Ability Setup - Table of Contents

Summary

ABILITY Integrated Solution is the system’s Clearinghouse for Claim submission and Remittances. According to CMS guidelines you can only use one clearinghouse at a time. Therefore, you must inform ABILITY when you will be using them. To set up for processing claims through ABILITY you must:

1. Enter the Payer ID found on the Ability Payer List in the NAIC Code field in eCR on the Insurance screen for every Payer you will be using.
2. Select either 35 Ability Professional or 36 Ability Institutional as your Billing Format in eCR on the Insurance screen for every Payer you will be using.
3. Check every Payer for Enrollment requirements (found on the Ability Payer List).
4. Check every Payer for ERA’s (found on the Ability Payer List).
5. Once you have completed ALL these steps, then you can begin processing claims through ABILITY.

Access

1. Here is a link to the ABILITY Payer List you can copy and paste into a web browser. External link below:
   http://abilitynetwork.com/payer-list/
   
   
    
2. We have created an Excel document to be used during this process. For TGI to assist in this. conversion process we ask that you complete this document. Be sure to ask your PM to provide you this file or refer to the link found in eCR University.
   
   
    

Table of Contents

(Click a topic to view the article)

Set up Payers in eCR

Payer Enrollments

ERA Enrollments

Payer End-point

Process Claims