Enhanced HIPAA claim edits applied to professional (837p) and institutional (837i) claims submitted electronically to most UnitedHealthcare and affiliate payer IDs. Visit the Enhanced Claim Edits page for more information.
EDI Issue Reporting Form:L 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.
If you are experiencing technical problems, need assistance in using UnitedHealthcare Community Plan Online, have login or User ID/Password issues please call UnitedHealthcare Community Plan EDI Support: 1-800-210-8315 or e-mail: email@example.com
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.
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.