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New Payer Connection Request

Within CollaborateMD, if you are unable to locate a connection with a specific payer this means that Change Healthcare does not have an electronic connection with that payer. 

Getting Started

  • Please be sure that you've searched for the payer and you've confirmed it's not in CollaborateMD. 
  • You will need to verify the 5 digit Payer ID with the payer to fill out this form. 
  • This form is not a provider EDI enrollment form to submit a transaction to a payer. 
  • New payer connection requests will only be accepted by submitting the New Payer Request Form electronically. All Mailed and faxed forms will be denied. 
  • Please only request one request per form and only one request per submitter number is necessary. 

New Payer Connection Request

To request for Change Healthcare to add an electronic connection for a payer, please follow the steps below.
  1. Go to
  2. Click on the Login link. 
  3. Enter your User ID and Password.
  4. Hover your mouse over Payer Tools and select Payer Search.
    1. Search for the Payer to confirm it's not in Change Healthcare Master Payer List. 
    2. Or, click on the Search button to complete a search for all Payers.
  5. Once you've confirmed that the payer isn't available, click on the New Payer Request Form link.  
  6. When the New Payer Form opens, begin completing the form and click on the Submit button once you're satisfied.  


Change Healthcare will review and evaluate the request based upon revenue opportunity, potentiality transaction volumes, and the level of effort to implement the requested EDI connection. An "accepted" or "denied" decision will be reached and communicated typically within 2-3 weeks from the date of receipt. If the request is denied a reason for denial will be included. Please see the Look up Payer Agreement Help Page to check on the status of your agreement.