Payers determine on their own what type of information they return to us to populate in patient accounts. The differences are referred to as "reporting levels".
For Change Healthcare (fka Emdeon), they are as follows:
1) File Level Acknowledgement
2) Claim Level Acknowledgement
3) Claim Level Reject
4) Claim Level Accept/Reject
5) Claim Level Accept/Reject and Pending Status Information
To determine what level a particular payer is on, you need to look them up on the Change Healthcare site.
- https://support.changehealthcare.com/customer-resources/payer-lists If this link does not work, google "change healthcare payer list" and you should be able to find it.
- You want to select:
- You should see the following screen:
- On the right side of the screen, you should see a settings gear:
- Once you click it, a box will open that gives you a listing of column settings. From this list check the box next to the report level and click on save settings.
- Your screen will now include a column titled Report Level. This is where you can see the information each payer sends back.
Each payer product will list the information in the column when applicable.
The download legend option will give you a detailed description of all of the available section headers.
