- Provider Information
- Billing and Reference Guides
- Bulletins
- Cardiology
- Claims and Member Information
- Claim Reconsideration and Appeals
- Clinical Practice Guidelines
- Cultural Competency Library
- Electronic Data Interchange (EDI)
- Medicare Part D Educational Materials
- Newsletters
- Pharmacy Program
- Provider Forms
- Radiology
- Reimbursement Policy
- Oncology
- UnitedHealthcare Connected™
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.
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.
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.