UHIN Status

Identified: Dear Valued Customers,

We are pleased to provide a positive update on our ongoing efforts to restore full functionality following the cybersecurity event at Change Healthcare (CHC).

Expanded Payer Network Coverage:

UHIN has successfully established connections to all known payers from whom we receive claims (837s). This significant achievement ensures that a wide range of payers are now accessible through our network.

Increased ERA Submissions:

We are delighted to report that we have begun receiving a growing number of Electronic Remittance Advice (ERA) reports (835s) through our new partner network. This indicates that our efforts to re-establish these critical connections are yielding positive results.

Streamlining Enrollment Processes:

We understand that there was initial uncertainty regarding the enrollment process moving forward. UHIN is actively working with our new partners to implement efficient bulk enrollment procedures wherever possible. This will simplify the process for providers and expedite the restoration of full functionality.

Identifying Re-enrollment Requirements:

We have become aware that certain payers may require providers to re-enroll on their systems. UHIN will communicate directly with impacted providers to inform them of these specific requirements.

Prioritizing High-Volume Payer Re-enrollment:

For high-volume payers that necessitate re-enrollment, UHIN is committed to working closely with our partners to streamline this process and minimize any inconvenience for providers. We will explore options to make the re-enrollment process as efficient and straightforward as possible.

Continued Progress and Support:

UHIN remains dedicated to ensuring a seamless claims processing experience for all our customers. We will continue to provide regular updates on our progress and are here to assist you with any questions or concerns.

Thank you for your continued partnership.

Sincerely,

UHIN Team

Identified: Dear Valued Customers,

This message serves as a progress update on our ongoing efforts to restore consistent Electronic Remittance Advice (ERA) delivery (835 files) following the cybersecurity event at Change Healthcare (CHC). We appreciate your continued patience and understanding as we navigate this situation together.

Our internal teams have made significant strides in collaborating with our clearinghouse partners to facilitate the smooth transmission of 835 files. We are currently awaiting final confirmation on the process for bulk 835 enrollment from our partners. Once this critical step is completed, we will be able to begin routing 835s for a wider range of providers. We are actively working to expedite this process and will provide a further update with a more precise timeframe for full ERA restoration as soon as this information is available.

Thank you for your continued partnership.

Sincerely,

UHIN Team

Identified: Dear Valued Customers,

This message serves as an update on our ongoing efforts to minimize disruption caused by the cybersecurity event at Change Healthcare (CHC), with a specific focus on Electronic Remittance Advice (ERA) delivery (835 files). We appreciate your continued patience and understanding as we work to resolve these challenges.

Collaborative Efforts to Restore ERA Delivery:

UHIN is actively working to restore consistent ERA delivery for our broader provider community. Our internal teams, including enrollment specialists, application support staff, business analysts, and software engineers, are collaborating closely with their counterparts at our clearinghouse partners. This combined effort is focused on facilitating the smooth and efficient transmission of 835 files.

Acknowledging Provider Challenges:

We understand the difficulties this outage has caused for providers who rely on timely ERAs for accurate payment reconciliation. We are committed to making significant progress in opening these critical channels for a wider range of providers.

Positive Developments and Upcoming Information:

We have made significant strides in restoring ERA delivery functionality. We will provide more detailed information and a clearer timeline for full restoration once we complete the next round of testing currently underway.

Continued Commitment and Support:

UHIN remains dedicated to resolving outstanding issues and ensuring a smooth claims processing experience for all our customers. We will continue to provide regular updates and are here to assist you. Please do not hesitate to reach out to our customer support team if you have any questions or require further assistance.

Thank you for your continued partnership.

Sincerely,

UHIN Team

Identified: Dear Valued Customers,

This message serves as a further update regarding our ongoing efforts to minimize disruption caused by the cybersecurity event at Change Healthcare (CHC). We appreciate your continued patience and understanding as we navigate this situation together.

Significant Progress on Backlogged Files:

We are pleased to report significant progress in addressing the backlog of files that were waiting for submission due to the CHC outage. By leveraging our connections with other clearinghouses, we have successfully sent approximately 90% of these files. Our internal teams and network partners are working diligently to transform and transmit the remaining files as quickly and efficiently as possible. We will provide another communication once all outstanding files have been sent.

Expanded Payer Network Access:

We understand the importance of providing access to the broadest possible network of payers. While some payers may remain exclusively connected to CHC, UHIN is actively working to ensure all available payers are accessible through our network. This includes ongoing efforts to: • Reroute Remaining CHC Payers: We are collaborating with other partners to reroute payers that are still on the, no longer functional, legacy Emdeon connection. • Expand Network Options: We are actively exploring partnerships with additional clearinghouses to further expand our network coverage and provide alternative routes for claims that cannot be submitted through CHC.

Transparency and Collaboration Remain Key:

We remain committed to transparent communication throughout this process. We will continue to share updates as they become available, including information on resolved issues, ongoing challenges, and the availability of the complete payer list on our network.

Continued Support:

Our dedicated customer support team is readily available to address any questions or concerns you may have. Please do not hesitate to reach out at customerservice@uhin.org if you require further assistance.

Thank you for your continued partnership.

Sincerely,

UHIN Team

Identified: We are continuing to work on a fix for this issue.

Identified: We are continuing to work on a fix for this issue.

Identified: Dear Valued Customers,

This message serves as a follow-up to our previous communications regarding the ongoing cybersecurity event at Change Healthcare (CHC) and UHIN's efforts to minimize disruption. We appreciate your continued patience and understanding as we navigate this situation together.

UHIN’s Focus to Re-Establish Connections: UHIN is actively working, in an all-hands-on-deck approach, to re-establish connections with CHC through their rebuilt clearinghouse system. Given the current uncertainty surrounding the Emdeon connection's timeline, we are prioritizing the Relay connection for this reconnection. While the Emdeon connection would offer a more complete solution to our existing customer, we have to work under the possibility that the Emdeon connection may not be restored entirely.

Collaboration for a Smooth Transition: Our team has meticulously evaluated all available options based on information received from CHC, our customers, and partners. We are conducting thorough connection testing with the CHC Relay platform to minimize disruptions and enable connections between previously disconnected payers and providers. We anticipate reconnecting to this rebuilt environment as early as Wednesday, April 10th.

Prioritized Transactions and Updated Payer List: CHC is prioritizing specific transactions during this initial phase, including claim submissions (X12 837 formats) and remittance advices (X12 835 formats). Eligibility and benefits inquiries (X12 270) and claim status checks (X12 276) may experience temporary delays. UHIN will update its payer list to reflect these transaction availability details.

Remit Delivery and Continued Collaboration: Upon re-establishing the CHC Relay connection, UHIN anticipates CHC will process currently held remittances within their system for eventual delivery to providers. However, the exact delivery method and which providers will receive them initially remain unclear due to uncertainties surrounding CHC provider connections.

We are actively collaborating with CHC through regular meetings and interactions involving key personnel from technology, security, and operations. These discussions focus on minimizing reconnection issues and include:

Obtaining an updated list of all payer IDs supported by the CHC Relay connection, categorized by transaction type. Implementing a phased and measured timeline for restored functionalities like real-time processing and remit delivery. Reviewing any unprocessed files sent by Availity through the CHC Relay connection. Addressing any outstanding needs or emerging challenges.

Transparency and Shared Responsibility: Despite UHIN's meticulous planning, we want to be transparent with our customers. It will inevitably take time for payers and CHC's Relay connection business associates to fully restore all transaction types. We anticipate some claims and remits may experience delays as CHC operationalizes their systems. Careful tracking of claim submissions and close collaboration between impacted providers and payers will be crucial during this period.

For UHIN health plans, we do not foresee overwhelming inbound claim traffic once the CHC Relay connection is established. However, outbound remittances from UHIN to providers may be impacted by individual provider connection configurations within the CHC Relay system.

A Gradual Recovery Process: CHC's recovery will be a gradual process. Many payers and providers are still evaluating their connection options with CHC, and some may not be available on the CHC Relay connection in the immediate term. Additionally, re-established connections will require time for payers and CHC's business associates to fully activate all transaction types.

Addressing Enrollment Challenges: We acknowledge that these network changes may impact enrollment requirements and the ability to receive Electronic Remittance Advice (ERA) reports (835s). UHIN is actively engaged with all parties involved to help our customers understand these potential issues and streamline the re-enrollment process where necessary.

Continued Commitment and Support: We remain dedicated to providing you with the most up-to-date information and ongoing support throughout this process. We will continue to share updates as they become available. In the meantime, please do not hesitate to reach out to our customer support team if you have any questions or require further assistance.

Thank you for your continued partnership.

Sincerely,

UHIN Team

Identified: Dear Valued Customers,

This message serves as a follow-up to our previous communications regarding the ongoing cybersecurity event at Change Healthcare (CHC) and UHIN's efforts to minimize disruption. We appreciate your continued patience and understanding as we navigate this situation together.

Enhanced Connectivity and Streamlined Enrollments:

We are pleased to provide further details on our existing connections to CHC networks and upcoming developments:

Multi-Channel Connectivity: UHIN maintains connections to CHC through three distinct platforms: Optum Intelligent EDI (iEDI), Relay, and the legacy Emdeon platform. Optum iEDI: Notably, the Optum iEDI platform was not affected by the security event, and our existing connections and enrollments through this platform have remained fully functional. Relay Platform Restoration: We are actively collaborating with CHC to re-establish the Relay connection within the coming days. This will further expand our available options for routing claims. Emdeon Platform Transition: While CHC hasn't provided a specific timeline for restoring the Emdeon connection, we are working diligently with them to migrate that traffic to either the Relay or Optum platforms based on payer compatibility.

Addressing Enrollment Challenges:

We acknowledge that these network changes may impact enrollment requirements and the ability to receive Electronic Remittance Advice (ERA) reports (835s). UHIN is actively engaged with all parties involved to help our customers understand these potential issues and streamline the re-enrollment process where necessary.

Identifying Exclusive Payers on the Emdeon Platform:

We understand the importance of clear communication regarding payer network availability. We are actively working with CHC to obtain a definitive list of payers exclusively serviced through the Emdeon connection. This information will be crucial for UHIN to inform providers about potential scenarios where claims might not be routed successfully, regardless of the clearinghouse used. Claims for these exclusive payers will remain on hold until the Emdeon connection is restored or those payers are migrated to other supported clearinghouses.

Continued Commitment and Support:

We remain dedicated to providing you with the most up-to-date information and ongoing support throughout this process. We will continue to share updates as they become available. In the meantime, please do not hesitate to reach out to our customer support team if you have any questions or require further assistance.

Identified: New Information from Utah Medicaid regarding the Optum (Change Healthcare) pharmacy vendor network interruption:

How does this affect Utah Medicaid? With the network and system outages, Medicaid staff have been unable to access any pharmacy claim information, including placing overrides and prior authorization information for these members. This outage is impacting Medicaid members who are attempting to fill a prescription and are not enrolled in a managed care plan or are seeking to fill a behavioral health medication.

How are pharmacies impacted? This issue is not limited to Utah Medicaid members and providers. Optum provides technology and data to insurance companies and healthcare services nationally. They claim to handle one in three U.S. patient records. Local pharmacies are experiencing system outages, which affect people not enrolled in Medicaid, as well.

For the rest of the FAQs for members and pharmacies please see the link below: https://medicaid.utah.gov/Documents/pdfs/FAQ_ChangeHealthcare_system_outages_2.2024.pdf

FAQs Covered What can Utah Medicaid members do if they need a prescription filled? What if Medicaid members have questions? What if I’m on the Medicaid Restriction Program? How should pharmacy providers proceed?

The last update on February 23, 2024, regarding the broader cybersecurity event impacting Change Healthcare and UHIN's response to protect your data and minimize disruption remains current.

Identified: We are writing to inform you of the recent cybersecurity event impacting Change Healthcare (CHC). We know this event is impacting healthcare organizations across the country and wanted to share the actions UHIN has taken in response to protect your data and minimize disruption.

Change Healthcare System Outage and UHIN's Proactive Response:

We became aware on February 22, 2024 that CHC experienced a cybersecurity incident that led them to take their systems offline. UHIN, recognizing the volume of transactions we process through CHC daily, immediately implemented a proactive approach:

Suspended all connections: We promptly stopped all data exchange with CHC across our cloud and data center environments.

Enhanced security audits: Our security, IT, operations, and engineering teams have conducted comprehensive audits of our systems to ensure no unauthorized access has occurred.

State-of-the-art security: We maintain robust security measures at all times and will continue this increased level of monitoring until CHC fully resolves the incident.

Impact on Claims Processing: We understand that this event may create delays in claims processing due to disruptions in the nationwide clearinghouse network. Our executive team is actively monitoring the situation and collaborating with industry partners to find solutions that minimize impact on your operations.

Communication and Support: We are committed to keeping you informed and supported throughout this process. Please do not hesitate to reach out with any questions or concerns. We are available to assist you in any way we can.

Identified: Change Healthcare applications are experiencing connectivity issues

Details: Change Healthcare is experiencing a cyber security issue, and our experts are working to address the matter. At this time, the issue is believed to be specific to Change Healthcare. The disruption is expected to last at least through the day.

Additional Resources/Links: https://status.changehealthcare.com/incidents/hqpjz25fn3n7

UHIN Action: UHIN shut down connections to Change Healthcare at Feb 21, 2024 - 02:15 EST

If you have questions please contact our customer service team at customerservice@uhin.org, or call (877) 693-3071.

Identified: Dear Valued Customers,

We are pleased to provide a positive update on our ongoing efforts to restore full functionality following the cybersecurity event at Change Healthcare (CHC).

Expanded Payer Network Coverage:

UHIN has successfully established connections to all known payers from whom we receive claims (837s). This significant achievement ensures that a wide range of payers are now accessible through our network.

Increased ERA Submissions:

We are delighted to report that we have begun receiving a growing number of Electronic Remittance Advice (ERA) reports (835s) through our new partner network. This indicates that our efforts to re-establish these critical connections are yielding positive results.

Streamlining Enrollment Processes:

We understand that there was initial uncertainty regarding the enrollment process moving forward. UHIN is actively working with our new partners to implement efficient bulk enrollment procedures wherever possible. This will simplify the process for providers and expedite the restoration of full functionality.

Identifying Re-enrollment Requirements:

We have become aware that certain payers may require providers to re-enroll on their systems. UHIN will communicate directly with impacted providers to inform them of these specific requirements.

Prioritizing High-Volume Payer Re-enrollment:

For high-volume payers that necessitate re-enrollment, UHIN is committed to working closely with our partners to streamline this process and minimize any inconvenience for providers. We will explore options to make the re-enrollment process as efficient and straightforward as possible.

Continued Progress and Support:

UHIN remains dedicated to ensuring a seamless claims processing experience for all our customers. We will continue to provide regular updates on our progress and are here to assist you with any questions or concerns.

Thank you for your continued partnership.

Sincerely,

UHIN Team

Identified: Dear Valued Customers,

This message serves as a progress update on our ongoing efforts to restore consistent Electronic Remittance Advice (ERA) delivery (835 files) following the cybersecurity event at Change Healthcare (CHC). We appreciate your continued patience and understanding as we navigate this situation together.

Our internal teams have made significant strides in collaborating with our clearinghouse partners to facilitate the smooth transmission of 835 files. We are currently awaiting final confirmation on the process for bulk 835 enrollment from our partners. Once this critical step is completed, we will be able to begin routing 835s for a wider range of providers. We are actively working to expedite this process and will provide a further update with a more precise timeframe for full ERA restoration as soon as this information is available.

Thank you for your continued partnership.

Sincerely,

UHIN Team

Identified: Dear Valued Customers,

This message serves as an update on our ongoing efforts to minimize disruption caused by the cybersecurity event at Change Healthcare (CHC), with a specific focus on Electronic Remittance Advice (ERA) delivery (835 files). We appreciate your continued patience and understanding as we work to resolve these challenges.

Collaborative Efforts to Restore ERA Delivery:

UHIN is actively working to restore consistent ERA delivery for our broader provider community. Our internal teams, including enrollment specialists, application support staff, business analysts, and software engineers, are collaborating closely with their counterparts at our clearinghouse partners. This combined effort is focused on facilitating the smooth and efficient transmission of 835 files.

Acknowledging Provider Challenges:

We understand the difficulties this outage has caused for providers who rely on timely ERAs for accurate payment reconciliation. We are committed to making significant progress in opening these critical channels for a wider range of providers.

Positive Developments and Upcoming Information:

We have made significant strides in restoring ERA delivery functionality. We will provide more detailed information and a clearer timeline for full restoration once we complete the next round of testing currently underway.

Continued Commitment and Support:

UHIN remains dedicated to resolving outstanding issues and ensuring a smooth claims processing experience for all our customers. We will continue to provide regular updates and are here to assist you. Please do not hesitate to reach out to our customer support team if you have any questions or require further assistance.

Thank you for your continued partnership.

Sincerely,

UHIN Team

Identified: Dear Valued Customers,

This message serves as a further update regarding our ongoing efforts to minimize disruption caused by the cybersecurity event at Change Healthcare (CHC). We appreciate your continued patience and understanding as we navigate this situation together.

Significant Progress on Backlogged Files:

We are pleased to report significant progress in addressing the backlog of files that were waiting for submission due to the CHC outage. By leveraging our connections with other clearinghouses, we have successfully sent approximately 90% of these files. Our internal teams and network partners are working diligently to transform and transmit the remaining files as quickly and efficiently as possible. We will provide another communication once all outstanding files have been sent.

Expanded Payer Network Access:

We understand the importance of providing access to the broadest possible network of payers. While some payers may remain exclusively connected to CHC, UHIN is actively working to ensure all available payers are accessible through our network. This includes ongoing efforts to: • Reroute Remaining CHC Payers: We are collaborating with other partners to reroute payers that are still on the, no longer functional, legacy Emdeon connection. • Expand Network Options: We are actively exploring partnerships with additional clearinghouses to further expand our network coverage and provide alternative routes for claims that cannot be submitted through CHC.

Transparency and Collaboration Remain Key:

We remain committed to transparent communication throughout this process. We will continue to share updates as they become available, including information on resolved issues, ongoing challenges, and the availability of the complete payer list on our network.

Continued Support:

Our dedicated customer support team is readily available to address any questions or concerns you may have. Please do not hesitate to reach out at customerservice@uhin.org if you require further assistance.

Thank you for your continued partnership.

Sincerely,

UHIN Team

Identified: We are continuing to work on a fix for this issue.

Identified: We are continuing to work on a fix for this issue.

Identified: Dear Valued Customers,

This message serves as a follow-up to our previous communications regarding the ongoing cybersecurity event at Change Healthcare (CHC) and UHIN's efforts to minimize disruption. We appreciate your continued patience and understanding as we navigate this situation together.

UHIN’s Focus to Re-Establish Connections: UHIN is actively working, in an all-hands-on-deck approach, to re-establish connections with CHC through their rebuilt clearinghouse system. Given the current uncertainty surrounding the Emdeon connection's timeline, we are prioritizing the Relay connection for this reconnection. While the Emdeon connection would offer a more complete solution to our existing customer, we have to work under the possibility that the Emdeon connection may not be restored entirely.

Collaboration for a Smooth Transition: Our team has meticulously evaluated all available options based on information received from CHC, our customers, and partners. We are conducting thorough connection testing with the CHC Relay platform to minimize disruptions and enable connections between previously disconnected payers and providers. We anticipate reconnecting to this rebuilt environment as early as Wednesday, April 10th.

Prioritized Transactions and Updated Payer List: CHC is prioritizing specific transactions during this initial phase, including claim submissions (X12 837 formats) and remittance advices (X12 835 formats). Eligibility and benefits inquiries (X12 270) and claim status checks (X12 276) may experience temporary delays. UHIN will update its payer list to reflect these transaction availability details.

Remit Delivery and Continued Collaboration: Upon re-establishing the CHC Relay connection, UHIN anticipates CHC will process currently held remittances within their system for eventual delivery to providers. However, the exact delivery method and which providers will receive them initially remain unclear due to uncertainties surrounding CHC provider connections.

We are actively collaborating with CHC through regular meetings and interactions involving key personnel from technology, security, and operations. These discussions focus on minimizing reconnection issues and include:

Obtaining an updated list of all payer IDs supported by the CHC Relay connection, categorized by transaction type. Implementing a phased and measured timeline for restored functionalities like real-time processing and remit delivery. Reviewing any unprocessed files sent by Availity through the CHC Relay connection. Addressing any outstanding needs or emerging challenges.

Transparency and Shared Responsibility: Despite UHIN's meticulous planning, we want to be transparent with our customers. It will inevitably take time for payers and CHC's Relay connection business associates to fully restore all transaction types. We anticipate some claims and remits may experience delays as CHC operationalizes their systems. Careful tracking of claim submissions and close collaboration between impacted providers and payers will be crucial during this period.

For UHIN health plans, we do not foresee overwhelming inbound claim traffic once the CHC Relay connection is established. However, outbound remittances from UHIN to providers may be impacted by individual provider connection configurations within the CHC Relay system.

A Gradual Recovery Process: CHC's recovery will be a gradual process. Many payers and providers are still evaluating their connection options with CHC, and some may not be available on the CHC Relay connection in the immediate term. Additionally, re-established connections will require time for payers and CHC's business associates to fully activate all transaction types.

Addressing Enrollment Challenges: We acknowledge that these network changes may impact enrollment requirements and the ability to receive Electronic Remittance Advice (ERA) reports (835s). UHIN is actively engaged with all parties involved to help our customers understand these potential issues and streamline the re-enrollment process where necessary.

Continued Commitment and Support: We remain dedicated to providing you with the most up-to-date information and ongoing support throughout this process. We will continue to share updates as they become available. In the meantime, please do not hesitate to reach out to our customer support team if you have any questions or require further assistance.

Thank you for your continued partnership.

Sincerely,

UHIN Team

Identified: Dear Valued Customers,

This message serves as a follow-up to our previous communications regarding the ongoing cybersecurity event at Change Healthcare (CHC) and UHIN's efforts to minimize disruption. We appreciate your continued patience and understanding as we navigate this situation together.

Enhanced Connectivity and Streamlined Enrollments:

We are pleased to provide further details on our existing connections to CHC networks and upcoming developments:

Multi-Channel Connectivity: UHIN maintains connections to CHC through three distinct platforms: Optum Intelligent EDI (iEDI), Relay, and the legacy Emdeon platform. Optum iEDI: Notably, the Optum iEDI platform was not affected by the security event, and our existing connections and enrollments through this platform have remained fully functional. Relay Platform Restoration: We are actively collaborating with CHC to re-establish the Relay connection within the coming days. This will further expand our available options for routing claims. Emdeon Platform Transition: While CHC hasn't provided a specific timeline for restoring the Emdeon connection, we are working diligently with them to migrate that traffic to either the Relay or Optum platforms based on payer compatibility.

Addressing Enrollment Challenges:

We acknowledge that these network changes may impact enrollment requirements and the ability to receive Electronic Remittance Advice (ERA) reports (835s). UHIN is actively engaged with all parties involved to help our customers understand these potential issues and streamline the re-enrollment process where necessary.

Identifying Exclusive Payers on the Emdeon Platform:

We understand the importance of clear communication regarding payer network availability. We are actively working with CHC to obtain a definitive list of payers exclusively serviced through the Emdeon connection. This information will be crucial for UHIN to inform providers about potential scenarios where claims might not be routed successfully, regardless of the clearinghouse used. Claims for these exclusive payers will remain on hold until the Emdeon connection is restored or those payers are migrated to other supported clearinghouses.

Continued Commitment and Support:

We remain dedicated to providing you with the most up-to-date information and ongoing support throughout this process. We will continue to share updates as they become available. In the meantime, please do not hesitate to reach out to our customer support team if you have any questions or require further assistance.

Identified: New Information from Utah Medicaid regarding the Optum (Change Healthcare) pharmacy vendor network interruption:

How does this affect Utah Medicaid? With the network and system outages, Medicaid staff have been unable to access any pharmacy claim information, including placing overrides and prior authorization information for these members. This outage is impacting Medicaid members who are attempting to fill a prescription and are not enrolled in a managed care plan or are seeking to fill a behavioral health medication.

How are pharmacies impacted? This issue is not limited to Utah Medicaid members and providers. Optum provides technology and data to insurance companies and healthcare services nationally. They claim to handle one in three U.S. patient records. Local pharmacies are experiencing system outages, which affect people not enrolled in Medicaid, as well.

For the rest of the FAQs for members and pharmacies please see the link below: https://medicaid.utah.gov/Documents/pdfs/FAQ_ChangeHealthcare_system_outages_2.2024.pdf

FAQs Covered What can Utah Medicaid members do if they need a prescription filled? What if Medicaid members have questions? What if I’m on the Medicaid Restriction Program? How should pharmacy providers proceed?

The last update on February 23, 2024, regarding the broader cybersecurity event impacting Change Healthcare and UHIN's response to protect your data and minimize disruption remains current.

Identified: We are writing to inform you of the recent cybersecurity event impacting Change Healthcare (CHC). We know this event is impacting healthcare organizations across the country and wanted to share the actions UHIN has taken in response to protect your data and minimize disruption.

Change Healthcare System Outage and UHIN's Proactive Response:

We became aware on February 22, 2024 that CHC experienced a cybersecurity incident that led them to take their systems offline. UHIN, recognizing the volume of transactions we process through CHC daily, immediately implemented a proactive approach:

Suspended all connections: We promptly stopped all data exchange with CHC across our cloud and data center environments.

Enhanced security audits: Our security, IT, operations, and engineering teams have conducted comprehensive audits of our systems to ensure no unauthorized access has occurred.

State-of-the-art security: We maintain robust security measures at all times and will continue this increased level of monitoring until CHC fully resolves the incident.

Impact on Claims Processing: We understand that this event may create delays in claims processing due to disruptions in the nationwide clearinghouse network. Our executive team is actively monitoring the situation and collaborating with industry partners to find solutions that minimize impact on your operations.

Communication and Support: We are committed to keeping you informed and supported throughout this process. Please do not hesitate to reach out with any questions or concerns. We are available to assist you in any way we can.

Identified: Change Healthcare applications are experiencing connectivity issues

Details: Change Healthcare is experiencing a cyber security issue, and our experts are working to address the matter. At this time, the issue is believed to be specific to Change Healthcare. The disruption is expected to last at least through the day.

Additional Resources/Links: https://status.changehealthcare.com/incidents/hqpjz25fn3n7

UHIN Action: UHIN shut down connections to Change Healthcare at Feb 21, 2024 - 02:15 EST

If you have questions please contact our customer service team at customerservice@uhin.org, or call (877) 693-3071.

Identified: Dear Valued Customers,

We are pleased to provide a positive update on our ongoing efforts to restore full functionality following the cybersecurity event at Change Healthcare (CHC).

Expanded Payer Network Coverage:

UHIN has successfully established connections to all known payers from whom we receive claims (837s). This significant achievement ensures that a wide range of payers are now accessible through our network.

Increased ERA Submissions:

We are delighted to report that we have begun receiving a growing number of Electronic Remittance Advice (ERA) reports (835s) through our new partner network. This indicates that our efforts to re-establish these critical connections are yielding positive results.

Streamlining Enrollment Processes:

We understand that there was initial uncertainty regarding the enrollment process moving forward. UHIN is actively working with our new partners to implement efficient bulk enrollment procedures wherever possible. This will simplify the process for providers and expedite the restoration of full functionality.

Identifying Re-enrollment Requirements:

We have become aware that certain payers may require providers to re-enroll on their systems. UHIN will communicate directly with impacted providers to inform them of these specific requirements.

Prioritizing High-Volume Payer Re-enrollment:

For high-volume payers that necessitate re-enrollment, UHIN is committed to working closely with our partners to streamline this process and minimize any inconvenience for providers. We will explore options to make the re-enrollment process as efficient and straightforward as possible.

Continued Progress and Support:

UHIN remains dedicated to ensuring a seamless claims processing experience for all our customers. We will continue to provide regular updates on our progress and are here to assist you with any questions or concerns.

Thank you for your continued partnership.

Sincerely,

UHIN Team

Identified: Dear Valued Customers,

This message serves as a progress update on our ongoing efforts to restore consistent Electronic Remittance Advice (ERA) delivery (835 files) following the cybersecurity event at Change Healthcare (CHC). We appreciate your continued patience and understanding as we navigate this situation together.

Our internal teams have made significant strides in collaborating with our clearinghouse partners to facilitate the smooth transmission of 835 files. We are currently awaiting final confirmation on the process for bulk 835 enrollment from our partners. Once this critical step is completed, we will be able to begin routing 835s for a wider range of providers. We are actively working to expedite this process and will provide a further update with a more precise timeframe for full ERA restoration as soon as this information is available.

Thank you for your continued partnership.

Sincerely,

UHIN Team

Identified: Dear Valued Customers,

This message serves as an update on our ongoing efforts to minimize disruption caused by the cybersecurity event at Change Healthcare (CHC), with a specific focus on Electronic Remittance Advice (ERA) delivery (835 files). We appreciate your continued patience and understanding as we work to resolve these challenges.

Collaborative Efforts to Restore ERA Delivery:

UHIN is actively working to restore consistent ERA delivery for our broader provider community. Our internal teams, including enrollment specialists, application support staff, business analysts, and software engineers, are collaborating closely with their counterparts at our clearinghouse partners. This combined effort is focused on facilitating the smooth and efficient transmission of 835 files.

Acknowledging Provider Challenges:

We understand the difficulties this outage has caused for providers who rely on timely ERAs for accurate payment reconciliation. We are committed to making significant progress in opening these critical channels for a wider range of providers.

Positive Developments and Upcoming Information:

We have made significant strides in restoring ERA delivery functionality. We will provide more detailed information and a clearer timeline for full restoration once we complete the next round of testing currently underway.

Continued Commitment and Support:

UHIN remains dedicated to resolving outstanding issues and ensuring a smooth claims processing experience for all our customers. We will continue to provide regular updates and are here to assist you. Please do not hesitate to reach out to our customer support team if you have any questions or require further assistance.

Thank you for your continued partnership.

Sincerely,

UHIN Team

Identified: Dear Valued Customers,

This message serves as a further update regarding our ongoing efforts to minimize disruption caused by the cybersecurity event at Change Healthcare (CHC). We appreciate your continued patience and understanding as we navigate this situation together.

Significant Progress on Backlogged Files:

We are pleased to report significant progress in addressing the backlog of files that were waiting for submission due to the CHC outage. By leveraging our connections with other clearinghouses, we have successfully sent approximately 90% of these files. Our internal teams and network partners are working diligently to transform and transmit the remaining files as quickly and efficiently as possible. We will provide another communication once all outstanding files have been sent.

Expanded Payer Network Access:

We understand the importance of providing access to the broadest possible network of payers. While some payers may remain exclusively connected to CHC, UHIN is actively working to ensure all available payers are accessible through our network. This includes ongoing efforts to: • Reroute Remaining CHC Payers: We are collaborating with other partners to reroute payers that are still on the, no longer functional, legacy Emdeon connection. • Expand Network Options: We are actively exploring partnerships with additional clearinghouses to further expand our network coverage and provide alternative routes for claims that cannot be submitted through CHC.

Transparency and Collaboration Remain Key:

We remain committed to transparent communication throughout this process. We will continue to share updates as they become available, including information on resolved issues, ongoing challenges, and the availability of the complete payer list on our network.

Continued Support:

Our dedicated customer support team is readily available to address any questions or concerns you may have. Please do not hesitate to reach out at customerservice@uhin.org if you require further assistance.

Thank you for your continued partnership.

Sincerely,

UHIN Team

Identified: We are continuing to work on a fix for this issue.

Identified: We are continuing to work on a fix for this issue.

Identified: Dear Valued Customers,

This message serves as a follow-up to our previous communications regarding the ongoing cybersecurity event at Change Healthcare (CHC) and UHIN's efforts to minimize disruption. We appreciate your continued patience and understanding as we navigate this situation together.

UHIN’s Focus to Re-Establish Connections: UHIN is actively working, in an all-hands-on-deck approach, to re-establish connections with CHC through their rebuilt clearinghouse system. Given the current uncertainty surrounding the Emdeon connection's timeline, we are prioritizing the Relay connection for this reconnection. While the Emdeon connection would offer a more complete solution to our existing customer, we have to work under the possibility that the Emdeon connection may not be restored entirely.

Collaboration for a Smooth Transition: Our team has meticulously evaluated all available options based on information received from CHC, our customers, and partners. We are conducting thorough connection testing with the CHC Relay platform to minimize disruptions and enable connections between previously disconnected payers and providers. We anticipate reconnecting to this rebuilt environment as early as Wednesday, April 10th.

Prioritized Transactions and Updated Payer List: CHC is prioritizing specific transactions during this initial phase, including claim submissions (X12 837 formats) and remittance advices (X12 835 formats). Eligibility and benefits inquiries (X12 270) and claim status checks (X12 276) may experience temporary delays. UHIN will update its payer list to reflect these transaction availability details.

Remit Delivery and Continued Collaboration: Upon re-establishing the CHC Relay connection, UHIN anticipates CHC will process currently held remittances within their system for eventual delivery to providers. However, the exact delivery method and which providers will receive them initially remain unclear due to uncertainties surrounding CHC provider connections.

We are actively collaborating with CHC through regular meetings and interactions involving key personnel from technology, security, and operations. These discussions focus on minimizing reconnection issues and include:

Obtaining an updated list of all payer IDs supported by the CHC Relay connection, categorized by transaction type. Implementing a phased and measured timeline for restored functionalities like real-time processing and remit delivery. Reviewing any unprocessed files sent by Availity through the CHC Relay connection. Addressing any outstanding needs or emerging challenges.

Transparency and Shared Responsibility: Despite UHIN's meticulous planning, we want to be transparent with our customers. It will inevitably take time for payers and CHC's Relay connection business associates to fully restore all transaction types. We anticipate some claims and remits may experience delays as CHC operationalizes their systems. Careful tracking of claim submissions and close collaboration between impacted providers and payers will be crucial during this period.

For UHIN health plans, we do not foresee overwhelming inbound claim traffic once the CHC Relay connection is established. However, outbound remittances from UHIN to providers may be impacted by individual provider connection configurations within the CHC Relay system.

A Gradual Recovery Process: CHC's recovery will be a gradual process. Many payers and providers are still evaluating their connection options with CHC, and some may not be available on the CHC Relay connection in the immediate term. Additionally, re-established connections will require time for payers and CHC's business associates to fully activate all transaction types.

Addressing Enrollment Challenges: We acknowledge that these network changes may impact enrollment requirements and the ability to receive Electronic Remittance Advice (ERA) reports (835s). UHIN is actively engaged with all parties involved to help our customers understand these potential issues and streamline the re-enrollment process where necessary.

Continued Commitment and Support: We remain dedicated to providing you with the most up-to-date information and ongoing support throughout this process. We will continue to share updates as they become available. In the meantime, please do not hesitate to reach out to our customer support team if you have any questions or require further assistance.

Thank you for your continued partnership.

Sincerely,

UHIN Team

Identified: Dear Valued Customers,

This message serves as a follow-up to our previous communications regarding the ongoing cybersecurity event at Change Healthcare (CHC) and UHIN's efforts to minimize disruption. We appreciate your continued patience and understanding as we navigate this situation together.

Enhanced Connectivity and Streamlined Enrollments:

We are pleased to provide further details on our existing connections to CHC networks and upcoming developments:

Multi-Channel Connectivity: UHIN maintains connections to CHC through three distinct platforms: Optum Intelligent EDI (iEDI), Relay, and the legacy Emdeon platform. Optum iEDI: Notably, the Optum iEDI platform was not affected by the security event, and our existing connections and enrollments through this platform have remained fully functional. Relay Platform Restoration: We are actively collaborating with CHC to re-establish the Relay connection within the coming days. This will further expand our available options for routing claims. Emdeon Platform Transition: While CHC hasn't provided a specific timeline for restoring the Emdeon connection, we are working diligently with them to migrate that traffic to either the Relay or Optum platforms based on payer compatibility.

Addressing Enrollment Challenges:

We acknowledge that these network changes may impact enrollment requirements and the ability to receive Electronic Remittance Advice (ERA) reports (835s). UHIN is actively engaged with all parties involved to help our customers understand these potential issues and streamline the re-enrollment process where necessary.

Identifying Exclusive Payers on the Emdeon Platform:

We understand the importance of clear communication regarding payer network availability. We are actively working with CHC to obtain a definitive list of payers exclusively serviced through the Emdeon connection. This information will be crucial for UHIN to inform providers about potential scenarios where claims might not be routed successfully, regardless of the clearinghouse used. Claims for these exclusive payers will remain on hold until the Emdeon connection is restored or those payers are migrated to other supported clearinghouses.

Continued Commitment and Support:

We remain dedicated to providing you with the most up-to-date information and ongoing support throughout this process. We will continue to share updates as they become available. In the meantime, please do not hesitate to reach out to our customer support team if you have any questions or require further assistance.

Identified: New Information from Utah Medicaid regarding the Optum (Change Healthcare) pharmacy vendor network interruption:

How does this affect Utah Medicaid? With the network and system outages, Medicaid staff have been unable to access any pharmacy claim information, including placing overrides and prior authorization information for these members. This outage is impacting Medicaid members who are attempting to fill a prescription and are not enrolled in a managed care plan or are seeking to fill a behavioral health medication.

How are pharmacies impacted? This issue is not limited to Utah Medicaid members and providers. Optum provides technology and data to insurance companies and healthcare services nationally. They claim to handle one in three U.S. patient records. Local pharmacies are experiencing system outages, which affect people not enrolled in Medicaid, as well.

For the rest of the FAQs for members and pharmacies please see the link below: https://medicaid.utah.gov/Documents/pdfs/FAQ_ChangeHealthcare_system_outages_2.2024.pdf

FAQs Covered What can Utah Medicaid members do if they need a prescription filled? What if Medicaid members have questions? What if I’m on the Medicaid Restriction Program? How should pharmacy providers proceed?

The last update on February 23, 2024, regarding the broader cybersecurity event impacting Change Healthcare and UHIN's response to protect your data and minimize disruption remains current.

Identified: We are writing to inform you of the recent cybersecurity event impacting Change Healthcare (CHC). We know this event is impacting healthcare organizations across the country and wanted to share the actions UHIN has taken in response to protect your data and minimize disruption.

Change Healthcare System Outage and UHIN's Proactive Response:

We became aware on February 22, 2024 that CHC experienced a cybersecurity incident that led them to take their systems offline. UHIN, recognizing the volume of transactions we process through CHC daily, immediately implemented a proactive approach:

Suspended all connections: We promptly stopped all data exchange with CHC across our cloud and data center environments.

Enhanced security audits: Our security, IT, operations, and engineering teams have conducted comprehensive audits of our systems to ensure no unauthorized access has occurred.

State-of-the-art security: We maintain robust security measures at all times and will continue this increased level of monitoring until CHC fully resolves the incident.

Impact on Claims Processing: We understand that this event may create delays in claims processing due to disruptions in the nationwide clearinghouse network. Our executive team is actively monitoring the situation and collaborating with industry partners to find solutions that minimize impact on your operations.

Communication and Support: We are committed to keeping you informed and supported throughout this process. Please do not hesitate to reach out with any questions or concerns. We are available to assist you in any way we can.

Identified: Change Healthcare applications are experiencing connectivity issues

Details: Change Healthcare is experiencing a cyber security issue, and our experts are working to address the matter. At this time, the issue is believed to be specific to Change Healthcare. The disruption is expected to last at least through the day.

Additional Resources/Links: https://status.changehealthcare.com/incidents/hqpjz25fn3n7

UHIN Action: UHIN shut down connections to Change Healthcare at Feb 21, 2024 - 02:15 EST

If you have questions please contact our customer service team at customerservice@uhin.org, or call (877) 693-3071.