PERMISSIONS REQUIRED: You must have Organization Administration Permissions.
If you previously submitted Claims to another Clearinghouse and you SWITCH to Ensora Clearinghouse , you will need to switch your Payers in the system to Ensora Clearinghouse. If you do not have a Clearinghouse yet, click here.
Before you Switch Payer to Ensora Clearinghouse , figure out if the Payer Requires Enrollment.
- If the Payer requires EDI Enrollment, STOP RIGHT HERE! Go complete Enrollment. Once your Enrollment has been approved THEN you can change the Payer to Ensora Clearinghouse .
- If the Payer does not require EDI Enrollment, you can switch the Payer to Ensora Clearinghouse right away.
IMPORTANT: Before you disconnect from your current clearinghouse, please select one of the following options.
- Option 1: Remove the clearinghouse feature from the system. When you do this, you will no longer have the Claims tab under Billing and any claims currently displayed on that tab will no longer be viewable. Please contact support and we will remove your current clearinghouse connection for you. Be sure to download the CSV files from this tab before completing this process.
- Option 2: Switch to Ensora Clearinghouse but do not send claims. When you do this, the Claims tab and existing claim information will be available, but you will not send claims through the system. You will be connected to the clearinghouse and see a new tab in the Claims tab. You will only be charged when a claim is sent.
- Option 3: Switch to Ensora Clearinghouse and send claims. There is a nominal fee for this service.
- Options 2 & 3 can be done manually at your convenience. Please follow these steps:
- Click Organization and Claims service in the side navigation.
- Click the Claims Service tab
- Scroll down and click Request Electronic Insurance Claims Service.
Switch Payers
To switch Payers, you will want to find the Payer ID. This ID may be different than the Payer ID from your previous Clearinghouse. Find the Payer ID. You will use this ID in step 5.
IMPORTANT: Only switch Payer to Ensora Clearinghouse if they don't require EDI Enrollment, or you have complete the EDI Enrollment and been approved.
- Click Billing tab in primary navigation bar.
- Click Insurers in side menu.
- Locate Payer and click Edit.
- Select Ensora Clearinghouse from the Clearinghouse dropdown.
- Enter updated Payer ID.
- Click Save.
Once you have switch the Payer to Ensora Clearinghouse , you can submit Claims to the Payer through Assisted Claims.