ePayment FAQs

Below includes commonly asked questions regarding Emdeon ePayment - simply click the questions below to learn more.

 

• What is an electronic funds transfer (EFT)?
• When a provider enrolls with Emdeon ePayment, how are claim payments distributed?
• What are the benefits of switching from paper-based to electronic claims payments?
• Will providers receive payments more quickly if they sign up for Emdeon ePayment?
• Will the provider be charged any service fees for enrolling with or using Emdeon ePayment?
• If providers use a billing service, clearinghouse or other entity to submit their claims and collect the receivables, can they still enroll with Emdeon ePayment?
• Can Emdeon or the health plan payer make debit or adjustment entries to a provider's account without authorization?
• How do providers receive more information about Emdeon ePayment?
• How many payers are enrolled with Emdeon ePayment?
• Do providers have to complete a separate EFT agreement for all health plan payers?
• Can Emdeon ePayment support payment distribution to multiple bank accounts under the same Provider Tax ID?
• Will providers continue to receive paper remittance statements once enrollment with Emdeon ePayment is complete?
• Will the provider be able to access the associated remittance advice?
• How do providers initially enroll for the EFT program?
• How can providers enroll online?
• How can providers enroll by mail or fax?
• What number should providers call for help with Emdeon ePayment?
• How can the provider confirm that their Emdeon ePayment enrollment is complete?
• Once the enrollment form is faxed/mailed or completed online, how long until the provider receives an EFT payment?
• How can a provider terminate an EFT agreement?

 

What is an electronic funds transfer (EFT)?

Electronic funds transfer or EFT is the electronic exchange or transfer of money from one account to another, either within a single financial institution or across multiple institutions, through computer-based systems.

When a provider enrolls with Emdeon ePayment, how are claim payments distributed?

When a healthcare provider enrolls with Emdeon ePayment to receive claim payments electronically, payer claim payments are distributed via the Automated Clearing House (ACH) Network which is the financial network run by the Federal Reserve that acts as a clearinghouse for electronic debit and credit transactions. An ACH credit, which is a type of EFT transaction, is initiated to transfer the funds from the payer directly to the provider’s bank account.

What are the benefits of switching from paper-based to electronic claims payments?

• The reimbursement cycle can be accelerated since providers can receive EFT payments more quickly than check payments sent through the mail
• Payments can be distributed more securely by virtually eliminating check payments lost in the mail
• Cash flow can be accelerated since manual processes like sorting and opening mail, reconciling paper-based claims payments, creating deposit tickets and making trips to the bank are bypassed

 

Will providers receive payments more quickly if they sign up for Emdeon ePayment?

By switching from paper-based to electronic claims payments, providers can receive claim payments more quickly in comparison to mailed check payments. In most situations, funds are available on the date the payment is credited to the provider's bank account.

Will the provider be charged any service fees for enrolling with or using Emdeon ePayment?

No.

If providers use a billing service, clearinghouse or other entity to submit their claims and collect the receivables, can they still enroll with Emdeon ePayment?

Yes. Providers can enroll with Emdeon ePayment while continuing to use a billing service, clearinghouse or other entity to submit their claims and collect the receivables.

Can Emdeon or the health plan payer make debit or adjustment entries to a provider's account without authorization?

In the event of an inaccurate transaction, Emdeon reserves the right to reverse an EFT payment within 48 hours and in accordance with NACHA rules and regulations.

How do providers receive more information about Emdeon ePayment?

Providers can visit www.emdeon.com/epayment to learn more about Emdeon ePayment or to request additional information.

How many payers are enrolled with Emdeon ePayment?

Emdeon processes EFT payments on behalf of over 50 payers. To view the list of participating payers, please visit our Payer Lists page. Please select the EFT, ERA or Remittance Image tab to view the current list of payers available for these services.

Do providers have to complete a separate EFT agreement for all health plan payers?

By enrolling with Emdeon ePayment, providers have the opportunity to select from the entire list of enrolled payers without having to enroll multiple times. Some payers may require additional information to switch from paper to electronic claim payments.

Can Emdeon ePayment support payment distribution to multiple bank accounts under the same Provider Tax ID?

Yes, though this varies by payer. Emdeon ePayment can support payment distribution to multiple bank accounts under the same Provider Tax ID for claim payments issued by payers who support this format.

Will providers continue to receive paper remittance statements once enrollment with Emdeon ePayment is complete?

By enrolling with Emdeon ePayment, the provider is authorizing electronic deposit instead of a live check and paper remittance. Upon successful enrollment, there is a payer defined transitional period (usually 45 days) during which EFT's will be deposited into the desired account(s) while delivery of the paper remittances is continued. At the end of this transitional period, the delivery of printed remittance advices will cease. Providers can temporarily change paper cut-off preferences by calling Emdeon Enrollment Support by dialing 866.506.2830or emailing EFTEnrollment@emdeon.com.

Will the provider be able to access the associated remittance advice?

Providers can easily search, view and print human-readable images of the ERA using Emdeon Payment Manager, an online application available for Emdeon ePayment users. Using the basic version of Emdeon Payment Manager providers can also download HIPAA-formatted 835 ERA files for any of Emdeon’s participating EFT Payers.

How do providers initially enroll for the EFT program?

Providers have two options for enrolling. Providers can either enroll online or download a form and mail or fax the completed form to Emdeon to complete enrollment.

How can providers enroll online?

To get started, providers can simply complete the online registration form. After the information is verified, a Welcome Kit is emailed to the provider with their account information and instructions for completing enrollment including setting payer preferences and adding bank accounts.

How can providers enroll by mail or fax?

Providers can download an enrollment form and mail or fax the completed form to Emdeon to complete enrollment. To enroll, providers can download one of the following forms depending on the number of bank accounts they wish to receive electronic payments.

For multiple bank accounts, providers can download the Multiple bank account enrollment form. For one bank account, providers can download the Single bank account enrollment form. Providers can submit their completed form by faxing it to 615.238.9615 or mailing it to the address below.

Emdeon Electronic Payment Service Enrollment Request
P.O. Box 148850
Nashville, TN 37214

What number should providers call for help with Emdeon ePayment?

Providers can call 866.506.2830 for assistance.

How can the provider confirm that their Emdeon ePayment enrollment is complete?

A small deposit will be processed to the provider's account to verify the provider’s bank routing and account number. Upon confirmation of the deposit amount:

• If the provider is an existing Payment Manager user, their services will be enabled under the assigned account.
• If they are a new Payment Manager user, they will be given a username and password for their new account. Please allow 5 to 10 business days to verify provider bank accounts and ensure all the security measures are taken.

 

Once the enrollment form is faxed/mailed or completed online, how long until the provider receives an EFT payment?

The exact length of time will vary, though on average, providers can expect to receive their first EFT payment 10 – 15 business days after completing Emdeon ePayment enrollment.

How can a provider terminate an EFT agreement?

The authorized individual who enrolled for EFT and has access to the provider account at Emdeon can suspend their EFT enrollment by contacting Emdeon EFT Enrollment Support: 866.506.2830.