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In Build 15.18.6, we’ve made some improvements to our eClaims Ability features to better support our multiple eClaim clearinghouses.

New Template Configuration Options

Template Settings in eClaims has been moved to a gear icon in the upper right hand corner of the eClaims Ability:

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When clicked, the following fields will reveal, allowing the user to customize their Username/Password (and for Eligibility), the Submission URL, the Submission Location, and Retrieval Locations for Reports and ERAs.

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Configuring Change Healthcare / ECG

The ProxyMed Template can be re-used for ECG, the new Portal/Platform that will be used to submit claims from MacPractice to Change Healthcare.

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For Change Healthcare, leave Public Key Authentication unchecked.

CHC File Formats

• Report files from ECG will be in ETF format, with the file extensions of either .INS, or .REC. (.INS files are payer reports, while .REC are clearinghouse reports.)

• ERA files from ECG will be in raw 835 format. The file extensions for these are .835 or .ARA.

Configuring Inovalon

The Phase 1 curl as described in the Inovalon Onboarding Guide will no longer be required. You will no longer need to re-run these curls after updating MacPractice builds.

The Phase 2 curl may still be necessary if the Inovalon template is not present.

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• Submission Location - incoming/claims/

• Retrieval Locations:

  • Reports: outgoing/

  • ERAs: outgoing/remits/

For Inovalon, Public Key Authentication should be enabled.

Inovalon File Formats

• Report Files from Inovalon will be in 277 & 999 format. As of the time of this release, these report files cannot be pulled into MacPractice yet.

• ERA files from Inovalon will be in raw 835 format. The file extensions for these are .835 and will be automatically retrieved upon claim submission or when retrieving reports in the eClaims Ability.