Medical EDI Vendors Guidelines Medical EDI Vendors are subjected to successful completion of required testing before live data transmissions begin. Any vendor that does not successfully complete the required testing will not be permitted to submit EDI transactions on behalf of clients. Vendors that successfully complete the required testing will not be required to complete … Read More →
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 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 →
EDI Testing Process (Alignment of GS1 details – Myer EDI Requirements) EDI Testing Process is critical to ensure that no technical problems within vendor operations will impact the movement of goods to the stores, sales to customers and partner is processing payments to a vendor. Once your new processes and technology are in place, Myer will begin a … Read More →
Announcing a Public Review Period for four X12 837 Implementation Guides, X323, X324, X325 and X326 The following four implementation guides will be available for public review beginning October 15, 2019. The review period will close November 30, 2019 at 8:00 PM, Eastern Time. These guides have been developed by X12’s Insurance subcommittee based on … Read More →
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 (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 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 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 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 →