Electronic Claims Submission, Payment, and Remittance Advice Services

PerformCare contracts with Optum/Change Healthcare and Availity for 837 file submission and PCH Global and Optum/Change Healthcare for Direct Data Entry of electronic claims.

Electronic Claims Submission (EDI)

PerformCare claims can be submitted electronically through Optum/Change Healthcare, Availity, or via another clearinghouse. Contact your Practice Management System Vendor or EDI clearinghouse to inform them that you wish to initiate electronic claim submissions to PerformCare.

PerformCare does not require you to enroll with Optum/Change Healthcare or Availity to submit electronic claims. If you already use another EDI vendor to submit claims electronically, inform your vendor of PerformCare EDI payer ID 65391.

Claims submission via Optum/Change Healthcare

Providers who have a limited ability to submit claims through their hospital or project management system may now benefit from key features of the new ConnectCenter tool. There is no cost to providers to use ConnectCenter.

Key features are:

• Claims users no longer need to choose between data entry of claims and upload of 837 files. All users may do both.
• Secondary and tertiary claims can be submitted.
• Institutional claims are supported.
• Claims created online are fully validated in real-time so that providers can correct them immediately.
• Whether providers upload their claims or create them online, the claim reports are integrated with the claim correction screen for ease in follow-up.
• Dashboard and work list views enables providers to streamline their billing to-do list.
• Remittance Advice is automatically linked to a provider's submitted claim, providing a comprehensive view of the status of their claim.

To transition to the new portal go to ConnectCenter and click Sign Up. If prompted for the Vendor Code, use Vendor Code 214629. Change Healthcare customer support is available through online chat or call 1-800-527-8133, option 2 for assistance.

To learn how to navigate ConnectCenter visit the resources below. 

Video Tutorials

• Create a Claim

User Guides

• Enrollment Central (PDF)
• Claims — Getting Started (PDF)
• Claims — Status (PDF)
• Claims — Uploading a Claim (PDF)
• Eligibility — Getting Started (PDF)
• Keying Institutional Claims (PDF)
• Keying Professional Claims (PDF)
• Provider Management — Getting Started (PDF)
• Provider Sign-Up and User Management (PDF)
• Remits — Getting Started (PDF)

Reporting and Analytics support

For historical claims and remits from WebConnect after September 15, 2021, go to the Change Healthcare customer portal or call 1-877-603-1968, option 3.

1. Begin by selecting Customer Portal from ConnectCenter's claims menu.
2. Choose the Forgot Password link. 
3. Provide your email address and the same username you formerly used to access the Emdeon Office/WebConnect portal.
4. Once your new password is emailed to you, please make note of the username and password.
5. Use these credentials on the Customer Portal page whenever you need access to old claims.

Claims submission via Availity

Providers or clearinghouses not currently using Availity to submit claims, must register at: https://www.availity.com/intelligent-gateway/. Please note: The 275 Claim Attachment transaction is available via Availity.

• Availity 275 Claim Attachment Transactions: PerformCare is accepting ANSI 5010 ASC X12 275 claim attachment transactions (unsolicited) via Availity. Please contact your Practice Management System Vendor or EDI clearinghouse to inform them that you wish to initiate electronic 275 claim attachment transaction submissions via payer ID: 65391.
• A maximum of 10 attachments are allowed per submission. Each attachment cannot exceed 10 megabytes (MB) and total file size cannot exceed 100MB. The acceptable supported formats are pdf, tif, tiff, jpeg, jpg, png, docx, rtf, doc, and txt.
• There are two ways 275 claim attachment transactions can be submitted:
• Batch — You may either connect to Availity directly or submit via your EDI clearing house.
• Portal — Individual providers may also register at: https://www.availity.com/Essentials-Portal-Registration to submit attachments.
• After logging in, providers registered with Availity may access the Attachments - Training Demo for detailed instructions on the submission process via: Training Link
• Specific 275 claim attachment transaction report codes must be used when submitting an attachment. View the Submit 275 Claim Attachment Transaction (PDF) for the list of applicable codes.

Claims Submission via PCH Global:

• PCH Global – Providers not currently using PCH Global must enroll for claims submission at: https://pchhealth.global.

• Complete the registration process and log into your account. You will be asked how you heard about PCH Global; select Payer, then AmeriHealth. Access your profile by clicking on Manage User and then My Profile. You will need to complete all the profile information.

When you are ready to submit claims, use the following information to search for our payer information:

1. Payer name: AmeriHealth PerformCare
2. P.O. Box: 7308

For a detailed walk through of the registration process, refer to the PCH Global Registration manual, found on the PCH Global website in the Resource Menu.

Electronic Claim Payment Options

PerformCare partners with ECHO Health, Inc. (ECHO Health), a leading innovator in electronic payment solutions, to offer more electronic payment options to our providers so that they can select the payment method that best suits their accounts receivable workflow.

Virtual Credit Card (VCC)

ECHO Health offers Virtual Credit Cards as an optional payment method. Virtual Credit Cards are randomly generated, temporary credit card numbers that are either faxed or mailed to providers for claims reimbursement. Major advantages to VCC are that providers do not have to enroll or fill out multiple forms in order to receive VCC, and personal information, like practice bank account information, will never be requested. Providers will also be able to access their payment the day the VCC is received.

In the future, PerformCare providers who are not currently registered to receive payments electronically will receive VCC payments as their default payment method, instead of paper checks. Your office will receive either faxed or mailed VCC payments, each containing a VCC with a number unique to that payment transaction with an instruction page for processing and a detailed Explanation of Payment/Remittance Advice (EOP/RA). Normal transaction fees apply based on your merchant acquirer relationship. If you do not wish to receive your claim payments through VCC, you can opt out by contacting ECHO Health directly at 1-888-492-5579.

Electronic funds transfer (EFT)

Electronic funds transfers allow you to receive your payments directly in the bank account you designate rather than receiving them by VCC or paper check. When you enroll in EFT, you will automatically receive electronic remittance advices (ERAs) for those payments. All generated ERAs and a detailed explanation of payment for each transaction will also be accessible to download from the ECHO provider portal. If you are new to EFT, you will need to enroll with ECHO Health for EFT from PerformCare.

Please note: Payment will appear on your bank statement from PNC Bank and ECHO as "PNC – ECHO."

To sign up to receive EFT from PerformCare visit https://enrollments.ECHOhealthinc.com/efteradirect/enroll. There is no fee for this service.

To sign up to receive EFT from all of your payers processing payments on the Settlement Advocate platform, visit https://enrollments.ECHOhealthinc.com. A fee for this service may be required.

If you have questions regarding how to enroll in EFT, please reference the PerformCare EFT Enrollment Guide (PDF).

Electronic remittance advice (ERA)

PerformCare now also offers ERAs (also referred to as an 835 file) through Change Healthcare/ECHO Health. To receive ERAs from Change Healthcare and ECHO, you will need to include both the Change Healthcare PerformCare payer ID and the ECHO payer ID 58379.

All Change Healthcare/ECHO HEALTH generated ERAs and a detailed explanation of payment for each transaction will be accessible to download from the ECHO provider portal. If you are a first time user and need to create a new account, please reference Echo Health's Provider Payment Portal Quick Reference Guide (PDF) for instructions.

Contact your practice management/hospital information system for instructions on how to receive ERAs from PerformCare under Payer ID 65391 and the ECHO Payer ID 58379. If your practice management/hospital information system is already set up and can accept ERAs from PerformCare then it is important to check that the system includes both PerformCare and ECHO Health Payer ID 58379 for ERAs.

If you are not receiving any payer ERAs, please contact your current practice management/hospital information system vendor to inquire if your software has the ability to process ERAs. Your software vendor is then responsible for contacting Change Healthcare to enroll for ERAs under PerformCare and ECHO Health Payer ID 58379.

If your software does not support ERAs or you continue to reconcile manually, and you would like to start receiving ERAs only, please contact the ECHO Health Enrollment team at 1-888-834-3511.

For enrollment support, please contact ECHO Health Inc. at 1-888-834-3511.

If you have additional questions regarding VCC, EFT, or ERAs, please reference our FAQ (PDF) or call Echo Health Support team at 1-888-492-5579.