New Payer
Change Healthcare Setup
- Go to Payer Search and find the payer.
- Enroll the payer in the following service (if required):
- submit claims
- get remittance reports
- Save the config and use it in the following step
Add Payer definition and config
- Create Payer migration
Change Healthcare Fields
Use field names from the Payer Search results list.
- Add Payer to model
- (Optional) Add Source
Onboarding updates
- Required forms for Onboarding setup
Claims automation
- Create job for fetch billable objects job and schedule it at Resque scheduler
- If grouping is needed, create a grouping service
- If there is some custom fields or consideration for the payer, create a payload generator
- Add services rates
- Check if there is an enrollment needed for the payer, and submit them on ChangeHealthcare enrollments portal
- Follow-up reporting and make the necessary code changes since the payer could retrieve new statuses for claims 277 reports