Transition

Each payer or insurance has its own payer ID number to accept electronic claims. It serves as the electronic address , so the clearinghouse knows which payer/insurance company should receive the claim. Some national payers, such as Aetna...

So, you've completed all of your initial enrollments (EDI for claims; ERA for electronic remits; and RTE for real-time eligibility, if required) but now need a few more. How do you proceed? With TriZetto's STEM portal, the process ...

So, you've completed all of your initial enrollments (EDI for claims; ERA for electronic remits; RTE for real-time eligibility, if required) but now need a few more. How do you proceed? With TriZetto's STEM portal, the proc...

The process of transitioning clearinghouses is pretty straightforward. It will usually just require a redo of the enrollment paperwork. While payers will accept incoming claims (usually EDI or 837 files) from multiple sources (multiple...