Applicable to all states except NC.
For information on submitting claims using Electronic Data Interchange (EDI), go to UHCprovider.com/edi837.
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.
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:
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.
For more information on HIPAA claim edits, go to uhcprovider.com/claimedits. For more information on Smart Edits, go to uhcprovider.com/smartedits.