UnitedHealthcare EDI transactions – notifications

UnitedHealthcare EDI transactions

UnitedHealthcare EDI transactions described in the post are as following: Electronic Admission Notifications (278N), Electronic Authorization and Notification Inquiries (278I), Electronic Pre-Authorization and Advance Notifications (278A)

Electronic Admission Notifications (278N)

The UnitedHealthcare EDI 278N transaction is a way to exchange admission notification data between an inpatient facility and UnitedHealthcare in a standard format. Similar to the HIPAA 278 transaction it is the most efficient way to communicate facility admissions. The 278N can be transmitted directly to UnitedHealthcare or through a clearinghouse in either batch or real-time format.

Hospitals that have implemented UnitedHealthcare EDI transactions 278N have experienced a 15 percent improvement in providing notifications within 24 hours.

With the UnitedHealthcare EDI Transaction 278N you can also:

  • Streamline administrative tasks and increase productivity
  • Reduce administrative costs through automation
  • Increase data accuracy by reducing manual errors
  • Accomplish more with less – fewer phone calls, faxes or keying

Electronic Authorization and Notification Inquiries (278I)

The UnitedHealthcare EDI Transaction 278I is used to check status of previously submitted authorizations and notifications to UnitedHealthcare. Electronic authorization and notification inquiries can be submitted in real-time or in batches. You will receive a unique inquiry ID for confirmation of submission.

With the 278I, you can also:

  • Streamline administrative tasks
  • Increase productivity
  • Reduce administrative costs
  • Increase data accuracy
  • Reduce manual errors
  • Accomplish more with less – fewer phone calls, faxes or keying

Electronic Pre-Authorization and Advance Notifications (278A)

The UnitedHealthcare EDI Transaction 278A is used to submit pre-authorization and advance notifications to UnitedHealthcare. Electronic pre-authorization and advance notifications can be submitted in real-time or in batches. You will receive notification numbers for confirmation of receipt.

With the UnitedHealthcare EDI Transaction 278A, you can also:

  • Streamline administrative tasks
  • Increase productivity
  • Reduce administrative costs
  • Increase data accuracy
  • Reduce manual errors
  • Accomplish more with less – fewer phone calls, faxes or keying

Most clearinghouses already send UnitedHealthcare EDI transactions 278N, 278I and 278A to UnitedHealthcare. They can work with you to submit notifications in the appropriate format. Physicians, healthcare professionals, ancillary providers and facilities interested in UnitedHealthcare EDI transactions 278N, 278I and 278A integration should contact their clearinghouse and/or vendor.

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