CAQH enroll hub
AnsweredHi,
Is it required to fill out CAQH enroll hub for some insurance companies? I intend on using Simple practice as my clearing house. Should I still use CAQH as well?
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I have been waiting for Enrollhub to come back online since December 27, 2019. When I contacted them yesterday, they stated that there was a "security issue" and had to take their site offline. This is really delaying things to be completed with United Health Care and Tricare East.
I was looking into Availity to help manage ERA enrollment. Does SimplePractice or Eligible have an Availity Customer ID?
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I got a notice today from Martin's Point Health Care stating that they will be using 3 EDI options starting April 1st. The choices are Change Healtcare, Office Ally and Relay Health. Does simple practice work with any of these venders for electronic claims? Thank you for your assistance.
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Hi Abigail, happy to help. Martin's Point Health Care can be billed through SimplePractice without you needing to enroll first. SimplePractice's clearinghouse, Eligible, sometimes connects to payers through third parties, so payers don't always list SimplePractice as an option for EDI even though we do fully support claim submission to Martin's Point. Let me know if you have any additional questions about this, or anything else SimplePractice. I'm here to help.
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Hi, I hope this is the correct forum for this issue. While setting up EFT/ERA through CAQH EnrollHub, they asked if I need to request receipt of the ACH Payment Related Information from my financial institution. It is not indicated for those practices who use a vendor or clearinghouse. I am curious, before I contact my bank, does Eligible play a part in the transfer of the ERA related information mentioned? Thank you in advance.
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Hi Teresa, SimplePractice has its own clearinghouse - you may want to consider using our fully integrated insurance billing platform instead.
John, yes, our clearinghouse Eligible receives Payment Reports from payers and transmits them to your SimplePractice account electronically.
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Hi John, that depends. Are you enrolling in EFT (electronic fund transfer/direct deposit)? If so, you may need to use CAQH Enrollhub. Otherwise, any interfacing you do with outside clearinghouses outside of the ERA/EDI enrollment process (Payment Reports and claim filing) is superfluous.
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Hi, It does not look like this is managed anymore by Simple Practice, but I have a CAQH problem. My understanding was that Kaiser or SImple Practice made it so that I had to enroll with CAQH, so I thought I had only to find out I have to use CAQH pro? I am not contracted with Kaiser (though thinking of it) but only a "letter for a payment provider". So, when I finally go on CAQH pro I realize this is a whole credentialing process, which I would rather avoid but I have not been paid from Kaiser since last November! I was happy with my checks in the mail. I have also sent a message to simple practice to try to speak with someone. Of course, I have been in the Kaiser maze too. It's all very confusing. Any help would be great. If any NorCal folks are here you can email me? Bridget@bridgetbertrand.com It seems Kaiser, norcal was the one wanting me to use CAQH but I was happy with my simple practice format.
Ok, thanks for reading :)
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