Catching billing errors within claims can be a daunting task. Smart Edits is a claims processing tool that can help you catch, and in some cases resolve, claims errors before a claim is processed. If the information within your claim triggers a Smart Edit, you will see an edit message on your 277CA clearinghouse rejection report within 24 hours of submitting a claim.
With over 200 Smart Edits, we’d like to make it easy to distinguish what the different types of Smart Edits are, and how you interact with them to help reduce denials. Here is some information to help with three main areas:
Return Edits
NEW Rejection Edits
Informational Edits and Banners
For more information, please review the self-paced interactive guide or reach out to EDI Support at 800-842-1109 or SupportEDI@uhc.com.