IMPORTANT
If you do not follow the proper instructions below then you can expect an impact in the payment of your claims. 

Permissions

TheraNest users with Organization Administrator permissions will be able to kick off the enrollment process and complete the steps below. 

Before you begin

Make sure that you have properly prepared for this switch.
Check to see if your payers require enrollment
Understand that enrollment is a process

IMPORTANT

If you do not follow the proper instructions below then you can expect an impact in the payment of your claims. 

Let's Switch!

  1. Click on Organization in your Primary Navigation bar.
  2. In the sidebar menu click Claims Service.
  3. Read over information in the main content section of the page. Click on "Request Electronic Insurance Claim Service"

*IMPORTANT* once you accept the terms and conditions you will be unable to change this option. This will lock you in to Apex clearinghouse and you will not be able to revert this decision. 

4. Read over Terms & Conditions and Select, "Accept & Continue"
5. Complete enrollment survey based on how you're enrolled with your payer.

For the payers that do NOT require EDI enrollment you can start submitting claims for them immediately through Apex. You just need to switch your payer

For payers that do require EDI enrollment you will have to wait till you're approved before you can change the payers and submit those claims through Apex. You can still submit claims through your existing clearinghouse while you wait for approval. 

Check here to see if your payers require enrollment. If they don't then learn how to switch them over to Apex by clicking here.

VERY IMPORTANT THINGS TO KNOW:

  1. Do not cancel your current clearinghouse connection. You will need to keep that connection open to support dual submission.  
  2. Dual Submission (submitting to both Apex and your current clearinghouse) is not a permanent function. TheraNest cannot support this functionality indefinitely. 
  3. It is CRITICAL that you submit EDI and ERA enrollments for all appropriate/eligible insurance payers. 

Helpful Articles and FAQs

No All Providers are populating in the Enrollment survey
Did my Apex Enrollment Survey go through?
Apex Clearinghouse FAQs
Enrollment Survey FAQs
Understand EDI and ERAWhat is my Enrollment Status?Madaket Form FAQsAccepted Enrollment FAQsEnrollment Rejection FAQs

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