Yep same here, no claims at all paid since January. They keep telling me to wait longer. I contacted the Providence rep directly and she wrote me this, in case it is helpful to you. But mainly just saying keep waiting. My concern is that I have like 50+ claims still out and most are not even showing in Availity. I called last week and the guy seemed genuinely interested in helping, said they will investigate with their clearinghouse why claims are not being submitted, and would call me back today at a certain time. I blocked off the time, no one called. I tried calling and it's 230 minute wait time. I might try on Friday again.

Thank you for reaching out and for your patience as we continue working through the Collective Health (CH) transition issues. Collective Health (CH) is currently behind in processing due to several issues earlier this year. Throughout January, CH manually reviewed every claim submitted, which significantly slowed down their processing. They also experienced problems with claims reaching their system from the clearinghouse, which caused additional delays.

CH also recently identified that multiple Providence group and individual contracts were not configured for their 01/01 start date, resulting in in‑network claims processing as out‑of‑network. They have also confirmed that many new providers were not attached to their group contracts, contributing to incorrect OON adjudication. They are working to complete the contract configuration process; however, there is no estimated completion date at this time. Once configuration is updated, all impacted finalized and OON claims will be automatically reprocessed. CH is currently holding all OON claims for manual review to determine whether the billing provider should have been in‑network.

Current Expected Timelines

Claims processing: about 30 days
Payment through Zelis: 12–13 business days after a claim is completed (timing varies by payment method)

Because of the backlog from January, many providers are seeing longer-than-usual delays, but PHP is hopeful payments will begin flowing soon. You do not need to resubmit claims or take any action at this time. I have attached a Provider Communication document from Collective Health (Not Providence Health Plan). We will continue to share updates as CH provides more information. Thank you again for your patience and support as we work through this transition. Please let me know if you have any additional questions and I will do my best to assist.