YES. YOU HAVE TWO OPTIONS: CAREVU: IF ALREADY SET UP WITH CAREVU, NO ACTION NEEDED. IF YOU WOULD LIKE TO ESTABLISH A CONNECTION DIRECTLY WITH CAREVU, PLEASE COMPLETE THE EDI ENROLLMENT PACKET. FOR MORE INFORMATION CONTACT CAREVU AT 888-744-6638.

OPTUM: PHP HAS GONE LIVE WITH OPTUM EFFECTIVE MARCH 11. 2024. WHERE YOU PREVIOUSLY SELECTED ‘CHANGE HEALTHCARE’ YOU NOW SHOULD SELECT OPTUM.

NO, YOU CAN CONTINUE TO SUBMIT CLAIMS DIRECTLY TO THE HEALTHSMART CAREVU CLEARINGHOUSE AT NO COST.

PLEASE COMPLETE THE EDI ENROLLMENT FORM AND USER LICENSE AGREEMENT POSTED ON PHP’S WEBSITE LOCATED UNDER PROVIDER MATERIALS: HTTPS://WWW.PHPCARES.ORG/PROVIDERS/PROVIDER-MATERIALS/

FAX YOUR COMPLETED DOCUMENT TO (806) 473-2425.

14966

ECHO IS HEALTHSMART’S PAYMENT VENDOR. ECHO IS ONE OF THE LEADING PAYMENT PROCESSORS IN HEALTHCARE CONNECTING OVER ONE MILLION PROVIDERS TO INSURANCE COMPANIES, HEALTH PLANS, AND TPAs ACROSS THE COUNTRY. PROVIDERS WILL HAVE ACCESS TO NUMEROUS SERVICES INCLUDING PAYMENTS AND REMITTANCE DETAILS, THE ELECTRONIC DELIVERY OF 1099s AND NOTIFICATION WHEN NEW PAYMENTS ARE AVAILABLE BY ACCESSING HTTPS://WWW.PROVIDERPAYMENTS.COM/LOGIN.ASPX?RETURNURL=%2F. THIS SERVICE WILL BE AVAILABLE TO ALL PHP PROVIDERS REGARDLESS OF THE PAYMENT METHOD SELECTED.

• ACH / EFT • VIRTUAL CARD MAILED PAYMENT
• VIRTUAL CARD FAX PAYMENT
• PAPER CHECK
• MPX / MEDPAY - PAYMENTS RECEIVED VIA MEDICAL PAYMENT EXCHANGE ARE ACCESSIBLE VIA THE ‘MPX’ PORTAL. PROVIDERS ARE ABLE TO PRINT EACH PAYMENT AS eCHECK, CONVERT THE PAYMENT TO A VIRTUAL CARD IN REAL-TIME, OR ENROLL IN ACH/EFT.

CONTACT HEALTHSMART’S PAYMENT VENDOR, ECHO HEALTH, INC. AT 888-834-3511 (OPTION 3 FOR THE PROVIDER LINE) TO LEARN MORE ABOUT ELECTRONIC PAYMENT OPTIONS AND HOW TO ENROLL, OR REFER TO QUESTION #5 BELOW.

IF YOU ARE CONTRACTED WITH ECHO HEALTH, INC. FOR ALL PAYER ACH YOU ARE AUTOMATICALLY ENROLLED WITH EXISTING AND FUTURE PAYERS FOR EFT AND ERA DELIVERY. YOUR PHP REMITTANCE WILL REFLECT YOUR CONTRACT NUMBER. IF YOU WISH TO MODIFY YOUR CONTRACTUAL ARRANGEMENTS WITH ECHO HEALTH, INC. YOU WILL NEED TO CONTACT ECHO HEALTH, INC. DIRECTLY AT 888-834-3511 OPTION 3 OR REFER TO QUESTION #5 BELOW.

YES. BUT FOR PROVIDERS ALREADY ENROLLED WITH ECHO UNDER ALL PAYER, YOU MUST SUBMIT A SEPARATE ENROLLMENT FOR THE PHP-SPECIFIC SINGLE PAYER ENROLLMENT TO BEGIN RECEIVING PHP PAYMENTS WITHOUT FEES. THE PHP-SPECIFIC SINGLE-PAYER ENROLLMENT IS FOUND AT THE LINK BELOW. YOU WILL NEED A RECENT DRAFT NUMBER FOR A PHP PAYMENT RECEIVED FROM ECHO, AND THE PAYMENT AMOUNT FROM THAT DRAFT IN ORDER TO ENROLL. https://enrollments.echohealthinc.com/EFTERAInvitation.aspx?tp=MDAzMDE=

5-7 BUSINESS DAYS IF THERE ARE NO ISSUES WITH AUTHENTICATION. YOU WILL CONTINUE TO RECEIVE PAPER CHECKS UNTIL THE EFT SETUP IS COMPLETED.

YOU WILL RECEIVE A LETTER ADVISING THE REQUESTED ACCOUNT WAS UNABLE TO BE CONFIRMED BY ECHO’S ACCOUNT VERIFICATION PROCESS, AND WHAT SPECIFIC ITEMS ARE NEEDED TO COMPLETE THE VERIFICATION PROCESS. GATHER THE ITEMS LISTED IN YOUR LETTER AND MAIL TO THE ADDRESS SUPPLIED IN THE LETTER. THERE IS ALSO A CONTACT NUMBER FOR REACHING ECHO WHERE THEY CAN ASSIST OVER THE PHONE WITH PERFORMING THE SECONDARY VALIDATION STEPS OR GIVE INSTRUCTIONS FOR SENDING THE SUPPORT DOCUMENTATION.

NO. ENROLLMENT STATUS IS NOT POSTED ON THE PROVIDER PORTAL.

PAPER CHECK PAYMENTS GENERATED BY ECHO HEALTH, INC. ARE VOID AFTER 150 DAYS AS INDICATED ON THE CHECK ITSELF AS FOLLOWS: 

VOID AFTER 150 DAYS

NO. THERE ARE NO CHANGES TO THE INBOUND 837 CLAIMS SUBMISSIONS.

PAYMENTS WILL BE MADE FROM HUNTINGTON NATIONAL BANK AND ECHO HEALTH INC. AS HNB - ECHO.

HEALTHSMART NO LONGER PROVIDES THIS SERVICE (AS OF APRIL 1, 2022). HEALTHSMART WORKED WITH EXISTING PROVIDERS WHO RETRIEVE THEIR REMITTANCES IN THIS MANNER TO TRANSITION THIS PROCESS TO PAYMENT VENDOR, ECHO HEALTH INC. HEALTHSMART NO LONGER ENROLLS NEW PROVIDERS TO RETRIEVE 835 ELECTRONIC REMITTANCES FROM THEIR OWN CLEARINGHOUSE.

PROVIDERS RECEIVED THE LAST ERAs FROM THE HEALTHSMART CLEARINGHOUSE PORTAL ON 4/7/22. THE 835 TRANSACTION TYPE WAS REMOVED AFTER 90 DAYS AND PROVIDERS NO LONGER HAVE ACCESS TO HISTORICAL REMITS VIA THE HEALTHSMART CLEARINGHOUSE PORTAL.

ECHO HEALTH DOES NOT CURRENTLY PROVIDE AN EXCEL VERSION OF THE PROVIDER REMITTANCE DATA.

THERE IS A FLAT FILE AVAILABLE ON THE ECHO PORTAL THAT CAN BE INGESTED INTO EXCEL BY THE USER. AN EPP PDF DOCUMENT IS ALSO AVAILABLE ON THE ECHO PORTAL TO DOWNLOAD.

NO (EFFECTIVE 3/11/2024). WHERE YOU ARE ENROLLED WITH HEALTHSMART’S PAYMENT VENDOR, ECHO HEALTH INC TO RECEIVE 835 ELECTRONIC REMITTANCES, YOU WOULD NO LONGER SELECT CHANGE HEALTHCARE - EMDEON AS THE TRADING PARTNER, BUT CHOOSE ‘OPTUM’ INSTEAD.

NO. YOU WILL NOT BE ABLE TO OBTAIN HISTORICAL REMITS FROM ECHO UNLESS YOU WERE PREVIOUSLY ENROLLED WITH ECHO HEALTH, INC., NOR DO REMITTANCES BECOME AVAILABLE IN ELECTRONIC FORMAT FOR ANY PAYMENT ISSUED BEFORE COMPLETION OF ERA ENROLLMENT WITH ECHO.

YES. MEDISKED WAS SETUP AS A CLEARINGHOUSE WITH ECHO IN THE DROP DOWN BOX WHEN USING THE ONLINE ENROLLMENT FORM.

TO MIMIC THE WAY YOU HAVE BEEN HISTORICALLY SETUP, SELECT THE ECHO_PROVIDER_PORTAL UNDER METHOD OF RETRIEVAL IN SECTION 7 AND SKIP THE CLEARINGHOUSE AND VENDOR SECTIONS AS DEPICTED BELOW.

YES. YOU CAN ENROLL FOR EFT AND ERA AND CAN ACCESS EITHER BY PORTAL RETRIEVAL OR BY CLEARINGHOUSE DELIVERY. VERY FEW PROVIDERS STILL WANT PAPER, BUT WE ENCOURAGE PROVIDERS TO PRINT THE REMITTANCES THEMSELVES.
ECHO HEALTH, INC CAN SUPPORT EFT/ERA WITH PAPER BUT ONLY IF YOU ARE NOT RECEIVING ERAs FROM ANY OTHER PAYER ON THE ECHO PLATFORM

For more information, visit: https://enrollments.echohealthinc.com/EFTERAInvitation.aspx?tp=MDAzMDE=

HTTPS://WWW.PROVIDERPAYMENTS.COM/LOGIN.ASPX?RETURNURL=%2F

THERE SHOULD BE NO FEES BETWEEN ECHO AND A PROVIDER RECEIVING PAYMENTS FOR PHP MEMBERS UNLESS YOU WERE PREVIOUSLY CONTRACTED WITH ECHO UNDER ANOTHER PAYER WHERE THE CONTRACT STIPULATES FEES. IF SO, FEES WOULD BE LISTED AT THE BOTTOM OF THE EPP IN A LINE ITEM LABELED "ECHO Service Fee" ALONG WITH THE CONTRACT NUMBER FOR REFERENCE.

PLEASE NOTE FEES INCURRED FOR THE PROVIDERS USING THE VCARD PAYMENT METHOD ARE FROM YOUR FINANCIAL INSTITUTION OR CARD PROCESSING TERMINAL. AS THEY ARE NOT FEES FROM ECHO, THEY ARE NOT LISTED ON THE EPP.