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We’re enhancing claim submission capabilities through Availity!
Continuing our commitment to innovation and provider experience, Mercy Care will offer a new channel for providers to submit claims and attachments using the Availity portal.
Effective 11/16/24, Mercy Care is expanding functionality of the existing Availity system to allow providers the to submit electronic claims via both direct data entry portal as well as batch submissions thereby elevating the overall service experience to our network providers.
Frequently Asked Questions
What are the benefits of this change?
The change is directed toward offering providers an additional avenue for submitting electronic claims to Mercy Care. Additionally, this mechanism will offer providers the ability to utilize the native capabilities offered by the Availity platform.
How will I access this option?
Providers will access the clearinghouse through the “Claims and Encounters” and “EDI Clearinghouse” applications on the Availity Essentials platform.
Will there be any fees?
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Single claim submission: Available through the Provider Portal; the single claim submission tool is free to the provider. In addition, providers would then have the option to use their normal clearinghouse (e.g., CHC or Office Ally) for those single claims.
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Non-single claim submission: Available through the Availity Clearinghouse; there is a fee and that is managed outside of Mercy Care’s Availity business team. It is managed through Availity’s Trading Partner Management team.
The choice to switch to Availity for claim submissions will be at the discretion of providers. Current channels for claim submission will continue to exist at the same levels of service.
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