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Electronic Claims (eClaims)

5. Next Steps

You have successfully signed up for automated electronic claims with Change Healthcare. Change Healthcare will contact your agency within five (5) business days to start the setup and integration of your Change Healthcare account with WellSky Personal Care. The implementation process can take up to 35 days to complete and includes the following:

  • WellSky Personal Care will enable the electronic claims features in your WellSky Personal Caresite
  • Kick-off call with the Change Healthcare Implementation Team Account creation and setup (or connection to WellSky Personal Care for existing Change Healthcare accounts)
  • If you have not completed the Change Healthcare Fast Track Form, contact your WellSky Personal Care eClaims representative for next steps

Product Documentation

Revenue Performance Advisor

Contact Change Healthcare

Check out ClearCare’s Community articles to help you get started. Self-guide your payer setup, creating and downloading claims from ClearCare, troubleshooting and more

Learn more about RPA, Change Healthcare’s end-to-end revenue cycle management portal.

If you have any questions during the implementation process or need assistance with payer setup, contact Change Healthcare. You can Call Change Healthcare Support at 800.792.5256

Contents
What is eClaims? How does it work?  What's in it for me?

What is eClaims?

All-in-One Integrated Claims Management

WellSky Personal Care’s integrated electronic claims allow agencies to manage the round-trip revenue cycle management for claims quickly and efficiently. WellSky Personal Care is integrated with Change Healthcare, a leading clearinghouse system providing end-to-end revenue cycle management that helps streamline workflows and simplify collections -- making it easier to get paid by patients and payers. It's essential that your revenue cycle processes are operating at peak performance. Change Healthcare’s integration with WellSky Personal Care alongside the Revenue Performance Advisor management portal can help:

  • One-click claim submission
  • Track claim status, edit, correct, and re-submit claims
  • Log into Revenue Performance Advisor for advanced claims management
  • View payment notices related to associated claims
  • Track A/R using ClearCare’s Receivables reports

Why Change Healthcare?

 

About ClearCare Integrated Electronic Claims

  • More than 30 years of industry expertise helping businesses like yours optimize the revenue cycle.
  • Exceptional customer experience using the Revenue Performance Advisor (RPA) Portal, an all in a single, easy-to-use revenue cycle software solution.
  • First-pass clean claims rate of 99%: Claims are validated and scrubbed before submission, helping to reduce errors and rejections.
  • Artificial Intelligence (AI) and Machine Learning (ML) is used to help providers identify and mitigate denials before they happen.
  • Preferred Clearinghouse of the US Department of Veteran’s Affairs
  • WellSky Personal Care Partner since 2015: Integrated with Change Healthcare’s network and RPA portal to deliver a seamless agency experience with an added revenue cycle management workflow and reporting.

How does it work?

Electronic-Claims-How-it-Works-Integrated-1
available_claim_submission_format_v3

What's in it for me?

bullet-iconFlexible options to suit your agency’s requirements

Leverage the integration with Change Healthcare to manage your entire claims revenue cycle from within ClearCare or download your claim data in 837i/p format to submit claims manually and manage the revenue cycle directly with the payer or preferred clearinghouse.

bullet-iconSimplify reconciliation and reporting

Link payment information to invoices in ClearCare. Use existing financial reporting and ClearCare’s QuickBooks integration to track electronic claims activity.

red-triangleSubmit, track, and manage claims easier

Claims are validated and scrubbed before submission, helping to reduce errors and rejections. Change Healthcare has a first-pass clean claims rate of 99%.

red-triangleReduce time on the phone with payers

Verify eligibility and benefits coverage. Our nationwide connectivity with thousands of payers helps simplify and automate the entire process.

red-triangleOptimize cash flow

Simplify rejections and denials management. Perform real-time edits on rejected claims and resubmit within minutes. Streamline denials with pre-populated appeal letters.

red-triangleSpend more time with clients and less time chasing revenue

Performance Advisor helps streamline workflows, facilitate faster payment, and enhance client satisfaction.

red-triangle Benefits of using the Change Healthcare Integration

 

enrollment-benefits-v2

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