EDI 278

EDI 278: Authorization and Referral Request

United Healthcare encourages electronic exchange of the documents as it makes the process faster, more accurate and reduces costs. Learn about EDI 278 document – Authorization and Referral Request.

Use the Authorization and Referral Request (278) transaction to electronically submit authorization and referral requests. An authorization is a review of services related to an episode of care, and a referral is used to refer a member to a specialty provider.

These transactions can be submitted in real-time or batch mode. Confirmation numbers are returned to validate receipt of the request.

Benefits

  • Streamline administrative tasks and increase productivity
  • Reduce administrative costs through automation
  • Increase data accuracy by reducing manual errors
  • Accomplish more with less ‒ fewer phone calls, faxes or keying

To learn more about EDI and become a certified EDI Professional please visit our course schedule page.

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