Pricing Plan
EDI Services
Digital Print Services
API Services
Advance + Customized
| Select Plan | Basic | Basic Plus Monthly |
Basic Plus Yearly Save $29.00 |
Payer List |
|---|---|---|---|---|
| *Multi-Plan Discount: Receive 10% off each additional service paid plans | ||||
| Claim Submission | $0.00 | $29.00 | $319.00 | |
| Attachment Submission | $0.00 | $29.00 | $319.00 | |
| Claim Status Inquiry | $0.00 | $29.00 | $319.00 | |
| Eligibility & Benefit Verification | $0.00 | $29.00 | $319.00 | |
| Electronic Remittance Advice (ERA) | $0.00 | $29.00 | $319.00 | |
*Monthly: Subscription Billing Cycle Once every 30 Days |
**Yearly: Subscription Billing Cycle Once in a Year |
Days in cloud storage: 120 Days |
At the time of Payment, Tax and Card Service Charges will be collected |
Additional tech-enabled solutions
Claim Edit Resolution
Coding, Auditing & Consulting Services
Denial Management
Remittance Processing (XBP)
Medical Record Submission
Medical Lock Box
Revenue Integrity Services and Appeals Management
Patient Billing & Payments (XBP)
Patient or Insurance Collection Services
Appeals & Claims submission and resubmission
Eligibility & benefits verification
Claim status check
Enroll for an ERA & receive ERA’s
Prior authorization
Our all-payer electronic appeal & EDI transaction gateway
PCH Health provides a direct connection with a broad range of payers, facilitating the seamless electronic submission of paper appeals. This exclusive capability distinguishes us from major, traditional EDI clearing houses. We handle appeals, correspondence, and claims with 100+ plans.
Our single-point gateway efficiently manages both paper and EDI transactions for providers. Additionally, our team also prints and mails payer attachments or claims to payers not listed with us. Discover the limitless benefits of PCH Health – connect with us today.
Attachments supported by PCH Health include but are not limited to
Claim
- Professional, Institutional, & Dental Claims
- Primary/Secondary/Tertiary Claims with EOB/EOMB
- Corrected Claims
- Resubmission Claims
- Member Claims
- Roster Claims
- Vaccination Claims
Attachments for appeals and grievances
- Appeals and Grievances
- Medical Records
- Clinical Records
- Additional Information
- Copy of EOB/EOMB
- Critical Claim Information
- Consent Form
- Trauma Report
- Claim Payment Dispute
- Claim Payment Dispute-Proof of Timely Filing/Member
- Cost Share/Claims Editing (CCI/LCD/NCD)
Other attachments
- Copy of ID Card
- Copy of Medicare Card
- Date of Injury
- Invoice
- Itemized Bill
- Pre-Certification/Authorization Information
- Referral
- W9
- Cost Containment-Overpayment/Refund/COB & Hospice
- Provider Information Change Form
- DME Review
Simple and transparent services
100K+
Provider users
10M+
Yearly transactions
1M+
Daily appeals processed
50%
Direct administrative cost savings
FAQs
Explore our articles to gain insight into the latest healthcare technology trends, guidance, and perspectives from prominent industry experts…
Is PCH Global accessible from anywhere and across time zones?
Yes. PCH Global caters to both medical (professional and institutional) as well as Dental claims.
Is PCH Global compliant with HIPAA regulations?
Yes. PCH Global is hosted on the cloud, and we offer 24/7 accessibility to all users, 365 days a year.
Is PCH Global is a secure Payment Portal? Is it safe to transmit my card info to PCH global?
Yes. PCH Global is compliant with all applicable HIPAA regulations.
After the sign in/log in to PCH Global, how can I contact your healthcare team to inquiry about the details of any of the XBP Global health care products?
Yes. PCH Global is a secure payment portal and is PCI-compliant as well. We use transaction details provided by the gateway; we do not store any card information.
Can you briefly explain the “Help” menu in the PCH Global product?
You can click the “Contact Us” tab under the “Help” menu and provide your requirements. One of our sales representatives would contact. You can also visit https://xbpglobal.com/ or call our Helpdesk at 1-844-935-2832.
Where Can I see the notifications?
The “Help” menu is designed to support the self-management of the PCH Global web portal. It has FAQs, User Guides, and Training Videos for each module, which will assist you with navigating the system easily.
How will the billing information entered during “My Profile” be used?
The “Notification” icon helps you to see notifications regarding your subscription renewals, reminders etc.
Can I copy a Claim?
When you are using the “Direct Entry” option for submission of Claims in PCH Global, the Billing Information that you have entered will be auto populated based on your selection in the Initial Submission screen.
How does the billing cycle work for months that have 28/29 or 31 days?
All calendar months with 31 days or 28/29 days will be considered a 30-day billing cycle (inclusive of date of registration).
How will my subscription get renewed?
The subscriptions would get automatically renewed based on the subscription type selected:
- Monthly: Renewals occur every 30 days.
- Yearly: Renewals occur once per year (annually).
When do I get a notification for the subscription renewal payment?
Renewal Reminder is sent on 15th day before the current renewal period ends.
How will Printing, Postage & Shipping be charged?
Digital Print Services Basic Plan: All Printing, Postage & Shipping will be charged at the “Actual Cost with Surcharges” and will be billed on a bi-monthly calendar basis. A separate invoice will be generated for the postage cost on the 2nd & 17th of every month and will be sent to your registered Administrator email ID. Payment will be auto deducted as per the date specified in the invoice.
Digital Print Services Basic Plus Plan: Postage & Shipping will be charged at the “Actual Cost with Surcharges” and will be billed on a bi-monthly calendar basis. A separate invoice will be generated for the postage cost on the 2nd & 17th of every month and will be sent to your registered Administrator email ID. Payment will be auto deducted as per the date specified in the invoice.
Will I receive any communication on the auto payments (including the status) that were made?
Yes. For all auto payments made, you will receive a confirmation email including the status (success/failure) sent to your registered Administrator email ID.
- For subscription auto payment “Failed” status, your subscription will not be renewed and you will not be able to access our services. Once you complete the payment manually, your services will be accessible. However, it is advisable to fix the auto payment mode prior to the next billing date to avoid the same issue during the next billing cycle.
- For Printing, Postage, Shipping & Surcharges” auto payment “Failed” status, you will need to make the payment manually and directly in the PCH Global system. It is again advisable to fix the auto payment mode prior to the next billing date.
To update the card information, you can access “Plan Management>>”Subscription Details”>>”More”>>Update Card”.
Can you elaborate on “Non-Expiring Transactions” specified in the Add-on Fees section of the Pricing?
For the Plan that you select, your base user subscription plan allows you to Transact the specified maximum transactions within the subscription period. In the event you wish to transact with additional submissions depending on your transaction requirement, you can go to the “Add Ons” option under “Plan Management” >>> “Subscription Details” >>> “Add Ons” with additional cost as per the Pricing plan. Add-ons for a specific service can only be purchased if you have an active Basic Plus plan for that respective service.
I am currently subscribed to Claim Submission “Basic” Plan. Can I upgrade my plan to Basic Plus?
I am eligible for “Tax Exemption” status and have the Exemption Certification. Will this be taken care of during your billing?
Tax is calculated based on the address provided in “ Subscriber Information” Tab in “My Account Setup” or “Plan Management” module.
- If your organization is eligible for tax exemption, you can always upload the tax exemption certification by accessing “Plan Management”>>”Subscriber Information” Tab.
- Your tax exemption certificate will be validated by us; until then, the applicable taxes will be charged.
- Upon tax exemption validation confirmation, you will not be charged applicable taxes.
Where I can check my Current Subscription details & Plan Benefits?
You can view your current subscription details under “Plan Management” >>> “Subscription Details”>>>”Usage”.
Where can I check my outstanding payment amount?
You can view your current subscription details under “Plan Management” >>> “Subscription Details”>>> “Billing History”.
One of the registered users has left the organization. Can I continue using his or her credentials?
Unfortunately, not. As a first step, this user’s profile should be declared inactive. Then, you can choose to add another.
For Addition & Deactivation click on “Manage User” >>> “Manage Sub User”.
Add New User: Enter the user details and select ADD option to add a user.
Inactivate User: Select the user that need to be deactivated, uncheck “Active” Box and click Update
How do multiple facilities/providers of the same organization submit Appeals/Claims/Correspondence/Attachments/Documents?
The PCH Global system allows multiple facilities/providers to register through the Admin User. Depending on the plan selected, the Appeal/ Claim/ Correspondence/ Attachments/ Document can be submitted by the users.
What does the message “Username is Available” mean when the username is checked?
When this message is provided, the user can proceed to create the user name as currently there is no user created with this user name in the system.
What is the maximum number of users I have at any time during the subscription?
Where can I go to change my password?
You can have any number of users at any time during the subscription. There is no limitation.
Alternatively you can use the Forgot password function available in login screen.
Note: This feature is not available for Google Sign In users.
If the current Admin leaves the organization, can a new Admin be added?
Yes. Please contact the PCH team +1-888-988-0605 or send an email to NewPCHGlobal.Support@Xbpamericas.com
How and when can I cancel my plan?
Cancellation requests for the respective service plans should be made at least seven (7) days prior to the end of the current subscription period of that plan by placing a request in the system by accessing the “Plan Management”>>>”Subscription Details”>>>”Request for Cancellation”. Alternatively, you may contact +1-888-988-0605 or send an email to NewPCHGlobal.Support@Xbpamericas.com
Will I be charged until the cancellation confirmation is received?
No additional fees will be charged for the services following a cancellation request. The user may continue to utilize their maximum allowed subscription transactions, as well as any non-expiry transactions, until the end of the current billing cycle.
For payers where a digital connection is unavailable and Print & Mail is the only submission option (including patient statements), Basic Plus subscribers may continue submitting requests until the end of their current subscription period. Postage and shipping costs will be billed at actual rates based on usage.
For Basic plan subscribers, Print & Mail access will be terminated on the date the cancellation request is submitted; however, the user remains responsible for all printing, postage, and shipping charges incurred up to the point of termination.
If I choose to cancel my plan, will I get a refund?
Unfortunately, no. Refunds will not be provided.
Do I have an option to pause my plan for a short period?
Pausing a plan (be it for a short/long period) is not permitted.
What will happen, if I switch to plan with more benefits than the current plan within the current subscription period?
Plan roll-down will be enabled only when you are currently in a Basic Plus Plan . When you downgrade your plan, your new plan will come in to effect only after the current billing cycle.
What does Sponsored User mean?
Sponsored Users are users currently subscribed to PCH Global plans via a reference received from a Payer. To qualify, the user must have selected the designated referred Payer during the ‘My Account Setup’ process. These users have the benefit of submitting claims and correspondence to all Exclusive (Par) Payers at no cost.
Can I submit ANSI 837 Claim File(s)?
Yes, if you have subscribed to EDI Services Claims Submission plan.
Subscribers to the EDI Services Claim Submission (Basic or Basic Plus) plans may submit 837 Professional, Institutional, and Dental Claims.
Within the Claims & Attachment Submission module, the ‘EDI Options’ on the Submission page allow for claim submissions to Exclusive Payers for whom that option is enabled. To submit EDI claims to Extended (Par+) Payers, users must access the ‘EDI Submission’ page within the same module. Please note that submission to Extended (Par+) Payers is a service available exclusively to EDI Services Claim Submission Basic Plus subscribers.
Where would the user be able to see the 837 Edi Claim Submission Status and the rejections?
The user can review the acknowledgment status (999 and 277CA) in “Claims & Attachment Submission” >>> “Search”>>>”EDI Claim Submission” and take necessary action for any rejected claims.
Where can I see the Payers supported through ANSI 837 Claim EDI?
What is the difference between Multi-Payer and Single Payer EDI Submission?
Multi Payer Submission: This feature allows you to submit claims for multiple valid PCH Global EDI Payer IDs using a single ANSI 837 file upload.
Single Payer: Allows for ANSI 837 submission by selected payers.
Can you elaborate on what a “Submission” entails?
A submission defines a set of documents pertaining to a single patient depending on the transaction type. For Example: a secondary claim can have a Claim & an EOB of a primary payer. Similarly, an Appeal could have an appeal letter along with medical records.
A tracking number will be assigned by the system for each submission, which will be used for tracking and billing purposes.
What type of Document can be submitted?
Can you elaborate on an “Exclusive Payer Submission” for Claims & Attachment Submission?
- Upload your documents in any of the predefined acceptable formats (like JPEG, TIFF, PNG, PDF) to PCH Global.
- Make sure not to upload print protected, password protected files & files with fillable PDF Forms.
- Post-upload, the documents will be transmitted to the respective Exclusive Payer that you have selected.
Can I submit Appeals, Claims and Correspondence or upload documents for multiple patients?
Yes. However, for each submission you can submit Appeal, Claim, Correspondence /Documents for a single patient for the Exclusive Payers. You can repeat the same processes for additional patients.
Can you please briefly elaborate on an “Other payer submission”?
- Upload the documents in any of the predefined acceptable formats (like JPEG, TIFF, PNG, PDF) to PCH Global.
- Make sure not to upload print protected, password protected files & files with fillable PDF Forms.
- It will be automatically printed and mailed to the respective P.O. Boxes of the Other Payers that you have selected.
- The usage would be calculated based on number of “images” submitted.
- Print & Mail Charges are billed at actuals.
- All undeliverable mails will be returned to the address indicated in the “Return Mail Address.”
Is there a file size limit for uploading an Attachments to an Appeal/Claim?
Yes. The maximum allowable file size is 300 MB per submission. Multiple files are allowed per submission within the maximum allowable file size.
Do you have the capability to enter the Claims directly in PCH Global?
Yes. The user can directly enter the Claims details i.e. Professional, Institutional and Dental claims using our “Direct Entry” option under “Submission” menu. The user also has the option of attaching supporting documents along with the claims entered using the “UPLOAD” tab in the respective claim forms selected screens.
This option is available under Claims & Attachment Submission & Digital Print Services Module.
Do you have the capability to enter mass billing of vaccination claims?
Yes. Use the “Roster Billing” option under “Direct Entry” to enter these vaccinations claims containing multiple patient data. Also, note that this option is available for the Exclusive Payers alone. For these claims, the number of documents submitted is calculated based on the number of claims for each patient.
This option is available under Claims & Attachment Submission Module.
What is an ICN and Parent ICN. What is the difference between both?
Can I resubmit a claim?
Yes. Resubmit using Resubmission Option or Copy claim option.
Resubmission: Resubmitting Rejected Claims PCH Global provides a resubmission option for claims created via Direct Entry that have been rejected by the system prior to payer transmission. This feature allows users to correct and resubmit claims that failed to meet the specific submission processing rules of the respective Exclusive Payer. Access Resubmission page click on “Claims & Attachment Submission”>.>>”Work Item”>>>”Resubmission”
Copy Claim: Copying Existing Claims the Copy Claim feature allows users to replicate an existing claim originally created through the Direct Entry option. Once copied, the user can make any necessary modifications to the claim data before sending it to the payers. Access Copy claim page click on “Claims & Attachment Submission”>.>>”Work Item”>>>”Copy Claim ” for Exclusive payer submission or click on “Digital Print Services”>.>>”Work Item”>>>”Copy Claim ” for Other Payers.
In both the cases, the Payer & Plan details cannot be changed. For digital print services apart from payer and plan, the mail type also cannot be changed.
How do I know the status of my Appeal/Claim/Correspondence/Attachment/Document submitted via PCH Global Submission Menu?
Please sign in to PCH Global and check the status of the documents submitted via submission screen using Image upload and Direct Entry in the “Search”>>> “Submission Search” menu. You can check the status anytime, from anywhere.
Alternatively, the user can check the status through Reports – “Document Status report”. The document status would either be Accepted, Submitted, Mailed, or Rejected.
For Exclusive Payers, if the Appeals/Claim/Correspondence/Attachments/Document is accepted, then it would have a DCN number under the Client DCN.
For Other Payers, the mail tracking number could be used to track the documents when mailed through USPS Certified, USPS Express Overnight, FedEx Normal, FedEx Overnight, UPS Normal and UPS Overnight.
Search Option
Exclusive Payer Submission:
“Claims & Attachment Submission”>>>”Search”>>>”Submission Search”
Other Payer Submission:
“Digital Print Services”>>>”Search”>>>”Submission Search”
I don’t find a Payer, Plan or required Address in your Exclusive and Other Payer list? What should I do?
Please use the “Add New Payer” option in the “Submission” menu and add the required payer. You can then submit the Appeal/Claim/Correspondence & attachments. These payers will be considered as a part of “Other Payers.”
Access to New Payer Additions:
“Digital Print Services”>>>”Submission” & Use Add New Payer feature
Can I modify the Payer once added?
Unfortunately, not. Once added payers cannot be modified.
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