Change Healthcare Medical E-Claims

In the Main Menu, click Setup, Family/Insurance, Clearinghouses. Double-click on Emdeon Medical.

Change Healthcare (formerly Emdeon) is the only E-Claims clearinghouse currently available for Medical Insurance e-claims.

For more information about Change Healthcare's services, visit their website at changehealthcare.com. To locate payor IDs for carriers that Emdeon/Change Healthcare Medical supports, visit https://access.emdeon.com/PayerLists/.

  1. Fill out this registration form: Emdeon Enrollment Form
  2. Within 3 to 5 business days of receipt, an Emdeon rep will contact you to deliver your ITS credentials (used in step 4), discuss payor agreement requirements, and review reporting and support tools you will be given access to.
  3. In Show Features, enable Medical Insurance.
  4. In Open Dental, set up the Emdeon Medical clearinghouse. Enter the user name and password provided by Emdeon, then click OK to save.

Electronic Attachments

Medical attachments cannot currently be sent through Open Dental. Most medical payors 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 NEA FastAttach/Vyne Medical. Emdeon Medical is directly integrated with FastAttach. Please call Emdeon Medical and FastAttach support lines for details.

ERA Automatic Downloads

Emdeon Medical supports automatic downloads of ERAs. Setup a Report Path, and select Download ERAs to enable in Open Dental. Contact Change Healthcare to enable this option for your account. See ERAs.

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 e-claims, I get the error message "Medicare Assignment is required."

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 Insurance Plan 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.