Change Healthcare:

RPA Restoration

What Valant Users Need to Know:

Visit Change Healthcare's response page for the latest information updates. This response page also contains links to other resources to support Change Healthcare customers in managing the impact of this issue.

The RPA payer list will give the best indication of support for claims and ERAs by payer. The RPA payer list will give the best indication of support for claims and ERAs by payer. Per Optum, it is updated every other weekday evening.

If you encounter rejection questions during this restoration process, please contact Valant's Support team for help.

Additional Resources

Change Healthcare:

Frequently Asked Questions

What do I do if I have added a provider during the Change Healthcare outage?

Please note, RPA providers enrolled before February 21, 2024, do not need to re-enroll in order to submit claims, check eligibility or receive ERA files. However, if you have added a provider or billing NPI during the outage, that provider will need to connect with Change Healthcare’s enrollment team.

If you need to enroll for eligibility with new payers, please contact the enrollment support team at via email at rpaproviderenrollment@optum.com OR complete and submit the “RPA Provider - Payer Enrollment Intake Form”.

Follow the instructions for completing the intake form on the “Instructions” tab in the form.
Send the completed form to RPA Provider Enrollment (rpaproviderenrollment@optum.com). Use the subject line “New RPA Enrollment request, < RPA Account Number >.”
Make sure to enter your account number. If you do not know your account number, you can look this up by logging in to Change Healthcare, viewing Claim Management, and looking at the "Account" column.

Where can I find the RPA payer list? What’s changed?

Most payer IDs have remained the same. Download the RPA p ayer list .

If your payer is NOT on the list, you will receive a rejection with the invalid payer ID noted. Since these claims will require manual resubmission within Valant, it is essential to check the payer IDs before submitting large batches of claims. Approximately 8-10% of payer IDs have not been fully restored when compared to before the outage. Change Healthcare is still actively adding and reenrolling with additional payers and the RPA payer list will be updated regularly when these payers are added.

What is going to happen with February’s charges?

Your RPA login has been reactivated. However, you may need to reset your password to log in. If you get a message about an inactive account, contact Valant's support team.

Then, before submitting claims, please verify your payers are on the RPA payer list, and confirm the payer IDs are aligned with those listed on the RPA list. Then, submit a small batch of claims for each of your major payers (>10) to verify the transmission is successful. After 24 hours, If these claims are submitted successfully, you can move forward with submitting your remaining claims.

Have I been charged for Change Healthcare fees?

Your practice should not have incurred Change Healthcare charges after the outage began.

What if I used the IEDI workaround during the outage?

If your practice used the IEDI workaround during the outage, please follow the steps in this article to undo the setup before transmitting claims.

We recommend switching back to Change Healthcare submissions upon restoration. After restoration, RPA will provide a more seamless claims submitting experience. In addition, Valant can help you troubleshoot claims directly within RPA.

What if I used Availity during the outage?

Make sure you review and update the Payer IDs present in Persons & Institutions | Insurance Companies using the RPA payer list from Change Healthcare.

What if I used paper claims during the outage?

Make sure you review and update the Payer IDs present in Persons & Institutions | Insurance Companies using the RPA payer list from Change Healthcare.

Our connection to Change Healthcare’s RPA (Revenue Performance Advisor) will be restored for Valant users on
Wednesday morning, June 19.

Claims Submission:

If your practice used the IEDI workaround during the outage, please follow the steps in this article to undo the setup before transmitting claims.

Your RPA login has been reactivated. However, you may need to reset your password to log in. If you get a message about an inactive account, contact Valant's support team.

Before submitting claims, please verify your payers are on the RPA payer list and confirm the payer IDs are aligned with those listed on the RPA list.
- If your payer is NOT on the list, you will receive a rejection with the invalid payer ID noted. Since these claims will require manual resubmission within Valant, it is essential to check the payer IDs before submitting large batches of claims. Approximately 8-10% of payer IDs have not been fully restored when compared to before the outage. Change Healthcare is still actively adding and reenrolling with additional payers and the RPA payer list will be updated regularly when these payers are added.
Submit a small batch of claims for each of your major payers (>10) to verify the transmission is successful. After 24 hours, If these claims are submitted successfully, you can move forward with submitting your remaining claims.

Here's how:

Complete and submit the “RPA Provider - Payer Enrollment Intake Form”.
Follow the instructions for completing the intake form on the “Instructions” tab in the form.
Send the completed form to RPA Provider Enrollment (rpaproviderenrollment@optum.com). Use the subject line “New RPA Enrollment request, < RPA Account Number >.”
Make sure to enter your account number. If you do not know your account number, you can look this up by logging in to Change Healthcare, viewing Claim Management, and looking at the "Account" column.

Note: An enrollment representative will confirm assignment within 24-48 hours. Your enrollment representative will provide on-going payer enrollment status.

ERAs:

You will be able to receive remittances for your previously enrolled payers upon restoration. These may include some checks you may have manually posted, in which case you can use the bypass feature to skip them.

If you received remittances between February and now (prior to restoration), please connect with your payer to request re-transmission to Change Healthcare.

If you are missing ERAs beginning upon restoration, you can follow this process.

If you have any new enrollments you wish to complete, please speak with Change Healthcare’s enrollment team:

Complete and submit the “RPA Provider - Payer Enrollment Intake Form”.
Follow the instructions for completing the intake form on the “Instructions” tab in the form.
Send the completed form to RPA Provider Enrollment (rpaproviderenrollment@optum.com). Use the subject line “New RPA Enrollment request, < RPA Account Number >.”
Make sure to enter your account number. If you do not know your account number, you can look this up by logging in to Change Healthcare, viewing Claim Management, and looking at the "Account" column.

Eligibility:

The Eligibility integration between Revenue Performance Advisor and Valant has not yet been restored. As a result, you cannot currently run batch or individual eligibility checks within Valant. We will update this page as soon as possible.

eLabs:

eLabs functionality was restored this May. Currently, Change Healthcare is not accepting new integration requests for eLabs. If you are a part of an existing integration and now need to add new providers or staff, contact Valant's support team.

Future Clearinghouse

We are also delighted to announce that we are exploring a partnership with a new clearinghouse, and will be sharing details as soon as possible.