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.

To learn more, please check out the PTCFD interactive guide.

What’s Smart Edits?

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