Explanation of Payment Changes
The Explanation of Payment (EOP) associated with the new GHW-CIGNA ID cards now shows only the CIGNA logo. To identify an EOP that is associated with a GWH-CIGNA ID card, notice these key features:
- “GWH-CIGNA" appears in the remark code for claims processed with a network provider discount;
- A return address of 1000 Great-West Drive appears on page one;
- The Payer ID 80705 is on the bottom of page two.
Important to note: EOPs for patients who still carry the ID card with the Great-West Healthcare logo are not changing at this time.
Detailed information about how to read EOPs is available on the Secured Provider Portal at www.greatwesthealthcare.com/providers > Claims Inquiry > View a sample Explanation of Payment.
Electronic Transaction Changes
All Electronic Data Interchange (EDI) transactions for participants enrolled in former Great-West Healthcare plans have changed their co-branding, as of January 1, 2010. Your EDI transactions will show the following changes, regardless of the ID card presented by participants in former Great West Healthcare or GW CIGNA plan:
- Electronic Remittance Advice (ERA) - The ERA payer previously showed as Great-West Life & Annuity Insurance Company. “GreatWestHealthcare-CIGNA" now appears as the payer name. Additionally, a payer ID field has been added to the ERA. ERAs for participants with a Great-West Healthcare or GWH-CIGNA ID card will now show the payer ID 80705. You may also see the CIGNA logo on the ERA depending on the vendor you use.
- Other EDI Transactions - All other EDI transactions, including eligibility and benefits (270/271), claim status (276/277) and health care services review (278) transactions are now co-branded. The company name “Great-West Life” is now replaced with “GreatWestHealthcare-CIGNA.”
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