https://docs.claimrev.com/ 2026-06-22T02:28:19+00:00 https://docs.claimrev.com/ https://docs.claimrev.com/lib/exe/fetch.php?media=wiki:dokuwiki.svg text/html 2026-03-23T18:58:55+00:00 Anonymous (anonymous@undisclosed.example.com) https://docs.claimrev.com/doku.php?id=api_integration&rev=1774292335&do=diff API Integration Support * API Quick Start Guide * Sharp Revenue Testing Guide * Sharp Revenue Claim Status Guide * ClaimRev MCP Server (AI Payer Lookup) text/html 2025-01-17T18:47:57+00:00 Anonymous (anonymous@undisclosed.example.com) https://docs.claimrev.com/doku.php?id=api_quick_start&rev=1737139677&do=diff ClaimRev API Quick Start Guide Authentication Grant Type: Client Credentials Client Authentication: Send Client Credentials in Body Client ID: ClaimRev will provide Client Secret: ClaimRev will provide API Server Testing Access Token text/html 2026-05-12T18:44:27+00:00 Anonymous (anonymous@undisclosed.example.com) https://docs.claimrev.com/doku.php?id=companion_guide&rev=1778611467&do=diff 837 Companion Guide – Header and Submitter Information The following sections explain how to populate the ISA, GS, and 1000A loops when sending 837 files to ClaimRev. --- ISA Segment (Interchange Control Header) The ISA segment is the fixed-length envelope header that begins every 837 EDI transaction. text/html 2025-01-16T20:25:31+00:00 Anonymous (anonymous@undisclosed.example.com) https://docs.claimrev.com/doku.php?id=faq&rev=1737059131&do=diff FAQ How do I download an ERA FIle To download an ERA from the ClaimRev portal, follow these steps: 1. Log in to the ClaimRev Processing Portal at [[https://portal.claimrev.com|portal.claimrev.com]]. 2. Navigate to the **Downloads** section using the menu on the left. text/html 2025-06-20T18:34:22+00:00 Anonymous (anonymous@undisclosed.example.com) https://docs.claimrev.com/doku.php?id=independent_health&rev=1750444462&do=diff 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. text/html 2025-08-04T21:30:36+00:00 Anonymous (anonymous@undisclosed.example.com) https://docs.claimrev.com/doku.php?id=insta_med&rev=1754343036&do=diff ClaimRev Enrollment Instructions Providers must enroll with InstaMed to begin receiving ERAs for this payer. Follow the steps below to create an InstaMed account: * Go to: <https://register.instamed.com> * Enter your Tax ID and Email Address to get started. * During registration, you will be asked to select text/html 2026-03-23T18:59:23+00:00 Anonymous (anonymous@undisclosed.example.com) https://docs.claimrev.com/doku.php?id=mcp_server&rev=1774292363&do=diff ClaimRev MCP Server Overview ClaimRev provides a Model Context Protocol (MCP) server that allows AI assistants (Claude, ChatGPT, Copilot, etc.) to search payer data directly. This enables AI-assisted payer lookup, eligibility verification mapping, and cross-referencing between ClaimRev and SharpRevenue payer systems. text/html 2026-05-22T22:34:57+00:00 Anonymous (anonymous@undisclosed.example.com) https://docs.claimrev.com/doku.php?id=openemr_manual&rev=1779489297&do=diff OpenEMR ClaimRev Connect Module The ClaimRev Connect module integrates ClaimRev's clearinghouse services directly into OpenEMR, giving practices access to claims processing, eligibility verification, ERA downloads, payment posting, reconciliation, patient balance management, and analytics — all without leaving their EHR. text/html 2025-10-06T21:10:21+00:00 Anonymous (anonymous@undisclosed.example.com) https://docs.claimrev.com/doku.php?id=payer_enrollment&rev=1759785021&do=diff * Independent Health * InstaMed * Pay Span * Aetna * Cigna * Humana * Pay Span * RR Medicare * State Medicaid's * State Medicare * Tricare-East * Tricare-For-Life * Tricare-West * United * Zelis text/html 2025-12-04T19:03:09+00:00 Anonymous (anonymous@undisclosed.example.com) https://docs.claimrev.com/doku.php?id=payer_enrollment_aetna&rev=1764874989&do=diff Aetna ERA Enrollment Process Please complete this Excel File and return it to enrollments@claimrev.com In the subject line of the email please put: Account: {Your account Number} - Payer Name: {name of payer}- Payer Number: {Payer Number} - ERA Enrollment ex: “Account: DEMO1 - Payer Name: Aetna - Payer Number: 60054 - ERA Enrollment text/html 2025-10-06T21:09:19+00:00 Anonymous (anonymous@undisclosed.example.com) https://docs.claimrev.com/doku.php?id=payer_enrollment_cigna&rev=1759784959&do=diff Cigna ERA Enrollment Instructions Step 1 — Download & Complete Form [Download: Cigna ERA Enrollment Form (.xlsx)] After completing the form, email the finished file to your ERA Account Manager. ---------- Processing Time If the Provider TIN is already submitting claims to Cigna, allow approximately text/html 2025-08-19T14:56:12+00:00 Anonymous (anonymous@undisclosed.example.com) https://docs.claimrev.com/doku.php?id=payer_enrollment_humana&rev=1755615372&do=diff Humana ERA Enrollment From Availity, go to Payer Spaces, and click on Humana. [Payer Spaces - Humana] * Select the ERA/EFT Enrollment option [ERA/EFT Enrollment Option] * You should now see the ERA/EFT Enrollment screen. Once you search for your organization you should see this screen: text/html 2025-02-10T14:45:47+00:00 Anonymous (anonymous@undisclosed.example.com) https://docs.claimrev.com/doku.php?id=payer_enrollment_la_medicaid&rev=1739198747&do=diff Enrollment Instructions for Medicaid Louisiana EDI *Louisiana Medicaid requires claims to be submitted via a dial-up modem connection. We have partnered with Office Ally to get your claims to this payer.* To enroll for Electronic Data Interchange (EDI) with Medicaid Louisiana, please complete the following steps: text/html 2025-02-06T16:04:00+00:00 Anonymous (anonymous@undisclosed.example.com) https://docs.claimrev.com/doku.php?id=payer_enrollment_medicare_ngs&rev=1738857840&do=diff Medicare NGS For states that use NGS as their Medicare MAC please follow this guide for help with enrollments <https://enrolledi.ngsmedicare.com/enrollment> * Select that your are a provider * Next, “I want to Complete an EDI Registration Form * * Pick the Contractor code for you state: text/html 2025-09-25T14:32:17+00:00 Anonymous (anonymous@undisclosed.example.com) https://docs.claimrev.com/doku.php?id=payer_enrollment_medicare_noridian&rev=1758810737&do=diff Enrolling for EDI with Noridian This guide outlines the steps for a provider to enroll for Electronic Data Interchange (EDI) with Noridian to submit 837 claims and receive 835 remittance advices through our clearinghouse, Claim Revolution, LLC, using the submitter ID text/html 2025-09-17T16:47:20+00:00 Anonymous (anonymous@undisclosed.example.com) https://docs.claimrev.com/doku.php?id=payer_enrollment_medicare_novitas&rev=1758127640&do=diff Novitas Enrollment Instructions Novitas enrollment requires completion of a PDF form. The process is straightforward: ---------- Step 1: Download the Enrollment Form Download the appropriate EDI Enrollment form (JL or JH): * [ Novitas JL Enrollment Form (PDF)] * [Novitas JH Enrollment Form (PDF) Professional] ---------- text/html 2025-09-03T21:51:09+00:00 Anonymous (anonymous@undisclosed.example.com) https://docs.claimrev.com/doku.php?id=payer_enrollment_medicare_pallmetto&rev=1756936269&do=diff Palmetto Medicare Enrollment Follow the instructions on the form to submit it to Palmetto GBA. After submission, please send a copy to ClaimRev at support@claimrev.com. [ **Palmetto GBA Part B Enrollment Form**] text/html 2025-09-03T21:27:39+00:00 Anonymous (anonymous@undisclosed.example.com) https://docs.claimrev.com/doku.php?id=payer_enrollment_medicare_wps&rev=1756934859&do=diff WPS Enrollment Instructions The trading partner ID is CLAIMREV. Use this link: WPS EDI Portal Select the blue box: Yes I am a healthcare provider. ---------- On this screen select 5010 837 Professional Claim. *Note: You will need to go through this process twice — once for Professional Claims and once for ERA enrollment.* text/html 2025-08-22T19:13:03+00:00 Anonymous (anonymous@undisclosed.example.com) https://docs.claimrev.com/doku.php?id=payer_enrollment_pay_span&rev=1755889983&do=diff Register For PaySpan * Click on the link below or call PaySpan Customer Service to request a Registration Code (You will be issued a Registration Code along with a PIN Number for that code): * <https://www.payspanhealth.com/RequestRegCode> * Call (877) 331-7154 Option 1 * When you receive your registration code, go to [ text/html 2025-10-16T19:45:37+00:00 Anonymous (anonymous@undisclosed.example.com) https://docs.claimrev.com/doku.php?id=payer_enrollment_rr_medicare&rev=1760643937&do=diff Please use the following form to enroll for Rail-Road Medicare: [**Rail-Road Medicare EDI Enrollment Application**] Submission Instructions: Once you have completed the form, please submit it via fax or email using the details below: * Fax: 803-382-2416 (*Be sure to include area code 803 when dialing the fax number.*) text/html 2025-03-25T13:26:42+00:00 Anonymous (anonymous@undisclosed.example.com) https://docs.claimrev.com/doku.php?id=payer_enrollment_state_medicaid&rev=1742909202&do=diff * Louisiana Medicaid text/html 2025-09-03T21:28:58+00:00 Anonymous (anonymous@undisclosed.example.com) https://docs.claimrev.com/doku.php?id=payer_enrollment_state_medicare&rev=1756934938&do=diff * NGS * Palmetto GBA * Noridian * WPS * Novitas text/html 2025-03-10T16:28:19+00:00 Anonymous (anonymous@undisclosed.example.com) https://docs.claimrev.com/doku.php?id=payer_enrollment_tricare_east&rev=1741624099&do=diff TriCare East Enrollment In order to process TriCare East claims, the following forms must be completed: * [ Trading Partner Agreement ] * [ ERA and EFT Enrollment ] Follow all instructions provided on each form carefully. Once you've submitted these forms, please notify ClaimRev when they have been approved so that we can complete the setup on our end. text/html 2025-10-03T18:54:18+00:00 Anonymous (anonymous@undisclosed.example.com) https://docs.claimrev.com/doku.php?id=payer_enrollment_tricare_for_life&rev=1759517658&do=diff For Claim Enrollments please follow the instructions for enrolling at WPS: WPS Enrollment Instructions Enrollment Instructions To begin enrollment please click the link: Payer Enroll Services Register for the tool by clicking on the Begin Enrollment button. Or click Sign In if you are already registered and would like to make changes. text/html 2025-05-16T14:06:20+00:00 Anonymous (anonymous@undisclosed.example.com) https://docs.claimrev.com/doku.php?id=payer_enrollment_tricare_west&rev=1747404380&do=diff TriCare West Enrollment In order to process TriCare West claims, the following forms must be completed: * [ Trading Partner Agreement ] * [ ERA and EFT Enrollment ] Follow all instructions provided on each form carefully. Once you've submitted these forms, please notify ClaimRev when they have been approved so that we can complete the setup on our end. text/html 2025-02-06T16:14:39+00:00 Anonymous (anonymous@undisclosed.example.com) https://docs.claimrev.com/doku.php?id=payer_enrollment_united&rev=1738858479&do=diff United Payers ERA Enrollment For United Payers ERA enrollment, please follow the steps below: 1. Download the required enrollment form: → 2. Complete the form with the necessary payer details. 3. Prepare a Change of Vendor Cover Letter: → text/html 2025-08-22T19:16:02+00:00 Anonymous (anonymous@undisclosed.example.com) https://docs.claimrev.com/doku.php?id=payer_enrollment_zelis&rev=1755890162&do=diff Zelis Payments Online Enrollment Instructions * Go to [<http://www.zelispayments.com/]>(<http://www.zelispayments.com/>) * Complete your Zelis Payments account set up: * Payment Method: Select your preferred option for receiving ePayments.* * ERA Delivery Method: Choose *Clearinghouse* in the 835 Format section. text/html 2025-08-04T21:33:37+00:00 Anonymous (anonymous@undisclosed.example.com) https://docs.claimrev.com/doku.php?id=pay_span&rev=1754343217&do=diff PaySpan Registration Instructions IMPORTANT: After completing the instructions, please send an email to your ClaimRev Account Manager to notify them that ERA registration is complete. Be sure to include the Payer Name and Payer Number in the email. text/html 2025-04-08T14:46:54+00:00 Anonymous (anonymous@undisclosed.example.com) https://docs.claimrev.com/doku.php?id=sharp_revenue_claim_status_guide&rev=1744123614&do=diff Claim Status Request Guide The claim status request requires the following JSON structure: { "accountNumber": "string", "practiceName": "string", "requestingSoftware": "string", "createDate": "2025-04-08T14:22:05.749Z", "originatingSystemId": "string", "npi": { "practiceName": "string", "npi": "string" }, "submitterNpi": { "practiceName": "string", "npi": "string" }, "claim": { "originatingSystemPatientKey": "string", "originatingSystemClaimKey": "s… text/html 2026-05-06T19:42:11+00:00 Anonymous (anonymous@undisclosed.example.com) https://docs.claimrev.com/doku.php?id=sharp_revenue_mock_scenario_intake&rev=1778096531&do=diff Sharp Revenue Mock Scenario Intake This page describes how to request a set of mock eligibility / claim-status scenarios for your test account, using your own production transactions as the source. Once captured, these scenarios are PHI-scrubbed and copied into your test account so you can demo eligibility flows in your EMR with realistic-looking data that always returns the same response. text/html 2025-04-08T14:44:43+00:00 Anonymous (anonymous@undisclosed.example.com) https://docs.claimrev.com/doku.php?id=sharp_revenue_testing_claim_status_guide&rev=1744123483&do=diff Claim Status Request Guide The claim status request requires the following JSON structure: { "accountNumber": "string", "practiceName": "string", "requestingSoftware": "string", "createDate": "2025-04-08T14:22:05.749Z", "originatingSystemId": "string", "npi": { "practiceName": "string", "npi": "string" }, "submitterNpi": { "practiceName": "string", "npi": "string" }, "claim": { "originatingSystemPatientKey": "string", "originatingSystemClaimKey": "s… text/html 2026-05-05T15:20:53+00:00 Anonymous (anonymous@undisclosed.example.com) https://docs.claimrev.com/doku.php?id=sharp_revenue_testing_guide&rev=1777994453&do=diff Sharp Revenue Tools API Guide Product List Eligibility - Product ID: 1 This is used when you have all the information about the patient's insurance. Use product ID of 1. Demographics - Product ID: 2 This runs the top level of the patients credit report and is utilized in Insurance Discovery. It will return information such as address, gender, SSN. Use Product ID of 2 text/html 2026-05-13T15:13:33+00:00 Anonymous (anonymous@undisclosed.example.com) https://docs.claimrev.com/doku.php?id=start&rev=1778685213&do=diff Welcome to ClaimRev Support Welcome to the ClaimRev Support Wiki! Here, you'll find all the resources and documentation to help you manage and resolve your claims efficiently. Please note, this is a work in progress and this site will be updated often. text/html 2025-01-16T20:29:02+00:00 Anonymous (anonymous@undisclosed.example.com) https://docs.claimrev.com/doku.php?id=user_manual&rev=1737059342&do=diff User Manual Table of Contents * * * * * * * * * * * FAQ * Introduction The ClaimRev Processing Portal, accessible at portal.claimrev.com, provides a comprehensive suite of tools designed to streamline the management of your claims.