Payer Enrollment Services API v1

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Overview

The Payer Enrollment Services API sends provider EFT and/or ERA enrollment data to payers who are using Change Healthcare’s Payer Enrollment Services service. The payer will retrieve a JSON response containing enrollment data from providers after calling the Payer Enrollment Services API. The payer then utilizes this information to approve and reject enrollments on their end.

Business Description

The Payer Enrollment Services API sends provider Electronic Fund Transfers (EFT) and/or Electronic Remittance Advice (ERA) enrollment data to payers that are contracted to use the solution. Payers will then use this data to process EFT and/or ERA activity with providers that have enrolled with them.

Use Case

Providers submit EFT and/or ERA enrollments using the PES online solution. Payers collect enrollments submitted to them by calling the API to retrieve the data.

Benefit

Change Healthcare processes KYC checks on the data that is submitted on the PES solution. This allows Change Healthcare to deliver verified enrollment data to payers via the API.

Proof Point

Change Healthcare’s PES solution is a replacement for CAQH’s EnrollHub solution, which is being decommissioned.

Getting Access

Contact the Change Healthcare sales team to establish a contract. Change Healthcare will grant credentials to access the API after a contract is established with a payer.