Electronic Claims Submission, Payment, and Remittance Advice Services

Select Health of South Carolina encourages all providers to submit claims electronically. Providers may submit electronic claims via Optum/Change Healthcare or Availity clearinghouses. (Hereafter, we will use “clearinghouse(s)” to mean either Optum/Change Healthcare or Availity). Use of electronic data interchange (EDI) can boost claims submission efficiency and timeliness of reimbursement to enhance your revenue cycle.

Electronic claims submission

There are many different platforms that may be used for electronic billing. As long as you have the capability to send EDI claims to our clearinghouses, whether through direct submission or through another clearinghouse/vendor, you may submit claims electronically.

Select Health does not require you to enroll with one of our clearinghouses to submit electronic claims. If you already use another EDI vendor to submit claims electronically, inform your vendor of the Select Health EDI payer ID: 23285.

Direct claim submission via Optum/Change Healthcare

Providers who have a limited ability to submit claims through their hospital or project management system may benefit from key features of the ConnectCenter tool. There is no cost to providers to use ConnectCenter.

With ConnectCenter:

  • Claim submitters no longer need to choose between data entry of claims and upload of 837 files. All users may submit claims using either method.
  • Institutional claims are supported.
  • Claims created online are fully validated in real time. Claims can be corrected immediately.
  • Whether claims are uploaded or created online, claim reports are integrated with the claim correction screens for easy follow-up.
  • Remits are automatically linked to submitted claims, providing a comprehensive view of the status of the claim.
  • Dashboard and work list views make it easy to manage billing to-do lists.
  • On-shore customer support is available through online chat or by phone.

To register for ConnectCenter, access the portal via the Claims submission link in the NaviNet provider portal or via direct link, ConnectCenter. Note: This URL is specific to new provider registration only.

For detailed instructions on the registration process, see the Provider Sign-up and User Management guide in the Claims Resources section of the Claims and Billing webpage

Need help?

Call 1-800-527-8133, option 2, for questions about:

  • Submitting new claims.
  • Eligibility.
  • Claim status.

Electronic claim payment options

Select Health works with ECHO Health, Inc. (ECHO), a leading innovator in electronic payment solutions, to offer more electronic payment options to our health care providers so that they can select the payment method that best suits their accounts receivable workflow.

Virtual credit card 

ECHO Health offers virtual credit cards (VCCs) as an optional payment method. VCCs are randomly generated, temporary credit card numbers that are either faxed or mailed to providers for claims reimbursement.

VCC payments have several advantages for providers:

  • No need to enroll or fill out multiple forms in order to receive VCC.
  • Personal information is never requested, such as practice bank account information.
  • Payments are accessible the day the VCC is received.

Providers not registered to receive payments electronically will receive VCC payments as their default payment method, instead of paper checks. Your office will receive either faxed or mailed VCC payments, each containing a VCC with a number unique to that payment transaction, an instruction page for processing the payment, and a detailed explanation of payment/remittance advice (EOP/RA). 

Normal transaction fees apply based on your merchant acquirer relationship. If you do not wish to receive your claim payments through VCC, you can opt out by contacting ECHO Health directly at 1-888-492-5579.

Electronic funds transfers (EFT)

Electronic funds transfers allow you to receive your payments directly in the bank account you designate rather than receiving them by VCC or paper check. When you enroll in EFT, you will automatically receive electronic remittance advices (ERAs) for those payments. All generated ERAs and a detailed explanation of payment for each transaction will also be accessible to download from the ECHO provider portal.

For assistance with using the provider payments portal, see the ECHO Provider Payments Portal Quick Reference Guide (PDF). If you are new to EFT, you will need to enroll with ECHO Health for EFT from Select Health.

Please note: Payment will appear on your bank statement from PNC Bank and ECHO as “PNC – ECHO.” 

To sign up to recieve EFT from Select Health, visit the Provider EFT/ERA Enrollment page. There is no fee for this service.

Sign up to receive EFT from all of your payers processing payments on the ECHO platform. A fee may be required to receive EFT if you select the all payers option.

If you already receive payments from ECHO Health, you may be able to enroll for EFT with Select Health using your existing account. Please make sure you have an ECHO Health draft number and corresponding payment amount so your enrollment request can be validated.

A draft number is listed as the EPC draft number on ECHO Health's explanation of payments. If you need assistance locating an ECHO payment in order to register, contact ECHO at 1-800-946-4041, Monday through Friday, from 8 a.m. to 6 p.m. ET.

If you have questions regarding how to enroll in EFT, please reference the EFT Provider Enrollment Guide (PDF).

Electronic remittance advice (ERA)/835 file

Electronic remittance advices (ERAs) (often referred to as 835 files) are also available through ECHO Health. To receive ERAs from Select Health, it is important to check with your practice management/hospital information system vendor to see if the system includes both the Select Health payer ID 23285 and the ECHO payer ID 58379.

If you are not receiving any payer ERAs, please contact your current practice management/hospital information system vendor to ask if your software can process ERAs. Your software vendor is then responsible for contacting ECHO to enroll for ERAs under the Select Health’ Payer ID 23285 and the ECHO Health Payer ID 58379.

If your software does not support ERAs or you continue to reconcile manually, and you would like to start receiving ERAs only, please contact the ECHO Health Enrollment team at 1-888-834-3511. If you have additional questions regarding VCC, EFT, or ERAs, reference our FAQ (PDF).