eClaim Changes in Build 15.18.7
- Dylan Nigh
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:
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.
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.
Other than the configuration changes listed below, there should be no changes in claim submission or reports retrieval.
Claims that were created back in Februry will need to be re-created if they have been submitted to another clearinghouse or payer. If claims were left untouched and unsubmitted since February, these can be re-sent.
To Configure the ProxyMed Template for CHC and ECG for Medical Claims, or the Capario_Dental Template for Dental Claims use the following settings:
Submission URL for Change Healthcare/ECG will be:
ecgpe.healthtechnologygroup.comSubmission Location - claims/
Retrieval Locations:
Reports: reports/
ERAs: era/
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.
Username and Password should carry over from previous installation.
Submission URL for Inovalon will be:
sftp.accessrcm.abilitynetwork.comSubmission 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.