Enrolling in Claims and/or ERA Process

Intro to Tendo Marketplace Claims and ERA Process

This document provides information on how providers that partner with Tendo Marketplace can enroll in our claims process.

The Tendo Marketplace claims process allows providers to electronically submit 837 claims to Tendo and electronically receive 835 ERAs from Tendo with each payment. Tendo will process the claims and can automatically redeem the vouchers on behalf of the provider, so that the provider no longer has to manually redeem vouchers. 

Tendo Marketplace also can send providers 835 ERAs to accompany each payment without receiving claims. This can be a simpler starting point for some providers to optimize reconciliation of Tendo Marketplace payments. If you’d like to pursue this route, you will just need to enroll to receive 835 ERAs but not send them.

Note: if Tendo Marketplace does not receive claims from providers, we cannot include contractual adjustments or the charge amount in the 835 ERA.

Claims Overview

Tendo Marketplace can receive claims electronically, process those claims by matching them to purchased vouchers, and return an 835 ERA response electronically for those claims.

After enrolling in the Tendo Marketplace claims process, any provider can start submitting claims. Tendo Markeplace will match all received claims to vouchers that have been purchased on mdsave.com. If the claims match a voucher, Tendo Marketplace will automatically redeem that voucher in order to trigger payment to the provider.

When the matching voucher is paid to the provider, Tendo Marketplace will send an 835 ERA to the provider with the payment information for the voucher and information from the original claim such as the initial charge amount. If Tendo Marketplace cannot find any vouchers matching the patient, we will deny those claims as non-covered services. 

In order to ensure that all payments to a provider have a claim (and thus the 835 can include the initial charge and contractual adjustments for each voucher), we encourage providers who are sending us claims to no longer manually redeem vouchers.

How to Enroll to Send Tendo 837 Claims (Institutional)

If you are sending institutional claims on behalf of a facility, see the following instructions.

MDsave is partnered with Optum to receive claims electronically through the Optum iEDI Clearinghouse. We are registered with this information below.

Payor Name - MDSave

Payor ID Number - MDSV

CPID - 3046

Address - 1111B S Governors Ave #21040 Dover, DE 19904

You may see us as MDSAV. If everything else matches with MDSAV, use that payor.

MDsave can receive claims from other clearinghouses through Optum as well. If you cannot find MDsave as a payor in your clearinghouses’ enrollment portal, please reach out to your clearinghouse’s support to publish us as a payer.

How to Enroll to Receive 835 ERAs from Tendo Marketplace (Institutional)

If you are receiving institutional ERAs on behalf of a facility, see the following instructions.

Tendo Marketplace is partnered with Optum to send 835 ERAs electronically through the Optum iEDI Clearinghouse.

Payor Name - MDSave

Payor ID Number - MDSV

CPID - 3046

Address - 1111B S Governors Ave #21040 Dover, DE 19904

You may see us as MDSAV. If everything else matches with MDSAV, use that payor.

Note: MDsave is currently working with Optum to allow providers to enroll in the Optum iEDI clearinghouse for MDsave to send 835 ERAs to our providers.

MDsave can send ERAs to other clearinghouses through Optum as well. If you cannot find MDsave as a payor in your clearinghouses’ enrollment portal, please reach out to your clearinghouse’s support to publish us as a payer.

How to Enroll to Send MDsave 837 Claims (Professional)

If you are sending professional claims on behalf of a physician, group of physicians, or other provider, see the following instructions.

MDsave is partnered with Optum to receive claims electronically through the Optum iEDI Clearinghouse.

Payor Name - MDSave

Payor ID Number - MDSV

CPID - 8295

Address - 1111B S Governors Ave #21040 Dover, DE 19904

You may see us as MDSAV. If everything else matches with MDSAV, use that payor.

MDsave can receive claims from other clearinghouses through Optum as well. If you cannot find MDsave as a payor in your clearinghouses’ enrollment portal, please reach out to your clearinghouse’s support to publish us as a payer.

How to Enroll to Receive 835 ERAs from MDsave (Professional)

If you are receiving institutional ERAs on behalf of a physician, group of physicians, or other provider, see the following instructions.

MDsave is partnered with Optum to send 835 ERAs electronically through the Optum iEDI Clearinghouse.

Payor Name - MDSave

Payor ID Number - MDSV

CPID - 8295

Address - 1111B S Governors Ave #21040 Dover, DE 19904

You may see us as MDSAV. If everything else matches with MDSAV, use that payor.

Note: We are currently working with Optum to allow providers to enroll in the Optum iEDI clearinghouse for Tendo Markeplace to send 835 ERAs to our providers.

Tendo Marketplace can send ERAs to other clearinghouses through Optum as well. If you cannot find MDsave as a payor in your clearinghouses’ enrollment portal, please reach out to your clearinghouse’s support to publish us as a payer.

Setting Up an MDsave Payer Code

In order for claims to be sent to Tendo, patients must have the MDsave payer code in their account in their EHR/billing system. When registering the patient in their system, the hospital/provider staff should make sure to register them using that MDsave payer code.

Note: Payer codes are unique to an individual system and Tendo does not know individual provider’s payer codes.

Testing ERA Delivery

After 835 is enabled and the first payment has been sent to you, we will reach out to you to confirm that Tendo sent the 835.