Transaction Number: 835
We have partnered with Change Healthcare for the exchange of both paper explanation of payments and checks as well electronic remittance advices and electronic funds transfers. Change Healthcare ePayment Services can be reached at
866-506-2830. Additional information can be found on their
Enrollment Services webpage.
Electronic Funds Transfers (EFT)
- Go to https://support.changehealthcare.com/.
- Click EFT Enrollment Forms link under the Medical/Hospital Enrollment column.
- Click EPayment Request Forms link.
- EFT request form will download.
- Complete the form and save a copy. We recommend checking the box for Payment Manager Authorization Form. Payment Manager is a Change Healthcare portal that allows you to make updates and download remits.
- It is preferred to email the completed forms to eftenrollment@changehealthcare.com but it can be faxed to 615-238-9615. Note: The eftenrollment@changehealthcare.com email distribution is not monitored for questions or requests.
- Allow 15 days for processing.
Enrollment process questions can be directed to Change Healthcare ePayment Services at
866-506-2830 as your initial contact point.
Electronic Remittance Advices (ERA)
- Required to be enrolled/receiving EFT first.
- Go to https://support.changehealthcare.com/.
- Click ERA Enrollment Forms link under the Medical/Hospital Enrollment column.
- In the ‘Search enrollment forms…’ search box enter 39113 and search.
- 10 forms are returned. A provider only need to fill out one of the forms for Professional claims and/or one for Institutional claims.
- New and existing providers will submit the same ERA enrollment form(s). Complete the form(s) and save a copy.
- It is preferred to email the enrollment form to BatchEnrollment@changehealthcare.com but it can be faxed to 615-885-3713.
- Allow 15 days for processing.
Enrollment process questions can be directed to Change Healthcare ePayment Services at
866-506-2830 as your initial contact point.
Alternative to receiving the electronic remittance from Change Healthcare:
A provider can download a copy of their electronic remittance through our
Provider Portal. Visit the
provider homepage for additional portal information and to find your Provider Network Consultant, who can help you enroll.