New Contractor Will Assist With EDI Claims Submissions

September-October 2021

healthcare billing forms

In an effort to help better serve our L.A. Care Provider Network, L.A. Care has contracted with Change Healthcare to become the exclusive clearinghouse for the submission of all your Electronic Data Interchange claims (EDI).

Change Healthcare Benefits

Making Change Healthcare our exclusive clearinghouse for the submission of electronic claims will provide you with the following benefits:

  • Allows our providers to directly submit electronic claims to Change Healthcare.
  • In addition, providers will have the improved ability to verify electronic eligibility for our members via the 270/271 EDI Transaction and perform claim status lookup via the 276/277 Transaction.
  • Reduce provider administrative fees related to the submission of claims, eligibility, and claims status transactions.
  • Allows L.A. Care the ability to create and customize the frontend edits to help you improve the submission of your data and ensure your claims are processed accurately and in a timely manner.
  • Allows our providers to submit electronic claims at no cost to you. Please note that using the free billing option will only be available to those providers that do not currently have a business relationship with Change Healthcare and will allow only the direct submission of electronic claims to L.A. Care.
  • Allows our providers to submit electronic attachments through Change Healthcare’s attachment portal. This functionality is currently being developed and will be available in the near future.

Though you may still continue using your current clearinghouse to submit electronic claims to L.A. Care for the next few weeks, you must fully transition all your electronic claim submissions to Change Healthcare no later than October 31, 2021. Failure to route your claims through Change Healthcare after this date will result in the rejection of your claims from your current clearinghouse.

What You Need to Do

  • If you currently use Change Healthcare as your clearinghouse to send claims to us, no action or change is required.
  • If you are not currently submitting your L.A. Care claims through Change Healthcare but do submit claims for other health plans using Change Healthcare, please contact Change Healthcare and have them route your electronic claims to L.A. Care using Payer Id: LACAR or CPIDs 5988 and 6484.
  • If you currently do not have a business relationship with Change Healthcare and would like to sign-up with them for all your EDI business needs, please contact their support team at 800-527-8133
  • If you currently do not have a business relationship with Change Healthcare or submit your claims electronically and would like to take advantage of their free paper billing option, please go to the Connect Center portal and sign up to enter claims directly to Change Healthcare.

For additional information using Connect Center to submit your claims at no cost, please go to Change Healthcare's video document.

If you have any further questions or experience any issues, you may reach out to Change Healthcare Support at 800-527-8133 (option 1) or L.A. Care Health Plan.