Reconnection to Change Healthcare's Legacy Change Healthcare Clearinghouse for Eligibility
The Etactics management team worked with Change Healthcare last week and over the weekend to discuss reconnection. Etactics has received sufficient evidence from Change Healthcare that provides confidence to reconnect to the “Legacy Change Healthcare” (AKA Legacy Emdeon or OKC) platform for eligibility services only. Legacy Change Healthcare is one of three clearinghouses owned by Change Healthcare that Etactics connects to and that were affected by the outage. This evidence includes documentation from both Change Healthcare and external security vendors who have conducted scans and penetration testing.
Etactics has reconnected with Change Healthcare’s Legacy eligibility Platform, which Change Healthcare is now referring to as the Intelligent Medical Network (IMN) platform.

Payers who had not been able to be rerouted for eligibility were tested through the IMN platform and reactivated if they passed testing. 

Restored eligibility payers are included on our Change Healthcare payer list:

https://etactics.com/changeChange Healthcare is continuing to bring on more eligibility payers to its IMN platform. Etactics will check this list and update our connections daily, along with our payer list. There is no estimated timeframe for eligibility connections to be restored for the Change Healthcare Relay Exchange platform. 

Payer Rejected Claims Due to Outage
In an effort to accelerate our claims rerouting, Etactics became more aggressive and abandoned our lengthy testing process. Instead, we rerouted roughly half of our held claims on 04/09/2024. When a claim is rejected by the next vendor due to the Change Healthcare incident, Etactics will update the claim’s status back to “Clearinghouse Accepted” and continue searching for a new route. We will also update our website. 
The specific rejection messages due to vendors having Change Healthcare as their route are as follows:

• Availity: “DUE TO THE CHANGE HEALTHCARE CYBERATTACK AVAILITY DOES NOT CURRENTLY HAVE AN ELECTRONIC PATH AVAILABLE FOR THIS PAYER. PLEASE LOOK FOR ALTERNATE ROUTES FOR CLAIM SUBMISSION FOR THIS CLAIM UNTIL FURTHER  NOTICE.”
• Relay Exchange: “PAYER ID IS EXPIRED {#ID#}”

Plan for Electronic Remittance Advices (ERAs)

Etactics understands the burden that its customers are under to manually post ERAs by utilizing EOBs for payers affected by the Change Healthcare outage.  Etactics and Change Healthcare are exploring the option of potentially moving all enrollments from Legacy Change Healthcare (AKA OKC) to Legacy Relay (AKA Relay Exchange). We are currently working with Change Healthcare to determine if the restoration of Legacy Change Healthcare or moving enrollments to Relay Exchange automatically would be the faster option.
Discussions have accelerated over the previous week.  

Etactics Payer Routing Website Updates

Our payer routing list continues to be updated daily: https://etactics.com/change