Applicable to all states except NC.
For information on submitting claims using Electronic Data Interchange (EDI), go to UHCprovider.com/edi837.
We know you want prompt payment. We work hard to process your claims timely and accurately. This is what you can do to help us:
a. Electronic submissions are preferred for sending claims to UnitedHealthcare. View our Claims Payer List to determine the correct Payer ID to use.
b. Our contracts generally require you to conduct business with us electronically. They contain specific requirements for electronic claim submission. Review your Agreement and follow the requirements. While some claims may require supporting information for initial review, we have reduced the need for paper attachments. We request additional information when needed.
c. For helpful resources and tips on submitting claims electronically, visit UHCprovider.com/edi.
d. Check the status of a claim using EDI 276/277 Claim Status Inquiry and Response transactions. Contact your vendor or clearinghouse if these transactions are not available or activated in your system.
e. Learn how to elevate your productivity and savings using EDI at UHCprovider.com/optimizeedi.
f. If you need assistance using EDI, visit our EDI Contacts page.
g. For EDI connectivity options, go to UHCprovider.com/ediconnect to learn more. You can use the Claim Submission tool on Link to submit claims online. View UHCprovider.com/claims for more information.
You can learn more about the many tools available to help you prepare, submit and manage your UnitedHealthcare claims on UHCprovider.com/claims including: Claim Estimator with bundling logic, training tools and resources including frequently asked questions (FAQs), quick references, step-by-step instructions and tutorials.
When claims are submitted using EDI, HIPAA edits are applied by the clearinghouse to help ensure claims contain specific information. Any claims not meeting requirements are rejected and returned back to the care provider to make corrections and resubmit electronically.
Smart Edits are an EDI capability which auto-detects claims with potential errors. Smart Edits may also be applied to help reduce claim denials and improve the claim processing time. You have 5 calendar days to correct claims rejected by Smart Edits before they are automatically processed.