Please make your selection from the following available transaction types:
Provider Quick Reference User Guide
Claims Enrollment Forms
To submit claims for patient visits, providers must first be set up in the Change Healthcare system. The provider can submit an enrollment form themselves, or instruct their vendor to access the Change Healthcare self-service enrollment portal to create a direct linkage.
ERA Enrollment Forms
To receive ERA files directly from your vendor, providers must be set up in the Change Healthcare system to receive ERAs. This is completed by the submission of either an enrollment form or direct link by a vendor who has access to the Change Healthcare self-service enrollment portal.
Real-time Enrollment Forms
Real-time functions provide the ability to verify eligibility, check claims status, locate providers, review requests and responses, and make claim-related financial inquiries.
EFT Enrollment Forms
ePayment/EFT allows providers to receive payments electronically from payers that have contracted with Change Healthcare to perform this service.