As a valued CCHP provider, we are committed to keeping you updated on the latest developments related to our health plan and member programs and services. We'll inform you of important news, updates and announcements allowing you to provide the highest quality of care to your patients.
Recent updates:
Optum - Change Healthcare outage and payment service update
Optum - Change Healthcare (CHC) is our vendor to print checks, provide electronic explanation of payments (EOPs), and for coordination with banks for claim payments. CHC, a subsidiary of UnitedHealth Group, is experiencing a cyber-security issue. Once we became aware of the outside threat, in the interest of protecting our partners and members, we took immediate action to disconnect our systems to prevent impact.
Click here to stay informed of the situation. UnitedHealth Group is providing regular updates on a newly launched website.
To mitigate the issue and minimize further financial impacts to our providers, starting April 10, 2024, we’re switching from Change Healthcare to InstaMed for payment services. InstaMed registration information:
- If you are already registered with InstaMed from any payer, you’re already set up to start receiving payments through Instamed.
- If you are not registered, InstaMed will issue paper checks.
- If you would like to avoid paper checks, please see below on how to register with InstaMed.
The cyber-security issue has impacted how CCHP receives claims. Please click the button below to learn how to submit electronic and paper claims for our Medicaid and Individual and Family Plan lines of business. Please click here to learn how to submit claims.
Medicaid payments beginning April 10th
CCHP will begin making Medicaid payments beginning April 10th.
- If you have signed up for Instamed, you will receive all claim payments that have been held due to the Change Healthcare issue on 4/10.
- Providers will need to use Instamed to access 835s, ERAs, and EOPs.If you have not signed up for Instamed yet, all claims payments and EOPs will be mailed the week of April 8th.
Please use the links below to sign up for EFT/ERA enrollment with InstaMed. If you are already signed up through InstaMed you do not need to register again. Although each provider TIN and NPI needs to be registered with InstaMed to receive electronic payments. If a provider does not sign up for InstaMed a paper check and paper EOP will be sent.
Register today, click here. Providers are encouraged to use the online registration solution, however providers can also contact InstaMed’s network development team at 866-945-7990 to register. Quick how-to videos are linked below for further assistance. Thank you for your continued patience and if you have any questions please contact our Provider Relations team at CCHPProviderRelations@chorushealthplans.org.
Guiding Care is live
CCHP has launched a new Provider Authorization Portal through Guiding Care. No authorizations will be accepted in CareWeb and will need to be submitted in Guiding Care. As a valued provider in the CCHP network we want to make sure you feel confident using the new Guiding Care Provider Authorization Portal. We have information, resources and more available to you here. Thank you for your ongoing partnership in providing high quality care to our members!
STAY CONNECTED WITH EMAIL
We are committed to keep providers and staff informed of the most up-to-date information, fostering a strong partnership resulting in the highest quality of member care.
Our provider communications include our newsletter, The Provider Pulse, sent quarterly and our email, the CCHP Newsflash, sent as needed providing important updates.
Both emails will provide you with the latest information on these topics and more:
- New and updated policies and procedures.
- Provider portal updates.
- Code changes.
- Claim and authorization updates and tips.
- Training and education opportunities.
- Patient programs.
- Contacts and resources.
View editions of The Provider Pulse newsletter:
View the latest CCHP Newsflash emails: