Care Connect Release Notes

25R2

25R2.1 June 30, 2025

Employer Claims Automated Delivery with Error Reporting

For Care Connect partners who purchase via invoice, invoices are created regularly based on the previously redeemed vouchers. For partners who want to receive 837 claims, Tendo Marketplace will send 837 claims to them. Prior to this release, claims were manually generated and sent to employers via the Optum clearinghouse. This release includes enhanced error reporting for claims delivery issues as well as enabling automated claim delivery.

For partners wanting to pay individual claims, the partner is required to send an 835 ERA in return with a corresponding ACH payment.

Enhancements added for this release include:

• Automated delivery of 837 claims to partners
• Ability to create “daily” invoices for Care Connect partners that are participating in the full 837/835 procedure
• Process to receive and store 277 claim acknowledgement responses for each outbound claim to report on claims that were rejected
• Ability to resubmit an outbound 837 claim to an employer after data correction by internal Tendo staff
• Process to download, parse, and store the information from 835 ERAs received from partners
• Task (manually run initially, but will be fully automated in a later release) to match the 835 ERA with individual vouchers on Care Connect invoices
• Creation of a log of payments received (manually created first) that are then automatically populated via the Bank of America API.
• Process to automate marking a specific voucher’s invoice as paid after receipt of 835 and ACH payment