Submitting Electronic Claims

AmeriHealth Caritas Ohio accepts claim submissions electronically (via EDI) through Ohio’s PNM portal centralized claims submission process. Visit Claims and Billing for additional details on submitting claims.

Electronic claim payment options (For informational purposes only. Services will be available closer to plan go-live in fourth quarter of 2022.)

Change Healthcare has partnered with ECHO® Health, Inc. (ECHO), a leading innovator in electronic payment solutions, to offer more electronic payment options to our health care providers so that they can select the electronic payment method that best suits their accounts receivable workflow.

Virtual credit card (VCC) services: No action is necessary to start receiving virtual credit card payments.

You will receive VCC payments as your 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, your explanation of payment (EOP) and an instruction page for processing. Normal transaction fees apply based on your merchant acquirer relationship. To opt out of this VCC payment method, you can contact ECHO directly at 1-888-492-5579.

Please note:

  • Payment will appear on your bank statement from PNC and ECHO as “PNC – ECHO”.
  • If you are using a practice management system, to ensure continued receipt of electronic remittance advices (ERAs), you may want to update your software to accept the new ECHO payer ID 58379 in addition to the AmeriHealth Caritas Ohio payer ID 35374.
  • All generated ERAs will also be accessible to download from the ECHO provider portal. Changes to the ERA enrollment or ERA distribution can be made by contacting the ECHO Health Enrollment team at 1-888-834-3511.

New to EFT Payments

If you are interested in receiving payment via EFT, setting up EFT is fast and straightforward. In addition to your banking account information, you will need to provide an ECHO payment draft number and payment amount as part of the enrollment authentication. Please note: Payments from AmeriHealth Caritas Ohio will appear on your bank statement from PNC and ECHO as “PNC– ECHO.”

To sign-up to receive EFT from AmeriHealth Caritas Ohio and any affiliated plans, visit https://enrollments.echohealthinc.com/efteradirect/enroll. You only need to enroll once for all AmeriHealth Caritas Ohio affiliated plans and there is no fee.

To sign up for EFT, from all payers you work with to process payments on the ECHO platform, visit https://enrollments.echohealthinc.com/. A fee for this service may be required.

MedPay

If you are not enrolled with us to receive payments via EFT and you opt out of virtual credit card, and have enrolled for Medical Payment Exchange (MPX) with another payer, you will continue to receive your payments in your MPX portal account. Otherwise, you will receive a paper check via print and mail.

Paper check

To receive paper checks and paper EOPs, you must opt out of the virtual card services by contacting ECHO Health at 1-888-492-5579, after your initial virtual card payment is received.

If you have questions about enrolling in EFT, please see the Change Healthcare/ECHO EFT Enrollment Guide (PDF). 

Providers