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.