Announcements

Change Healthcare Outage Alert

19 March 2024

Read the latest information, learn how to submit claims and more.   


On Wednesday, February 21, 2024, Change Healthcare, a third-party vendor used by providers and carriers across the U.S, reported a cyber security event that resulted in a network outage. Unfortunately, this outage has impacted their ability to support claims submission, payment, eligibility checks, and settlement services. Providence Health Plan accepts claims from providers submitted through Change Healthcare and some providers use Change to check eligibility for patients with Providence Health plan coverage. 


Why it matters.

Change Healthcare is an electronic data interchange (EDI) vendor (or clearinghouse) utilized by many providers and carriers. Due to this outage, any electronic transactions delivered via the Change Healthcare platform are on hold. Enrollment and claim data cannot be transferred between payers, providers and pharmacies if Change is the only EDI vendor available to the provider.


What is affected?

PHP isn’t able to receive claims submitted through Change Healthcare. We are also unable to provide member eligibility information to providers though Change Healthcare.


What should providers do?

Update - March 29, 2024

Providence Health Plan is now live with Optum’s EDI workaround for providers. Please reach out to Change Healthcare to confirm you are set up to submit Providence Health Plan claims via the workaround.

Providence Health Plan payor ID - SX133
 

Providers should submit claims through an alternative EDI vendor. Please do not submit a claim via paper/fax. Claims cannot be submitted via Provlink.


Vendor Name Contact Information Transaction Types Plan ID/Payer ID Numbers
 Office Ally https://cms.officeally.com/ 
360-975-7000
Professional claims
Institutional claims
ERA Electronic Remittance Advice
PHP01
 SSI Group https://thessigroup.com/ 
800-820-4774
Professional claims 
Institutional claims 
ERA Electronic Remittance Advice
SX133
Trizetto Provider Solutions https://www.trizettoprovider.com/ 
800-556-2231
Professional claims
Institutional claims
ERA Electronic Remittance Advice
PHP01
 VisibilEDI https://www.visibiledi.com/ 
503-345-6440
Professional claims
Institutional claims
ERA Electronic Remittance Advice
PHP01


What’s next?

We are monitoring the situation closely and working diligently to ease the way of our provider partners and the members we all serve. Please bookmark this page and check back regularly for updates. Thank you for your patience.

Read More

Providence Health Plan Welcomes Kevin Corcoran as Vice President, Sales
Read More
New Providence Health Plan board members
Providence Health Plan Board of Directors welcomes three new members
Read More
Laurel Soot
Providence Health Plan Names New Chief Medical Officer
Read More
Providence Health Plan Announces Leadership Updates headshots
Providence Health Plan Announces Leadership Updates
Read More
Need help?

Hey!

You are now leaving the Providence Medicare Advantage Plans website. Are you sure thats what youd like to do?

No, I'll stay Yes, I'm leaving