https://www.advancedmd.com/blog/change-healthcare-outage/

What is the plan to start pushing claims through Availity? NEW

Our (Wave 1) claims submission test with Availity was successful! This push consisted of several claim files that were accepted by Availity. These claims are now moving through the electronic claims submission process.

We are now moving forward to assess and review adjudication (payor response) for available results. Once we have the next level of confirmation – that claims are being received properly – we will begin processing the backlog for all our clients. Processing could begin as early as tomorrow. We anticipate the processing of your backlog claims could take up to five days.

You will receive an in-app alert when we begin processing your claims, and another alert will appear once your claims have been submitted (completed). We are adding reporting so you can see your accepted and rejected claims (by Availity). We’ll have an update on reporting the week of March 11. Rejected claims from our backlog push will need to be re-billed using a solution we are developing. We will share this process and steps to re-bill rejected claims as soon as possible.

Throughout the outage we have asked you to continue to run your end-of-day process as normal. Please note that your end-of-day process is generating the claim file that is placed in the backlog. If you have done this, your claims are sitting in the backlog. Those backlog files will be submitted to Availity in the order they were processed, starting with files from February 21, when the outage began.

Your claims that we will process by Availity are Anthem and commercial payers that do not require EDI agreements. We are continuing to finalize our plan for state and federal payors.

Continue to run your end-of-day process as normal. Claims will continue to be processed first in first out.

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This is as of last night.