1. Go to 2. Click the Register button. 3. Accept the Terms and Conditions
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1 Page 1 of 12 Change Healthcare ProviderNet Registration 1. Go to 2. Click the Register button 3. Accept the Terms and Conditions
2 Page 2 of Enter provider verification questions. a. Input your National Provider ID Number (NPI). b. Input your Tax ID Number (TIN). c. Select the insurance company paying you. d. Enter a recent check number from one of your payments as it appears on the upper right/left hand corner of your check payment. e. Click the Continue button. NOTE #1: If you have not received a payment from your payer then you will not be able to complete your registration until you have received your first payment. NOTE #2: The check number has to come from a payment you have received within the last year.
3 Page 3 of Create your User Account. a. Input and confirm your Address. This will be your login id. b. Input your User Name (First and Last). c. Input and confirm a Password. d. Select a Password Reset Question. e. Input a Password Reset Response. f. Click the Continue button. Password requirements *No less than 8 characters *No more than 10 characters *At least 1 number
4 Page 4 of Primary Administrative Contact Information a. Input the Business Name. b. Input the Provider Contact Name (First and Last) for this account. c. Input the Provider Contact Title. d. Input the Primary Contact Phone Number. Enter an extension if applicable. e. Input the Fax Number. f. Input the Primary Contact Address. g. Click the Continue button.
5 Page 5 of Select whether you would like to continue registering without EFT enrollment or continue registering for EFT. a. If you selected to Continue Without EFT Enrollment confirm your selection. You will be able to set it up later. Click OK to continue registration without EFT election Click Cancel to continue with EFT setup. NOTE: If you elect to continue registration without EFT payment you will be directed to your Start page. Skip to page 11 for further instruction. b. If you selected Continue to EFT Enrollment you are electing to receive your payer (insurance company) payments direct deposited to an account you will designate.
6 Page 6 of Enter the mailing address exactly as it appears on your Remittance Advise in the upper left hand corner. Note: You will have the opportunity to enter additional addresses after your registration is completed. 9. This page displays your Federal Tax ID Number and NPI. a. Your NPI and Federal TaxID are populated on your ACH Authorization form. The fields have been disabled since these are the only values that are eligible for EFT enrollment at this time. b. Click the Continue button.
7 Page 7 of Enter the bank account information where you would like to receive your deposits for this NPI/TIN. a. Enter your bank name. b. Enter your routing number. c. Select the type of account you have. d. Enter your account number. e. Select whether you would like your bank account linked to your TaxID or your NPI f. Click the Continue button. Identifying your routing number Your routing number is located between two special symbols Note #1: It will take 7-10 business days for your bank to set up processes to ensure delivery of ACH payment related Information. Note #2: You will have the opportunity to enter additional accounts after registration is completed.
8 Page 8 of EFT Submission Page a. Reason for Submission is a fixed field it will show New Enrollment b. Include with Enrollment Submission select whether you will be submitting a voided check or Bank Verification Letter c. Authorized Signature is a fixed field it will show Written Signature of Person Submitting Enrollment d. Click the Continue button.
9 Page 9 of Review and Confirm a. Make sure all of the information you entered in is correct then click continue. If you need to make changes, click on the blue section heading and edit the information that needs to be edited. Once completed, click the Continue button until you reach the Review and Confirm page again to review your information. b. If all is well, click the Continue button.
10 Page 10 of ACH Authorization Form a. Using the Print Icon at the bottom of the form Print, sign and fax or your ACH Authorization Form along with a copy of a voided check or bank verification letter to (602) /. b. Click the Continue button. You will be directed to the start page to begin using ProviderNet.
11 Page 11 of ProviderNet Start Page It takes up to 10 business days for your account to be verified and your EFTs to begin. You can check the status of this process by logging in and clicking on the Accounts tab on your Control Panel. If your account status says verified you should begin to receive your EFTs. If your account status says verified and you still are receiving check payments please give ProviderNet Customer Support a call, (877) The red type at the top of this page indicates we have not received your ACH Authorization Form or Voided Check/Bank Verification Letter. Once we receive and process both, that red type will disappear.
12 Page 12 of Control Panel a. Use your control panel to navigate around ProviderNet Payment Search This page contains search options you can use to search for particular payments. At the bottom of the page you will see all of your payments, listed from newest to oldest dating back a year. User Activity This page allows Administrators to view each of the user s activity while using ProviderNet. Provider Info - This page allows the Administrator to view or modify your provider Information. You can also add additional payers and NPI/TINs. Accounts You can view, add, change, or delete your Bank Account Information. Tax IDs You can view, add, change, or delete your Tax IDs. Contacts This page allows you to view, add, change, or delete your contacts. Addresses This page allows you to view, add, change, or delete your Office Information (address). EFT Enrollment If during your initial registration you elected not to receive your payments direct deposited you may click here to enroll in EFT. Connectivity You can set up connectivity to receive your ERA (EDI 835s/ERA (PDF) files via FTP or have them automatically sent over to your Clearinghouse. User Administration You can view, add, change, or delete user access for your ProviderNet account. My Profile This page allows you to view, add, change, or delete your User Profile Information. Frequently Asked Questions ProviderNet Q and A. Icons At the bottom of each page is an Icon Legend showing what the Icons on that page represents.
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