Change Healthcare offers a comprehensive API bundle to help manage all aspects of telehealth operation. Our Telehealth bundle includes the following:
The Eligibility API (X12 EDI 270/271) provides patient profile and benefits insights to help support accurate care delivery. Its primary function is to verify insurance benefit status for a patient. This information helps ensure timely and accurate reimbursement.
The Professional Claims API (837P) and the Institutional Claims API (837I) allow healthcare providers to submit healthcare claims for a service or encounter.
Claim submitters use the Claims Status API (276/277) to check on the status of previously submitted claims.
Claims Responses and Reports
Our Claims Responses and Reports API
provides a direct connection to your mailbox, where payers will send their responses and reports. Using our API, you can retrieve these valuable payer files for claim status updates, and remittance notifications. Many documents that payers send are unsolicited; our API enables you to regularly check your mailbox for this critical information.
Providers should verify insurance companies' coverage of telehealth medical services before engaging in telehealth encounters and transactions.