Retrieving An EDI File

Retrieving An EDI File From UHA If sender (UHA Trading Partner) provided UHA with an email address, it will receive email notification that files are available for pickup. Each Transmitter will be issued a username and password after a properly completed and signed request form is received and approved by UHA. Use the assigned username and password to login Read More →

Sending an EDI File

Sending an EDI File to UHA (Transmitting Guides) When sending an EDI File to UHA each Transmitter will be issued a username and password after a properly completed and signed request form is received and approved by UHA. Use the assigned username and password to login to UHA’s Secure File Server, by following the steps Read More →

File Transfer Procedures

File Transfer Procedures (UHA EDI Trading Partners): File Naming Convention File Transfer Procedures including File Naming Convention requirements for clearing houses submitting claims for multiple providers and for providers submitting claims directly are described in the blog below. Clearing Houses submitting claims for multiple providers Inbound (to UHA) 837 and Outbound (from UHA) 997 Format: Taaaaa_Sbbbbb_####_mmdd_NN.dat Read More →

UHA Claim Submission

UHA Claim Submission (Trading Partner Guidelines) UHA Claim Submission specific instructions are required for electronic transfer of the claims data via Electronic Data Interchange processing systems. 997 Functional Acknowledgement UHA is required to create a 997 Functional Acknowledgement to report the results of the standard X12 syntax editing. The 997 will normally be available by the next business Read More →

UHA Claim Submission

UHA Claim Submission Requirements For Trading Partners UHA Claim Submission must be processed using the codes required in the National Implementation Guides and the HIPAA rules. Each transmission to UHA should have a unique Interchange Control Number (ISA13). UHA will use this number to determine if it is a duplicate file. b. Submitters are required to submit Read More →

Claims Testing

Claims Testing With UHA Trading Partners Claims testing is a necessary period after an agreement has been reached between the provider and UHA with regard to the submission of claims via EDI. The purpose of the testing is to ensure that the data being generated by the provider’s data processing system meets the technical requirements as specified in Read More →

Claims Processing

Claims Processing Cycle (UHA Providers) Claims Processing Cycle via EDI provides a quicker turnaround time on provider claims since it will eliminate the need for UHA to manually process the majority of the claims. However, the length of time required to process a claim depends on many variables in addition to the medium on which they are Read More →

Provider Claim Guidelines

Provider Claim Guidelines For UHA Trading Partner As of October 1, 2015, all HIPAA-covered entities are required to use ICD-10 codes for services on or after that date. UHA is committed to the timely and accurate processing of your claims, and encourage claim submission through electronic data interchange (EDI). There are three ways to submit medical Read More →

Filing A Healthcare Claim

Filing A Healthcare Claim Requirements For Cigna Vendors Filing A Healthcare Claim should be done as soon as possible. If you’re unable to file a claim right away, please make sure the claim is submitted accordingly. If you are a participating health care provider, submit by 90 days after the date of service If you are Read More →