EDI Enrollment (University Of Utah Health Plan)

EDI Enrollment For University Of Utah Health Plan Partners

EDI Enrollment supposes that all HIPAA-compliant transactions with University of Utah Health Plans must be submitted through the Utah Health Information Network (UHIN). Before University of Utah Health Plans can process transactions, the submitting trading partner must obtain a trading partner ID and complete EDI Enrollment for services through UHIN.

Step 1: Contact UHIN and receive a copy of the UHIN Electronic Commerce Agreement (ECA)

Please be aware that the ECA is a legal document and it refers to clearinghouse services as “Administrative Messages.” If you want to enroll for clearinghouse services, please check the option for Administrative Messages on page 1 of the ECA.

Step 2:  Complete the UHIN EDI Enrollment form

Make sure that you select all transaction types you will be exchanging (837, 835, 270, etc.).

UHIN will forward the enrollment information directly to University of Utah Health Plans to complete your set-up to submit EDI transactions electronically.

If you or your provider practice is new to EDI, you must register with UHIN and UHIN will then forward the information to University of Utah Health Plans. If you’re already registered with UHIN but not with University of Utah Health Plans and you only need to register your Trading Partner with University of Utah Health Plans, please complete the 837 Trading Partner Setup- Electronic Form or 837 Trading Partner Setup-Printable Form and return it to University of Utah Health Plans by email to uuhpedi@hsc.utah.edu or fax to (801) 281-6121.

EDI Enrollment Process for the 835 and EFT

All HIPAA-compliant transactions with University of Utah Health Plans route through the Utah Health Information Network (UHIN). A Provider must obtain an UHIN Trading Partner number to receive EDI Transactions from the University of Utah Health Plans. A Provider must be enrolled with the 837 to receive the 835 and EFT transaction. The 835 and EFT transactions are linked together by the Billing Provider NPI and a Provider must enroll in both transactions. To receive the 835 a provider must be enrolled with the EFT, and to receive the EFT a provider must be enrolled with the 835.

Provider must complete the University of Utah Health Plans 835 and Electronic Funds Transfer (EFT) Authorization Agreement Form. This form can be submitted either electronically or by paper.

Once the UUHP has received the EDI Enrollment form, UUHP will begin setting up the EDI connections. The provider will be notified by email once the setup is complete.