Developers.changehealthcare.com

Trading Partners (Payer List) and Attachments …

WebFor non-electronic payers, always use the actual Payer ID and Payer Name. You can look up the complete list of Payer IDs and their names on the Optum Payer IDs page. RH …

Actived: 7 days ago

URL: https://developers.changehealthcare.com/eligibilityandclaims/docs/trading-partners-payer-list-and-attachments-support

Professional Claims V3 Getting Started

WebProfessional Claims v3 API. The Professional Claims API allows for the creation and submission of claims so that your providers can be reimbursed for their services. This …

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Get Started with Optum APIs

WebGet Started with Optum APIs. If you are a developer building or extending healthcare applications and services through the use of APIs, you have come to the right place. We …

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Change Healthcare Developer Portal

WebWe’re using Change Healthcare’s Eligibility API to verify new applicants across multiple payers and deliver speedy implementation for our customers." – Nathan Swartley, …

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Claim Processing and Reporting Workflow

WebFX - Notification Report — notification of the file transmission delay to payer, exception basis. Indicates the problem claims removed from batch file and rejection reason. a. …

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Access the Optum APIs

WebUse your API credentials provided by Optum (formerly, Change Healthcare) to access the sandbox environment or production environment.HTTP URLsYou can access all our …

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Response Body Contents

WebbenefitAmount is added based on the timeQualifier, so the daily benefit amount of the Skilled Nursing Care service is $164.50. Identification and Policy ConfirmationThis topic …

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Professional Claims JSON-to-EDI Contents

WebProfessional Claims JSON-to-EDI Contents. Use our OpenAPI Spec JSON file as a reference for development. Notes on the data in the following sections include: The …

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Getting started with Change Healthcare APIs

WebRequest a Quote. When you are ready to purchase the API that meets your needs, you can buy it directly by 1) selecting the "Marketplace" option at the top which will take you …

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Professional Claims FAQs

WebThe Professional Claims API uses a POST request. Responses to our Medical Network APIs can be lengthy due to the many data points that a payer or trading partner provides …

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Request Body Parameters

WebA single arbitrary value that the requestor defines in the initial Claims API transaction request, perhaps by a random number generator. All parties to the Claims transaction …

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API Health Check

WebThe /healthcheck endpoint checks the operating status of our APIs. It is a ping for the API entry points to ensure the entry points are accessible. This is the first thing you can do if …

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ConnectCenter FAQs

WebConnectCenter (aka Legacy Relay Health (LRH) payer list is a portal for our customers who are utilizing our Clearance or Assurance solutions. When you log into ConnectCenter it …

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AAA Error Codes Requests and Possible Resolutions

WebThis may also be represented with AAA 79 for Invalid Participant Identification. AAA 42/80 — These indicate something is wrong like a transaction time out or an exception that …

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Payer Finder Tool for Payer Search

WebUse the following steps. Enter your payer name or alternative payer name in the topmost first box. To use additional parameters to search the payer list, click Advanced Search …

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