Using information in the firstREV Enrollment Report, agencies must determine if additional paperwork is required for payer that will have claims managed using the firstREV interface. Only payer that require additional enrollment for a certain feature (e.g. ERA, Eligibility, Claims) need to have a form completed.
Complete the process outlined below enroll payers in firstREV:
1. While logged in to firstREV, navigate to Settings | Payers.
2. Use the Quick Search feature to find the payer you want to enroll in firstREV.
3. Click Enroll/Manage in the Action column or click anywhere in the corresponding row of the grid.
4. Click New Enrollment.
5. Fill out all of the fields in the Payer Information and Provider Information sections with the appropriate data. Make sure you indicate the Transaction Type(s) your agency will utilize for the corresponding payer (i.e. Institutional claims, Professional claims, remittance, etc.).
6. In the Form Template section on the right side of the screen, click Download.
7. Print out the required enrollment form, fill it out with the appropriate information, and then save the completed enrollment form as a .pdf file.
8. In the Completed Form section on the right side of the screen, click Upload to upload the completed form .pdf file.
9. Click Save.
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If additional enrollment is required, the corresponding tab will not be available for that payer (e.g. Institutional Claim, Eligibility ) until it is completed. Refer to “Enrolling Payers in firstREV” on pages 70-71 for instructions on how to submit additional enrollment forms. |
