EDI Sample

EDI Academy is launching a new product: The Ultimate EDI Sample Databank An EDI database repository that contains hundreds of claims and other EDI transactions with SNIP-LEVEL edits. It’s $150 per year per user, and you will get continuous updates. It is accessible via the EDI Academy EDI Viewer https://lnkd.in/gtb9-faz Our current repository is an Read More →

277CA edits

UnitedHealthcare 277CA edits for Medicare Advantage plans UnitedHealthcare applies edits when an electronically submitted claim is either missing key health care professional information or does not match the internal systems. These claims will be returned electronically on a 277CA (claims acknowledgement) clearinghouse rejection report with instructions on what to correct and subsequently resubmit the claim for Read More →

Resolving Errors 270/271

Tips for Resolving Errors with 270/271 Eligibility and Benefits Transactions (United Healthcare) UnitedHealthcare helps partners resolve errors to obtain member eligibility and benefits from 270/271 Health Care Eligibility and Benefit Inquiry and Response transactions. UnitedHealthcare current search logic allows entering different criteria related to the member or patient for the eligibility and benefits inquiry transaction (270). If Read More →

Healthcare Cost Savings

Healthcare Cost Savings Using Electronic Data Interchange CAQH, a nonprofit alliance, is the leader in creating shared initiatives to streamline the business of health care. The 2019 CAQH Index shows that the average cost to conduct transactions manually is higher than the cost of electronic transactions for care providers and health plans. Providers can use Read More →