UnitedHealthcare implements Smart Edits into the EDI claim process In the April 2018 UnitedHealthcare (UHC) network bulletin, UHC notified physicians that it would implement Smart Edits, a new functionality introduced into the EDI workflow, allowing the payor to autodetect claims with potential errors in the claims pre-adjudication phase. Once a potential error has been identified, UHC will notify the physician (via the 277CA report) within 24 hours, returning the claim to the provider along with a suggested modification to overcome the problem. Providers will have five calendar days to correct the claim and resubmit it, reducing the potential ... June 14, 2018 United Healthcare claims, edits, uhc 0 0 Comment Read More »
UnitedHealth Buys Large Doctors Group as Lines Blur in Health Care In another example of the blurring boundaries in the health care industry, UnitedHealth Group, one of the nation’s largest insurers, said on Wednesday that it is buying a large physician group to add to its existing roster of 30,000 doctors. Read More December 7, 2017 Insurance, United Healthcare 0 0 Comment Read More »
