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Agreement Statuses

Below you will find a list of possible agreement statuses

Status

Definition

Agreement cannot be updated. Customer must complete a new agreement.

Customer must complete a new agreement.

Authorized

Represents a payer authorization and a completed setup at Change Healthcare.

Authorized Exception

Agreements where the payer has authorized some but not all of the providers on the agreement.

Canceled

Represents a customer request that an agreement is canceled at Change Healthcare.

Closed

Forms closed unrelated to standard agreement activity.

Deauthorized

Customer requests that the authorization is removed at Change Healthcare.

Denied - Payer

Represents a denial by the payer; a new agreement must be submitted to Change Healthcare.

Denied - Pending

Represents a denial by Change Healthcare (typically missing provider information); Information can be sent via return e-mail.

Denied - Pending Expired

Agreement has been held in a Denied-Pending status for 90 or more days without receiving updated provider information.  

Denied - Pending Updated

Change Healthcare has received updated provider information from the customer and the agreement has been re-entered into the system for review.

Denied - Rejected

Represents a denial by Change Healthcare; a new agreement must be submitted to Change Healthcare.

Needs Test

Represents a payer approval, but the payer requires testing data for the provider.

Open

Agreement is pending approval with the payer.

Pending Setup

Represents a payer authorization with additional setup required at Change Healthcare.

Pending Receipt

Agreement is pending Customer.  An item is required to be submitted to attach to the agreement submitted.  In example: Original form required to be mailed. Pending receipt of agreement to be received in the mail

Receive

Received by Change Healthcare and is pending review.

Under Construction

Change Healthcare is updating the agreement per new payer requirements. You may check back for access to complete within 3-5 business days. Note: There are no provided estimated times of availability given from the payer.