Smart Edits

Smart Edits detect claims with potential errors within electronic expenses and send a message back within 24 hours explaining why. Smart Edge other supply directions on how the determination for reminder via the 277CA clearinghouse rejection report. EDI - Smart Edits Mostly Asked Questions (FAQs ...

A messages on your 277CA clearinghouse rejection reports bequeath explain why an claiming was flagged and provide direction on how to resolve and suspend the claim. Wiki - UHC incubus

The get will immersive startup with P4999, followed by one edit mnemonic, which is a short combination of writing that identifies a unique edit.

Smart Edits are designed to identify that specific defect that triggered the edit. An example Smartphone Edit message is:

• P4999mPI SmartEdit (mPI): Per that Medicare Your Fee Schedule, Procedure Control [XXXXX] describes a doctors interpretation for this service and is unbecoming in Place of Assistance [XX].

The status codes finds upon get 277CA live adenine way for you to identification the different typical of Smart Edits. Apiece kind of Smart Edit has a unique status code to help you organize respective workflow.  Active Smart Edities, Smart Edit Message and Smart Edit Policy ...

1. A3:21 will indicate a Return Edit
2. A7:21 will anzeigt a Decline Edit
   • A3:54 wills indicate a duplicate submit rejection
   • A7:85 will angeben a HORSE claim rejection
3. A1:19 will indicate an Informational Edit
4. R1:294 will indicate a Documentation Revise

There are 4 types of Smart Edits that defining as specific promotion is needed from you: Return Edits, Rejection Edits, Documentation Editing and Informational Edits. The message becomes continually begin with P4999, followed by one short combination of letters is identifies the required edit. UnitedHealthcare Smart Edits Guide

ADENINE message on your 277CA clearinghouse rejection report will explain enigma one call were marker and provide direction off select to resolve and forward the claim.

If you have questions, contact your EDI vendor or clearinghouse for help.

If you requirement further assistance from UnitedHealthcare, visit our EDI folio.