Oxford Health Plans: Medical PRAs won’t be mailed after July
Last updated: Sept. 15, 2022
Please note, the launch date has changed from August to mid-September.
Beginning in mid-September 2022, we will no longer print and mail paper provider remittance advice (PRAs) for medical claims to network health care professionals and facilities (primary and ancillary) for members covered by all Oxford Health Plans® in the states of Connecticut, New Jersey and New York. Oxford PRAs join the other plan PRA documents that moved from print to digital delivery, effective Feb. 4, 2022.
The change does not impact the payment method for subscribers enrolled in Optum Pay™. You will continue to receive an electronic remittance advice (ERA)/835, but the paper PRA will no longer be mailed.
Please share this information with others in your organization who need to know about this change. If you work with an outside vendor, such as a revenue cycle management company for your mail processing, please talk with them to determine how this change may affect your contract or processing arrangements with them.
Options to view PRAs electronically
There are several ways you can view PRAs electronically. Choose the one that works best for your practice or facility:
1. Document Library: This secure online repository of reports and claim-related communications is available through the UnitedHealthcare Provider Portal. PRAs are produced at the time of payment processing and available for you to access the next day in Document Library.
2. Optum Pay: For payments facilitated by Optum Pay, you can reconcile remittance data, including a downloadable version of the PRA, with basic portal or premium portal access.
Basic portal access is free to those enrolled in Automated Clearing House (ACH)/direct deposit through Optum Pay. Premium portal access is a fee-based service that includes additional practice management features and data aggregation tools.
3. EDI: Set up ERA 835 transactions using electronic data interchange (EDI) to receive your PRAs electronically. An additional benefit is the capability to autopost payments into your practice management or hospital information system. Contact your clearinghouse to start the process. Note: ERA/385 setup takes about 30 days from when we receive the request.
We’re transitioning many communications for most contracted health care professionals (primary and ancillary) and facilities from paper to digital. Look for announcements in UHCprovider.com/news 90 days before mailings end.