Important updates in effect for Providers.

Effective October 17, 2024, important updates will impact Mountain Health Co-Op’s claims editing process. These changes are part of our ongoing efforts to streamline and improve the accuracy of claims processing.

Key Changes

• New Editing Rules: We have introduced updated editing rules that will affect how claims are processed. These rules are designed to ensure compliance with the latest industry standards.
• Training and Support: To assist with the transition, we will be able to assist with any questions. We encourage you to familiarize yourself with the new claims editing process.

Actions Required

• Click here to view the new claims editing rules
• Reach out to our team by emailing [email protected] if you have questions or need assistance.

Direct connection to Optum users:
Follow these steps to enable the new Payer ID, submit electronic claims, verify eligibility, and set up ERA & EFT:

• For information on connected payer lists, visit: Payer Lists | Change Healthcare.

• Existing Optum Users:

• Sign up for ERA and EFT using this link: Client Signup Step 1 – Connect Center (changehealthcare.com)

• • Information sent by Optum: (Link to information below) 

UPDATE:  New Electronic Claims Connections Available

Mountain Health CO-OP is now available for claim submission.

Original notice:

Effective September 1, 2024, Optum will have new electronic claims connections available:

Payer Name: Mountain Health CO-OP

Institutional CPID: 7565

Professional CPID: 2499

Payer-assigned Payer ID: MHC01

Payer Enrollment Required: No

Secondary Claims Accepted: Yes

Payer Location: Montana, Wyoming, Utah

Claims Fee: NA

Effective August 15, 2024, discontinue using CPIDs 4779 and 5920, linked to University of Utah payer ID SX155, for Mountain Health CO-OP claims. Please hold claims until CPID’s 2499, 7565 are available on September 1, 2024.

Action Required:

• Effective August 15, 2024, discontinue using CPIDs 4779 and 5920, linked to University of Utah payer ID SX155, for Mountain Health CO-OP claims.

• Add Mountain Health CO-OP to your system to begin using the new payer connection under CPIDs 2499 and 7565, payer ID MHC01 on September 1, 2024.

• When a payer requires enrollment, forms must be submitted and approved to begin submitting transactions.

• New Optum users:

• • Use the steps below to set up an account:

• Create an Optum Provider Portal Account by clicking this link: Optum Provider Port

1. In the top right corner of the page, click ‘Sign In,’ then ‘Create Account’ and follow the steps to register.

If you have any issues enrolling, please contact Optum at 1-800-527-8133 (7 a.m.-5:30 p.m. CT, Monday-Friday).

Please complete a new ERA enrollment form. You can find ERA forms by logging into Optum’s platform or by contacting your trading partner who handles your clearinghouse activities

Client Signup Step 1 – Connect Center (changehealthcare.com)

Whether you’re a new or current user, click “Begin Enrollment” on Change Healthcare’s Payer Enrollment page and follow the prompts.

If you encounter any issues, contact Optum at 1-800-527-8133.

• ERA Form
• EFT Form

If you use a trading partner (EHR, PC, RMC), contact your trading partner to enable the use of Mountain Health Co-Op’s new Payer ID: MHC01.

For more details on connected payer lists, visit Payer Lists | Change Healthcare, or check the FAQ link provided: Change Healthcare Payer Enrollment FAQ.