps:

  1. In Clearinghouse Setup, rename the Emdeon Medical clearinghouse with a description that identifies the clinic it will be used at (e.g. Emdeon North Clinic).
  2. Create a new clearinghouse for the second clinic.
    1. Click Add on the E-Claims window.
    2. For Description, enter a clearinghouse name that identifies the clinic it will be used at (e.g. Emdeon South Clinic).
    3. Copy all settings from the first Emdeon Medical clearninghouse, except enter the the Login ID and Password for the second Emdeon Medical account.
  3. Repeat step 2 for each Emdeon Medical account.

Once setup, all claims must be sent as a batch from the Insurance Claims window using the Clinic Filter and the Send E-Claims dropdown. Do not send claims from the Claim Edit window.  If you do, those claims may be submitted under the wrong Emdeon Medical account.

Viewing Status of Sent Claims
Log in to the Emdeon Vision online portal at https://access.emdeon.com to see the status of your sent claims. Contact Emdeon Medical for details.

Troubleshooting
Problem: When I submit eclaims, I get the error message "Medicare Assignment is required."

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Solution: There are two known reasons why this error can occur. Either the claims were submitted with an older version of Open Dental, or the Filing Code on the Edit Insurance Plan window was not set to the proper Medicare option (the most common option is MedicarePartB).

Problem: I receive an error message in the Emdeon Vision online portal stating "Billing Provider Taxonomy Code: Required; Must be entered for Payer."
Solution: The claim billing and treating provider must be the same for any claim sent to the insurance carrier in question. Most carriers do not require this extra step. However, in some states, Medicare and Medicaid sometimes have this extra requirement.

 

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