ClaimRev Support Documentation

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====== Independent Health (IH) Enrollment ======

Independent Health (IH) requires provider enrollment before claims can be submitted. As part of their enrollment process, IH assigns each provider a unique **3-character code** that must be entered into the ClaimRev system.

===== Enrollment Overview =====

Before submitting claims to Independent Health, providers must complete the IH enrollment process. This includes filling out and submitting **two required forms** to IH. Once processed, IH will issue a 3-character provider code.

That code must be stored in our system under the payer settings for Independent Health to ensure claims are routed and processed correctly.

===== Required Steps =====

  - Complete both IH enrollment forms (see below).
  - Submit the completed forms to Independent Health using their instructions (typically via email or fax—verify current method).
  - Await confirmation from IH and issuance of the 3-character provider code.
  - Email ClaimRev with the code.

===== Required Forms =====

   * {{ :electronic-claims-sender-request-form.pdf |IH Enrollment Form – Part 1}} 
   * {{ ::electronictransactionagentdesignationletter.pdf |IH Enrollment Form – Part 2}}

===== Additional Notes =====

  * The 3-character code is provider-specific and is required for claims to process correctly.
  * If the code is missing or incorrect, IH will reject the claims.
  * If the provider already has a code from a previous billing setup, that code may still be valid—contact IH to verify.

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