Enrollment can be automatic, but it can also be manual. Manual meaning that the Insurance Company (Payer) must approve the movement of Claims or ERAs to/from My Clients Plus. Below you will find a list of Payers that do require manual Enrollment.
- A red dot in the Claims column means EDI Enrollment is required. Wait until you receive approval from them before you can start submitting Claims using Apex Clearinghouse.
- A green dot in the Claims column means EDI Enrollment is not required.
IMPORTANT: The Apex Payer ID could be different from the Payer ID for your current Clearinghouse.
IMPORTANT: We advise that you do NOT hold on to claims while awaiting approval. The approval process can take up to 45 business days.
EDI and ERA are both types of communication.
- EDI is permission for the Customer/Provider to send the Claims electronically to the Insurance.
- ERA is permission for the Insurance to send the processing information back to the Customer/Provider.