For further updates about the Change Healthcare cybersecurity issue, please visit Change Healthcare Cyber Response.
For imaging solutions, please visit us at Change Healthcare Enterprise Imaging.
Reminder: Claim submission change for HCFA print images effective Apr. 15
Scheduled Maintenance
Report for Optum Solutions
Completed
The scheduled maintenance has been completed.
In progress
Scheduled maintenance is currently in progress. We will provide updates as necessary.
Update
This message is intended for Revenue Performance Advisor (RPA) customers.
As communicated in February, two options will be available for submitting professional claims into RPA as of Apr. 15, 2025. These two options are using the Direct Data Entry (DDE) tool in RPA or using a batch file in the ANSI 837 professional claim format.
If you have not determined which submission option is better for your organization, open a case in Customer Care Hub to be contacted by RPA support. The RPA representative can discuss the options with you. After you decide which option your organization will use, inform RPA support to start the process.
Reason for the change
Our vendor for print-image functionality no longer supports the software.
Initial communication date
The initial communication was sent Feb. 10, 2025.
Actions required
• Notify your team of the upcoming change and share the following learning resources:
o Create New Professional Claim video
- In RPA, click the Support menu and click the Learning Center option. When the Learning Center opens, scroll to the Claims Management section and find the “Create New Professional Claim” video.
o 5010 Claims 837 companion guide
- On the RPA home page, scroll down to the Resource Center. Click the Companion Guides tab and click the hyperlink for the “5010 Claims 837 Companion Guide.”
• If you don’t already have an Optum User Community account, use these instructions to request access to the User Community. Upon approval, follow the instructions to complete registration and sign in.
• RPA support information: For all questions (including which submission method is better for your organization), issues, and general inquiries for RPA, submit a case in Customer Care Hub.
REF 16169910
As communicated in February, two options will be available for submitting professional claims into RPA as of Apr. 15, 2025. These two options are using the Direct Data Entry (DDE) tool in RPA or using a batch file in the ANSI 837 professional claim format.
If you have not determined which submission option is better for your organization, open a case in Customer Care Hub to be contacted by RPA support. The RPA representative can discuss the options with you. After you decide which option your organization will use, inform RPA support to start the process.
Reason for the change
Our vendor for print-image functionality no longer supports the software.
Initial communication date
The initial communication was sent Feb. 10, 2025.
Actions required
• Notify your team of the upcoming change and share the following learning resources:
o Create New Professional Claim video
- In RPA, click the Support menu and click the Learning Center option. When the Learning Center opens, scroll to the Claims Management section and find the “Create New Professional Claim” video.
o 5010 Claims 837 companion guide
- On the RPA home page, scroll down to the Resource Center. Click the Companion Guides tab and click the hyperlink for the “5010 Claims 837 Companion Guide.”
• If you don’t already have an Optum User Community account, use these instructions to request access to the User Community. Upon approval, follow the instructions to complete registration and sign in.
• RPA support information: For all questions (including which submission method is better for your organization), issues, and general inquiries for RPA, submit a case in Customer Care Hub.
REF 16169910
Update
This message is intended for Revenue Performance Advisor (RPA) customers.
Effective Apr. 15, 2025, the print-image functionality to submit HCFA batch claims into RPA will no longer be available. However, …
RPA customers who have been using this print-image functionality will have two options for submitting professional claims:
• using the Direct Data Entry (DDE) tool, which resides in the RPA portal
• using a batch file in the ANSI 837 professional claim format
What’s the difference between these two options?
DDE tool: The DDE tool allows users to create and submit 837s directly in RPA.
Batch file: A batch file can be submitted from an external source. The file can be manually uploaded into the RPA portal or automatically by a file picked up from a Secure File Transfer Protocol (SFTP) site.
• Organizations that want to use the batch file option need to consult their electronic medical record (EMR) vendors about creating a data extract file.
Which option is better for my organization?
Contact your RPA account representative to discuss which option is better for your organization.
How do we learn more?
Optum is working to contact customers that are currently using the print functionality. We will send communications to inform customers of the change. The announcements will also be available on Optum's Solution Status Page.
Why is this change happening?
Our vendor for print-image functionality no longer supports the software.
Actions required
• Decide whether you’ll use the DDE tool in RPA or submit external batch files.
̶ If you want to submit external batch files, contact your EMR vendor to see if the data extracts can be created in the ANSI 837 professional claim format with your EMR.
• Inform your RPA account representative of your decision.
• Notify your team of the change.
• Review and share the “Create New Professional Claim” video in the Learning Center:
̶ In RPA, click the Support menu and click the Learning Center option. When the Learning Center opens, scroll to the Claims Management section and find the “Create New Professional Claim” video.
• For additional information on submitting an ANSI 837 batch file, refer to the “5010 Claims 837 Companion Guide.”
̶ On the RPA home page, scroll down to the Resource Center. Click the Companion Guides tab and click the hyperlink for the “5010 Claims 837 Companion Guide.”
• If you don’t already have an Optum User Community account, use these instructions to request access to the User Community. Upon approval, follow the instructions to complete registration and sign in.
• Submit a ticket through the Customer Care Hub to request support.
Effective Apr. 15, 2025, the print-image functionality to submit HCFA batch claims into RPA will no longer be available. However, …
RPA customers who have been using this print-image functionality will have two options for submitting professional claims:
• using the Direct Data Entry (DDE) tool, which resides in the RPA portal
• using a batch file in the ANSI 837 professional claim format
What’s the difference between these two options?
DDE tool: The DDE tool allows users to create and submit 837s directly in RPA.
Batch file: A batch file can be submitted from an external source. The file can be manually uploaded into the RPA portal or automatically by a file picked up from a Secure File Transfer Protocol (SFTP) site.
• Organizations that want to use the batch file option need to consult their electronic medical record (EMR) vendors about creating a data extract file.
Which option is better for my organization?
Contact your RPA account representative to discuss which option is better for your organization.
How do we learn more?
Optum is working to contact customers that are currently using the print functionality. We will send communications to inform customers of the change. The announcements will also be available on Optum's Solution Status Page.
Why is this change happening?
Our vendor for print-image functionality no longer supports the software.
Actions required
• Decide whether you’ll use the DDE tool in RPA or submit external batch files.
̶ If you want to submit external batch files, contact your EMR vendor to see if the data extracts can be created in the ANSI 837 professional claim format with your EMR.
• Inform your RPA account representative of your decision.
• Notify your team of the change.
• Review and share the “Create New Professional Claim” video in the Learning Center:
̶ In RPA, click the Support menu and click the Learning Center option. When the Learning Center opens, scroll to the Claims Management section and find the “Create New Professional Claim” video.
• For additional information on submitting an ANSI 837 batch file, refer to the “5010 Claims 837 Companion Guide.”
̶ On the RPA home page, scroll down to the Resource Center. Click the Companion Guides tab and click the hyperlink for the “5010 Claims 837 Companion Guide.”
• If you don’t already have an Optum User Community account, use these instructions to request access to the User Community. Upon approval, follow the instructions to complete registration and sign in.
• Submit a ticket through the Customer Care Hub to request support.
Scheduled
This message is intended for Revenue Performance Advisor (RPA) customers.
Effective Apr. 15, 2025, the print-image functionality to submit HCFA batch claims into RPA will no longer be available. However, …
RPA customers who have been using this print-image functionality will have two options for submitting professional claims:
• using the Direct Data Entry (DDE) tool, which resides in the RPA portal
• using a batch file in the ANSI 837 professional claim format
What’s the difference between these two options?
DDE tool: The DDE tool allows users to create and submit 837s directly in RPA.
Batch file: A batch file can be submitted from an external source. The file can be manually uploaded into the RPA portal or automatically by a file picked up from a Secure File Transfer Protocol (SFTP) site.
• Organizations that want to use the batch file option need to consult their electronic medical record (EMR) vendors about creating a data extract file.
Which option is better for my organization?
Contact your RPA account representative to discuss which option is better for your organization.
How do we learn more?
Optum is working to contact customers that are currently using the print functionality. We will send communications to inform customers of the change. The announcements will also be available on Optum's Solution Status Page.
Why is this change happening?
Our vendor for print-image functionality no longer supports the software.
Actions required
• Decide whether you’ll use the DDE tool in RPA or submit external batch files.
̶ If you want to submit external batch files, contact your EMR vendor to see if the data extracts can be created in the ANSI 837 professional claim format with your EMR.
• Inform your RPA account representative of your decision.
• Notify your team of the change.
• Review and share the “Create New Professional Claim” video in the Learning Center:
̶ In RPA, click the Support menu and click the Learning Center option. When the Learning Center opens, scroll to the Claims Management section and find the “Create New Professional Claim” video.
• For additional information on submitting an ANSI 837 batch file, refer to the “5010 Claims 837 Companion Guide.”
̶ On the RPA home page, scroll down to the Resource Center. Click the Companion Guides tab and click the hyperlink for the “5010 Claims 837 Companion Guide.”
• If you don’t already have an Optum User Community account, use these instructions to request access to the User Community. Upon approval, follow the instructions to complete registration and sign in.
• Contact your RPA account representative with additional questions.
REF 16112218
Effective Apr. 15, 2025, the print-image functionality to submit HCFA batch claims into RPA will no longer be available. However, …
RPA customers who have been using this print-image functionality will have two options for submitting professional claims:
• using the Direct Data Entry (DDE) tool, which resides in the RPA portal
• using a batch file in the ANSI 837 professional claim format
What’s the difference between these two options?
DDE tool: The DDE tool allows users to create and submit 837s directly in RPA.
Batch file: A batch file can be submitted from an external source. The file can be manually uploaded into the RPA portal or automatically by a file picked up from a Secure File Transfer Protocol (SFTP) site.
• Organizations that want to use the batch file option need to consult their electronic medical record (EMR) vendors about creating a data extract file.
Which option is better for my organization?
Contact your RPA account representative to discuss which option is better for your organization.
How do we learn more?
Optum is working to contact customers that are currently using the print functionality. We will send communications to inform customers of the change. The announcements will also be available on Optum's Solution Status Page.
Why is this change happening?
Our vendor for print-image functionality no longer supports the software.
Actions required
• Decide whether you’ll use the DDE tool in RPA or submit external batch files.
̶ If you want to submit external batch files, contact your EMR vendor to see if the data extracts can be created in the ANSI 837 professional claim format with your EMR.
• Inform your RPA account representative of your decision.
• Notify your team of the change.
• Review and share the “Create New Professional Claim” video in the Learning Center:
̶ In RPA, click the Support menu and click the Learning Center option. When the Learning Center opens, scroll to the Claims Management section and find the “Create New Professional Claim” video.
• For additional information on submitting an ANSI 837 batch file, refer to the “5010 Claims 837 Companion Guide.”
̶ On the RPA home page, scroll down to the Resource Center. Click the Companion Guides tab and click the hyperlink for the “5010 Claims 837 Companion Guide.”
• If you don’t already have an Optum User Community account, use these instructions to request access to the User Community. Upon approval, follow the instructions to complete registration and sign in.
• Contact your RPA account representative with additional questions.
REF 16112218
This scheduled maintenance affected: Revenue Cycle Management (Revenue Performance Advisor).