Change Healthcare Security Incident

Provider/Supplier Type(s) Impacted: All

Reason Codes: Not applicable.

Claim Coding Impact: Not applicable.

Description of Issue: Noridian is aware of the recent cyber security incident at Change Healthcare. Our priority is to ensure the security of our data. There is no indication of any impact on our data. In the meantime, we appreciate your patience and understanding.

Noridian Action Required: We are closely monitoring the situation and assessing any potential impact.

Provider/Supplier Action Required: If your Electronic Data Interchange (EDI) clearinghouse is impacted by the Change Healthcare cyber security incident, we recommend you check with them for further instructions.

Proposed Resolution/Solution:

Update 04/05/24: If providers are unable to submit medical records timely for requested Medical Review Additional Documentation Requests (ADRs) related to the recent Change Healthcare Security Incident, please reach out to the clinical reviewer contact listed in your notification letter to discuss and possibly extend your documentation submission timeline. Please have a listing of the ordered ADRs identifier number ready. The Case Manager will require verbal or written attestation that your request is related to the Change Healthcare cyber security incident.

Update 03/29/24: Optum, the parent company for Change Healthcare, has worked with Noridian to transition providers enrolled in Change Healthcare connections to the Optum iEDI Clearinghouse. The transition at this time is for claim submission only, however work continues on determining a plan for electronic remittance advices. Noridian will maintain dual enrollment for claims to ensure an easy transition as the Change Healthcare platforms come online. Partners and providers do not need to take any action. This transition is ongoing and Optum will publish additional updates as they are available. For additional information, visit: Optum Solution Status

Update 03/15/24: Noridian offers four alternative options for submitting claims.

Option 1: Change to a new vendor

  1. Provider will log into their EDISS Connect account at EDISS Connect
    Note: If it has been more than 90 days since your last login, select the 90 days since last login? option to regain access to your account.
  2. Select Manage Transactions.
  3. For the 837 transactions, select Add Vendor.
    Note: Only two submission methods can be listed in the EDISS Connect account. If you already have two listed, one will need to be removed to add the new vendor.
  4. Search for the new Vendor by name or Trading Partner ID and Add the correct option once located.
  5. Allow 2-4 business days for the transaction to be moved into production. For awareness, the typical processing timeframe is 7-10 business days.
    Note: You will not receive a notification when the new vendor has been moved to a production status. We encourage you to log into your account frequently to confirm the status of the transaction.

Option 2: Change to direct

  1. Provider will log into their EDISS Connect account at EDISS Connect
    Note: If it has been more than 90 days since your last login, select the 90 days since last login? option to regain access to your account.
  2. Select Manage Transactions.
  3. For the 837 transactions, select the I will and/or check box.
    Note: Only two submission methods can be listed in the EDISS Connect account. If you already have two listed, one will need to be removed to add the I will and/or check box.
  4. Direct claim submission does require testing. To review the testing requirements, visit EDISS Registration
  5. Once the test file is submitted, please allow 72 hours for review of the file.
  6. If the test file is clean, the 837 I will and/or will be moved to a production status in your Connect account.
    Note: You will not receive a notification when the new vendor has been moved to a production status. We encourage you to log into your account frequently to confirm the status of the transaction.
  7. Methods of submitting direct transactions: Note: For those that are currently set up to receive their Electronic Remittance Advice (ERA) via Change Healthcare, you can either use NMP, if currently registered, to retrieve the ERA or you can update your 835 transactions in your EDISS Connect account to obtain future ERAs through the new retrieval option.

Option 3: Direct Data Entry (DDE)

This option is for Medicare Part A providers only. DDE is a real-time Fiscal Intermediary Shared System (FISS) application giving providers interactive access for inquiries, claims entry and correction purposes. For more information about this option, Jurisdiction E providers can visit JE Direct Data Entry (DDE) and Jurisdiction F providers can visit JF Direct Data Entry (DDE).

Option 4: Paper claim submission

Noridian is prepared to accept paper claims for the providers that have exhausted all options above. However, please be aware that paper claims take a minimum of 29 days for payment. Noridian recommends you review the other electronic alternatives available before submitting the request. If you do determine that there are no other options for you to submit claims, you may submit a waiver request on company letterhead that includes your billing PTAN and that you are requesting a waiver related to the Change Healthcare security incident. These requests can be faxed to 701-277-7850. Please allow 2 business days for the request to be processed before submitting claims. Once approved, please ensure that you are following the paper claim submission guidelines to avoid your claims from being rejected. Guidelines for completing a claim from can be found on Noridian’s Claim Form Instructions. Formatting requirements can be found on Noridian’s CMS-1500 Claim Form Guidelines and Tips.

Request for Change Healthcare/Optum Payment Disruption Accelerated and Advance Payment

Providers should use the request for Change Healthcare/Optum payment disruption (CHOPD) Accelerated Payment to Part A Providers and Advance Payments to part B Suppliers [DOCX] template to submit a request. The template must be initialed for all certification of facts and signed by the provider's authorized official that is legally able to make financial commitments and assume financial obligations on behalf of the provider/supplier.

Please submit the completed CHOPD Accelerated/Advance Payment request to: PartBadvancepayments@noridian.com or Fax: 701-277-7865

For additional information such as eligibility requirements, required acknowledgement of terms, and payment amount, please refer to CMS Fact Sheet Change Healthcare/Optum Payment Disruption (CHOPD) Accelerated Payments to Part A Providers and Advance Payments to Part B Suppliers [PDF]

Change Healthcare/Optum Payment Disruption (CHOPD) Accelerated and Advance Payments for Part A Providers and Part B Suppliers Frequently Asked Questions

Date Reported: 02/28/24

Date Resolved:

Last Updated Apr 08 , 2024