SubHero Banner
Horizontal Rule

features and benefits

Text

Streamline the claim submission process

Submit all commercial payer and Medicare claims using Optum® Intelligent EDI. Upload, track and manage claims from a single dashboard to help ensure the most timely and accurate payments.

Horizontal Rule
Text

Achieve higher first-pass payment rates

Submit clean claims to reduce denial rates and A/R days, as well as increase collection rates. Built-in intelligence and editing functionality from Optum allow organizations to correct errors prior to entering payers’ adjudication systems.

Horizontal Rule
Text

Automate clinical documentation exchange

Our compatibility with the industry’s top technology vendors, including streamlined integration with Epic, enables organizations to maximize their current investments and ensure claims are routed within their current electronic workflow.

Horizontal Rule
Text

Customize EDI with in-stream capabilities

  • Claim submission and remediation
  • Claims status inquiry
  • Referral authorization
  • Electronic remittance
  • Dashboard view
  • Eligibility and benefits checking
  • Advanced clinical editing
  • Patient statements

Saves time within the revenue cycle process by identifying coding edits prior to claim submission, reducing time and resources.

– Coding and reimbursement manager
Horizontal Rule

Optum Payer Lists

Text

Professional Claims Payer List
Link to download Excel file

Institutional Claims Payer List
Link to download Excel file

Text

Real Time Eligibility Claims Payer List
Link to download Excel file

Real Time Claims Status Payer List
Link to download Excel file

Text

ERA Payer List
Link to download Excel file

Referrals and Authorizations Payer List
Link to download Excel file

Solution Tile Component