IA_Health_Link-hawki_combined_1


AmeriHealth Caritas Members Transitioning to Community Plan


If you are providing services to an AmeriHealth Caritas member who is transitioning to UnitedHealthcare Community Plan, we have several resources to help you with the transition. If you are a CDAC provider and new to UnitedHealthcare, there is an easy enrollment process.

Information about the transition can be viewed on our Bulletins page. You can also use our tool for looking up in-network providers

Please select the state where you practice.

Electronic Data Interchange (EDI)
 

EDI Support Services

EDI Support Services provides support for all electronic transactions involving claims and electronic remittances.

EDI Issue Reporting Form - This form should be used to report EDI related issues. You can also call us at 800-210-8315 or e-mail us at ac_edi_ops@uhc.com

UnitedHealthcareOnline.com Help Desk - 866-842-3278
If you are experiencing technical problems, need assistance in using UnitedHealthcareOnline.com, have login or User ID/Password issues please call UnitedHealthcareOnline.com Help desk.

 

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.

Additional Information

EPS Online 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. 

Additional Resources 

EDI Training

Payer ID List

View Companion Guides

NCQA Accredited HealthPlan