IMPORTANT: The provider payments transition has been delayed from Sept. 1 to Jan. 1, 2027, to align with the Provider Portal's new launch date.
We’re working with Optum Financial (Optum) and ECHO Health, Inc. (ECHO) to provide payment and payment reconciliation services to you, our provider network. This supports our ongoing commitment to simplify and improve your payments, offering you quicker reimbursement and more payment methods to choose from.
What’s changing?
Starting with dates of service on Jan. 1, 2027, you’ll receive your Priority Health claim and capitation payments and associated RAs/835s and 1099s from ECHO.
During this transition, there will be a period of dual payment operations. Payments will be based on date of service. You’ll receive claim payments (and their associated RAs/835s and 1099s) from Priority Health’s legacy system for dates of service on / before Dec. 31, 2026. These payments will follow the preferences you’ve already established with Priority Health. This will be true regardless of when you submit the claim.
You may receive payments / RAs from both systems for up to 12 months depending on claim runout, adjustments and resubmissions for DOS prior to Jan. 1, 2027. Depending on how you decide to set up your payments with ECHO, you may receive payments / RAs by more than one method during this transition.
See the FAQs below for more information on this dual operations period.
What’s not changing?
A small number of payments (i.e., incentive program payments) will continue to be made directly by Priority Health. Priority Health will also continue to manage electronic data interchange (EDI) set up, apart from 835s.
What action do you need to take?
With Optum / ECHO, you have more payment choices. Whether you need to take action depends on how you receive your payments today and how you’d like to receive your payments in the future.
Providers getting EFT / ERA now don’t need to take action.
We want this transition to be simple and seamless. If the following apply to you, there’s nothing you need to do. We’ll get you set up to continue receiving EFT / ERA without interruption.
- You’re already enrolled in ECHO All Payer ACH – you’ll automatically receive your Priority Health payments by EFT.
- You receive EFT from Priority Health now / you sign up by Nov. 30 – we’ll securely share EFT banking information with ECHO. ECHO will then set you up with their no-fee EFT payment option (called Direct Pay ACH).*
- You receive ERAs from Priority Health now / you sign up by Nov. 30 – we’ll securely share your clearinghouse information with ECHO. ECHO will then establish your ERA / 835 connection for uninterrupted delivery.*
*ECHO will notify you if they can’t get you set up for EFT. They’ll request that you complete online enrollment yourself.
Providers getting paid by paper check now may want to take action.
Providers that get Priority Health payments – claim and/or capitation – by paper check today should review their payment choices with ECHO. You can get your payments from ECHO by paper check, but it’s not automatic. And there are more payment choices available, including:
- EFT (also called ACH) – receive payment by direct deposit to your bank account (no-fee and fee-based options available)
- Virtual Credit Card (VCC) – process a unique, one-time use credit card to receive your payment (normal credit card transaction fees apply)
- Medical Payment Exchange eCheck (MPX) – get instant access to your payment through any browser (invitation from ECHO to enroll required)
- Paper check – available if you’ve opted out of VCC (and MPX, if invited to enroll)
Enrollment and opt-out with ECHO are open. Review your payment options below so you’re ready to take any necessary steps to set up your payment preferences.