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 |
| 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 |