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Electronic Transaction Vendors

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Vendor Transactions Available Website Contact Information Does site support browsers other than Internet Explorer (IE)?”
Aetna’s Provider Portal on Availity® Claim/Encounter Submission, Electronic Remittance Advice (ERA), Eligibility, Claim Status Inquiry, Precertification Add/Inquiry, Referral Add/Inquiry, Member ID Card, Patient Cost Estimator, Attachments Visit Availity 800-282-4548 Yes
ABILITY Network Claim Submission, ERA, Eligibility, Claim Status Inquiry Visit ABILITY Network 888-558-0569 Yes
Allscripts (PayerPath/Misys)

Claim Submission, ERA, Eligibility

Visit Allscripts 800-334-8534 No
Athenahealth Claim Submission, ERA, Eligibility, Claim Status Inquiry Visit Athenahealth 800-981-5084 Yes
Availity Claim/Encounter Submission, ERA, Eligibility, Claim Status Inquiry, Precertification Add/Inquiry, Precertification Notification, Referral Add/Inquiry, Member ID Card, Patient Cost Estimator, Attachments Visit Availity 800-282-4548 Yes
Availity RCM (RealMed) Claim Submission, ERA, Eligibility, Claim Status Inquiry Visit Availity RCM 800-282-4582 Yes
Cerner ERA, Eligibility, Precertification Add/Inquiry, Precertification Notification, Referral Inquiry Visit Cerner 816-221-1024 No
Change Healthcare (formerly Emdeon) Claim/Encounter Submission, ERA, Eligibility, Claim Status Inquiry, Precertification Add/Inquiry, Precertification Notification, Referral Add/Inquiry, Eligibility, Virtual Credit Card Visit Change Healthcare 866-817-3813 Yes
Change Healthcare -  Dental (formerly Emdeon) Claim/Encounter Submission, Eligibility, Claim Status Inquiry, Attachments Visit Change Healthcare - Dental 877-469-3263 Yes
Experian Health (formerly Passport Health) Claim/Encounter Submission, Eligibility, Claim Status Inquiry, Precertification Add/Inquiry, Precertification Notification, Referral Add/Inquiry Visit Experian Health 888-661-5657 Yes
HealthLogic (Bank of America) ERA Visit HealthLogic 888-877-0658 No
Infinedi Claim Submission, ERA Visit Infinedi 800-688-8087 No
InstaMed Claim Submission (Professional only), ERA, Eligibility Visit InstaMed 866-467-8263 Yes
MediStreams ERA Visit MediStreams 888-267-4835 Yes
NextGen Healthcare Claim Submission (Professional only), ERA, Eligibility, Claim Status Inquiry, Precertification Add/Inquiry, Referral Add/Inquiry, Claim Status Report, Financial Status Request

Visit NextGen Healthcare 877-523-2120 Yes
nThrive/Medassets/Xactimed Claim Submission, ERA Visit nThrive 888-883-6332 No
Office Ally Claim Submission, ERA, Eligibility, Claim Status Inquiry Visit Office Ally 360-975-7000 Yes
PNC ERA Visit PNC 412-762-0602 No
PNT Data Claim/Encounter Submission, ERA, Eligibility, Claim Status Inquiry, Precertification Add/Inquiry, Precertification Notification, Referral Add/Inquiry Visit PNT Data 860-257-2030 Yes
SSI (ClaimsNet) Claim/Encounter Submission, ERA, Eligibility, Claim Status Inquiry, Precertification Add/Inquiry, Referral Add/Inquiry, Delegated Decisions Visit SSI 800-881-2739 Yes
TransUnion Healthcare (formerly MedData) Eligibility, Claim Status Inquiry, Precertification Add, Precertification Notification Visit TransUnion Healthcare 877-633-3282 Yes
TriZetto Provider Solutions (formerly Gateway EDI) Claim Submission, ERA, Eligibility, Claim Status Inquiry Visit TriZetto Provider Solutions 800-969-3666 Yes
Waystar (formerly NaviCure and ZirMed)

Claim/Encounter Submission, ERA, Eligibility, Claim Status Inquiry

Visit Waystar 844-692-9782 Yes

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