Optum Intelligent EDI — no-cost claim submission to all payers
Optum Intelligent EDI delivers the tools that help drive administrative simplification at minimal cost and realize the benefits originally intended by HIPAA — standard, low-cost claim transactions.
Optum Intelligent EDI services include:
- Connections to over 4,000 payers
- Claims services – submission and remediation
- Remittances / ERAs
- Dashboard reporting
- Eligibility and benefit verification (optional module, additional fees apply)
Optum EDI solutions delivery
Optium Intelligent EDI is a digital health information platform that offers providers intuitive, self-service applications to make their daily communications with payers faster and more efficient.
Remove the claim submission cost barrier
With Optum Intelligent EDI solutions submit all commercial payer and Medicare claims for free. Optum Intelligent EDI takes out the cost for providers to submit claims to health plans by providing complimentary claim file management. From a single dashboard upload, track and manage claims to help ensure the most timely and accurate payments *Minimal pass through and select Medicaid payer fees apply.
Achieve higher first-pass payment rates
Submit clean claims to reduce denial rates and A/R days, as well as increase collection rates using progressive EDI solutions. Optum® Advanced Clinical Editing, available within the EDI stream, allows organizations to correct coding errors prior to entering the payer’s adjudication system.
Automate clinical documentation exchange
The Optum Intelligent EDI compatibility with the industry’s top technology vendors, including streamlined integration with Epic, enables organizations to maximize their current investments and ensure claims are routed within their current electronic workflow.
Customize EDI with in-stream Optum Intelligent EDI capabilities
- Claim submission and remediation (free*)
- Claims status inquiry (free*)
- Referral authorization (free)
- Electronic remittance (free)
- Dashboard reporting (free)
- Eligibility and benefits checking (optional module, additional fees apply)
- Advanced clinical editing (optional module, additional fees apply)
- Patient statements (optional module, additional fees apply)
- Contract management (optional module, additional fees apply).