Questions on a Returned Claim Based on Place of Service?
Last modified: October 15, 2020
Questions on a Returned Claim Based on Place of Service? PTCFD Smart Edit Can Help.
You may receive a PTCFD Smart Edit when a professional claim is inappropriately billed in a facility place of service by a health care professional. The PTCFD Smart Edit is applicable to commercial and Medicaid claims and is aligned to UnitedHealthcare’s Professional/Technical reimbursement policy.
Smart Edits is a claims optimization tool that identifies potential billing errors and notifies you on your 277CA clearinghouse rejection report. For more information on Smart Edits, please visit UHCprovider.com/smartedits.