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Change Healthcare Provider Response Center
Central hub where providers can get timely, helpful, and consistent information related to the Change Healthcare Cyber Security Attack.
Please note:
Latest Updates
Eligibility Checks
Providers will not be able to check eligibility via the Change Healthcare platform. Participating MetroPlus Health providers can check eligibility through the provider portal. All providers can check eligibility for Medicaid members through ePaces.
Claims processing
MetroPlusHealth has partnered with Availity for claims processing and we are expecting to have claims flowing through our system by the week of March 11, 2024. We will be sure to update this page when claims processing is established.
Electronic Remittance Advices (ERA)
ERA will be delayed while this disruption is ongoing. In the meantime, you can check on the provider portal for an explanation of payment. Training is available in the portal under “Resources” and “Training and Education”. You can also click here for a guide to how to pull an explanation of payment.
Availity Clearinghouse
Providers can access and submit electronic claims through the Availity Clearinghouse. Information on how to register can be found in the Availity Portal Registration Guide below. You will need the following to get started:
- Physical and billing addresses
- Tax ID (EIN or SSN)
- NPI (if you have one)
- Primary specialty/taxonomy
- MetroPlus Payor ID is 13265
See information and instructions for how to register with Availity below:
Key Contact Information
Frequently Asked Questions
Which payer functions were affected by Change Healthcare cyberattack?
Electronic Claims submissions or 837 transactions and Electronic Remittance Advices (ERAs) 835 transactions. Eligibility or 270/ 271 transactions were also impacted.
What options is MetroPlusHealth offering for claims submission that are impacted by the incident?
MetroPlusHealth has partnered with Availity for claims processing and we are expecting to have claims flowing through our system by the week of March 11, 2024. We will be sure to update this page when claims processing is established.
How can I check eligibility and claims payment status during this outage?
Participating Providers can check their Explanation of Payment (EOP) and member eligibility on MetroPlus Health’s Provider Portal. See “Resources” and “Training and Education” in the portal for more information.
If there is a prolonged outage with Change Healthcare, will they be waving or extending timely filing requirements?
The timely filing period to submit claims will be extended by an additional 30 days. Updates will be on this page.
Is Availity the only EDI clearing house a provider can use to submit claims?
MetroPlusHealth has partnered with Availity for claims processing and we are expecting to have claims flowing through our system by the week of March 11, 2024. We will be sure to update this page when claims processing is established.
last updated: April 1, 2024
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