Revise payer in SE

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Aug 6th, 2022
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How to revise payer in SE

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Got questions?

Below are some common questions from our customers that may provide you with the answer you're looking for. If you can't find an answer to your question, please don't hesitate to reach out to us.
Contact us
If you are an existing EFT member with Change Healthcare and wish to add another payer to your service, please call 1-866-506-2830, option 2 to speak with an enrollment representative.
How can I view my EOB/ERA? View your EOB/ERA by logging into the Payment Manager portal. Access can be requested after setup for EFT: . If a provider is set up for EFT, they can view electronic payments and ERA via the Payment Manager portal: .
In certain situations, however, federal Medicare Secondary Payer (MSP) law prohibits Medicare from making payments for an item or service when payment has been made, or can reasonably be expected to be made, by another insurer such as a liability plan.
Value codes are required on an institutional claim to identify data elements such as: Medicare lifetime reserve days, no-fault payments, and the number of days not covered by the primary payer.
Denial code 12 is used when the diagnosis provided by the healthcare provider does not match the type of provider submitting the claim. This means that the diagnosis code does not align with the services typically offered by that specific provider.
What does each code mean? An explanation of the codes (from the EDI standards) is as follows. 12: Working Age Beneficiary or Spouse with Employer Group Health Plan. 13: End-Stage Renal Disease Beneficiary in the Mandated Coordination Period with an Employers Group Health Plan.
Value Codes CodeDescription 12 Working Aged Beneficiary Spouse With an EGHP (Payer Code A) 13 ESRD Beneficiary in Medicare Coordination Period With an EGHP (Payer Code B). Enter 6 zeros (0000.00) in the amt field if claiming conditional pay because EGHP has denied coverage144 more rows Dec 9, 2023
CPIDPayer NamePayer ID 1057 LACH HEALTHNET BY MEDPOINT MPM19 1058 FENIX MEDICAL GROUP 60818 1059 ST. FRANCIS - HCLA BY MEDPOINT MPM30 1060 SOUTHERN CA HEALTHCARE SYSTEM ALTA POD BY MEDPOINT MPM20161 more rows

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