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New Payer

Change Healthcare Setup

  1. Go to Payer Search and find the payer.
  2. Enroll the payer in the following service (if required):
    • submit claims
    • get remittance reports
  3. Save the config and use it in the following step

Add Payer definition and config

  1. Create Payer migration
Change Healthcare Fields

Use field names from the Payer Search results list.

  1. Add Payer to model
  2. (Optional) Add Source

Onboarding updates

Claims automation

  1. Create job for fetch billable objects job and schedule it at Resque scheduler
  2. If grouping is needed, create a grouping service
  3. If there is some custom fields or consideration for the payer, create a payload generator
  4. Add services rates
  5. Check if there is an enrollment needed for the payer, and submit them on ChangeHealthcare enrollments portal
  6. Follow-up reporting and make the necessary code changes since the payer could retrieve new statuses for claims 277 reports