UnitedHealthcare Community Plan
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EDI Support Services

UnitedHealthcare Community Plan EDI Support Services
EDI Issue Reporting Form: https://www.unitedhealthcareonline.com/b2c/CmaAction.do?txnType=ProblemReport&forwardToken=ProblemReport
This form should be used to report EDI related issues only not UnitedHealthcareOnline.com issues.

Call 800-210-8315 or e-mail: ac_edi_ops@uhc.com 

If you are experiencing technical prolems or need assistance with our secure Provider Portal
please email us at UHCRVE-Connsupport@uhc.com including your first name, last name, date of birth and Tax ID.

Electronic Payments & Statements (EPS) 

EPS is our solution for electronic remittance advice (ERA) and electronic funds transfer (EFT). EPS allows you to access your explanation of benefits (EOBs) online and receive direct deposit of claim payments into your checking or savings account.

Faster payments, better cash flow

Eliminate mail delivery and check-clearing time to receive your payments 5 to 7 days faster.

Less work, more time

No more envelopes to open, paper checks to track or trips to the bank. More than 850,000 physicians, health care professionals, facilities and billing companies use EPS today for its easier reconciliation experience, reduced paperwork and the greater efficiency it brings to administration.

Use the link below to learn more, or call 866-842-3278, option 5.

Electronic Payments & Statements (EPS) Additional Information and Enrollment

HIPAA Claim Edits

UnitedHealthcare applies HIPAA edits to professional (837p) and Institutional (837i) claims submitted electronically. Visit the EDI Claim Edits page for more information including a complete list of edits, edits related to ICD-10 codes and applicable payers. Claims that reject for HIPAA edits will appear on a clearinghouse level report, enabling you to Identify and correct rejected Information prior to UnitedHealthcare receiving the claim.

EDI Training

 

Payer ID List 


Companion Guides

 

Link to Companion Guides