Enrollment can be automatic but it can also be manual. Manual meaning that the Insurance Company (Payer) must approve the movement of Claims or ERAs to/from TheraNest. Below you will find a list of Payers that do require manual Enrollment.
- A red dot in the Claims column means EDI Enrollment is required. Wait until you receive approval from them before you can start submitting Claims using Apex Clearinghouse.
- A green dot in the Claims column means EDI Enrollment is not required.
IMPORTANT: The Apex Payer ID could be different from the Payer ID for your current Clearinghouse.
We advise that you do NOT hold on to claims while awaiting approval. The approval process can take up to 45 business days.
EDI and ERA are both types of communication.
- EDI is permission for the Customer/Provider to send the Claims electronically to the Insurance.
- ERA is permission for the Insurance to send the processing information back to the Customer/Provider.