We know that Revenue Cycle Management companies (RCMs), billing services and business vendors perform many types of work on behalf of health care professionals. Our goal is to make it easier for you to work with us, reduce the time it takes for you to perform claim and clinical activities and, ultimately, help you get paid faster.
To do this, we offer 3 digital solutions to help to fit your needs: Application Programming Interface (API), Electronic Data Interchange (EDI) and the UnitedHealthcare Provider Portal.
Review the Digital Solutions for Revenue Cycle Management Companies guide for a quick overview of each solution.
Application Programming Interface (API)
Electronic Data Interchange (EDI)
UnitedHealthcare Provider Portal
The Council for Affordable Quality Healthcare (CAQH), a nonprofit alliance, is the leader in creating shared initiatives to streamline the business of health care. The 2020 Council for Affordable Quality Healthcare (CAQH) Index shows that the average cost to conduct transactions manually is consistently higher than the cost of electronic transactions for health care professionals and health plans.1
Please note: Use and compatibility of digital solutions and resources may be subject to certain limitations or requirements. Please review all relevant materials for details. Please also review your participation agreement for any obligations and rights regarding electronic connectivity and transactions.
1 2020 CAQH INDEX® Closing the Gap: The Industry Continues to Improve, But Opportunities for Automation Remain. caqh.org/sites/default/files/explorations/index/2020-caqh-index.pdf.