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 →

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 →

Clean Claim Requirements

Clean Claim Requirements (Cigna vendors) Clean Claim Requirements were developed with the goal to process all claims at initial submission. Before Cigna can process a claim, it must be a “clean” or complete claim submission, which includes the following information, when applicable: primary carrier explanation of benefits (EOB) when Cigna is the secondary payer prescription for physical Read More →

EDI Claims

Cigna Electronic Data Interchange Claims Process Cigna Electronic Data Interchange vendors securely transmit data electronically to Cigna and gain many benefits of this process. Filing paper claims can be time consuming. When you submit claims to Cigna electronically, including coordination of benefits (COB) claims, your practice can gain many benefits such as: Quicker claims submission, including Dental Health Read More →

7030

On September 4th, 2019 X12.org updated their home page with the latest 7030 Update. The X12N work group is responsible for 007030 TR3s (Technical-Report-Type 3) also known as HIPAA Implementation Guides. A public review period for each health care EDI Transaction must be conducted before these guides can become official. Below is the latest information Read More →