CAQH, a nonprofit alliance, is the leader in creating shared initiatives to streamline the business of health care. The 2020 CAQH Index shows that the average cost to conduct transactions manually is consistently higher than the cost of electronic transactions for care providers and health plans. View the complete CAQH Index for more details. Use the CAQH Index Savings Calculator to estimate potential cost and time savings for your organization.
Below is Table 1 in the 2020 CAQH Index. This table shows the average cost and savings opportunity per transaction for health plans and providers, related to manual and electronic transactions.
Contact your software vendor or clearinghouse to activate in your system.
UnitedHealthcare wants to help you overcome barriers to obtain member eligibility and benefits from your 270/271 Health Care Eligibility and Benefit Inquiry and Response transactions.
EDI transactions are generated from your practice management system (PMS) or hospital information system (HIS), and then are routed to a clearinghouse for submission to UnitedHealthcare. The information we return to you for these transactions is automatically loaded back into your computer system. These are not transactions done through Link using your Optum ID.
EDI allows you to have the capability to submit single or batch transactions for multiple members and multiple payers, which eliminates the need for manual data entry, phone calls and numerous logins for payer websites.