Supported Clearinghouses

CharmHealth is integrated with two Clearinghouses, viz., 'Optum 360' and 'Change Healthcare (Emdeon)'. Both these Clearinghouses support about 2500 Payers each. This covers most of the Payers that Practices work with. Before choosing your favorite Clearinghouse, check out their supported Payer list and their pricing.

• Optum
  1. Supported Payers List
  2. Enrollments for Optum
• Change Healthcare
  1. Supported Payers List
  2. Enrollments for Change Healthcare
• For Any other Clearinghouses

Optum

Supported Payer List

Enrollments for Optum

Practice needs to do ERA enrollment with the Payers to get the ERAs to the Clearinghouse account automatically. A few Payers require enrollment to use Eligibility and for Electronic Claim Submission.

To get the complete list of Payers that needs enrollment, one should check the 'Enrollment' column in the appropriate payer list. When Enrollment is 'TRUE', it denotes that the Payer requires enrollment. Refer to the screenshot from the Optum payer list.

(i) Eligibility Enquiry:

A few Payers that need enrollment to do eligibility checks are:

• Medicare and Medicaid plans
• Some commercial payers such as Kaiser Permanente Northern CA and Michigan Blue Cross Blue Shield

(ii)Electronic Claim Submission

A few payers that need enrollment for Electronic Claim Submission are:

• All Medicare and Medicaid plans
• Majority of Blue Cross/Shield plans
• Avalon Healthcare Solutions North Carolina
• Beacon Health Option
• Health West / CHP

Change Healthcare (Emdeon)

Supported Payers List

You can access the Payer List home page from the URL given below. https://support.changehealthcare.com/customer-resources/payer-lists/revenue-performance-advisor-payer-list

Enrollment for Change Healthcare (Emdeon)

(i) Eligibility Enquiry:

(ii) Electronic Claim Submission (LOB - Professional)