If the Payer is not listed on the site, send an email to ClaimRemedi/eSolutions including the Payer Name and Payer ID.
Andrew Garcia - agarcia@esolutionsinc.com
eCW > Menu > Billing > Miscellaneous Configuration Options > Configure EDI Receivers > Configure Eligibility Receivers
Verify that the Payer is listed in the "Receiver Name" column. If it IS listed, click on the "Edit" icon to the right. If it is NOT listed, go to Step 5.
In the Eligibility Receiver "Edit" window, do NOT edit anything. Click on Insurances Linked.
Verify that the Insurance is listed (AKA Company/Division). If it is not, click on "Add." Select the appropriate divisions and click on OK.
To add a NEW Eligibility Receiver... eCW > Menu > Reports > Report Console > Billing > Insurance Eligibility Adding New Payer Utility
Type in the Payer Name and Payer ID.
Note: Be specific here. Example: BCBS Oklahoma OR Kaiser Northern CA
If the Insurance has already been setup with a Payer ID, it will automatically be configured per the above steps once the Receiver is configured.
Update Schedule Jobs - Automatic/Batch Eligibility