Electronic transactions via electronic data interchange (EDI) software offer
significant benefits for your office. Electronic claims, remittance advice, and payment
can help improve efficiency, productivity, and cash flow through less redundancies,
reduced data entry errors, and faster turnaround times.

EDI Claims Advantages
Of the claims that the CO-OP receives electronically, 80% pass through our claims
processing system without processor intervention. The average turnaround time for
EDI claims (check being received by the provider) is 15 days.

Accepted Transactions
U of U Health Plans and Utah Health Information Network (UHIN), our designated
clearinghouse, are HIPAA-compliant in the following transactions:

• 837 005010x222a1 (Professional claims)
• 837 005010x223a2 (Institutional claims)
• 277CA Claim acknowledgment/error report
• 999 Acknowledgment
• 835 005010x221a1 (Remittance advice)
• EFT (Electronic Funds Transfer) in conjunction with the 835
• COB (Coordination of Benefits)
• 270/271 0051010x279a1 Eligibility Request/Response (real-time)
• 276/277 Claim status inquiry/response (real-time)

About UHIN
UHIN members have come together to reduce the administrative costs of healthcare
through standardizations of electronic interactions.
Our trading partner number with UHIN is HT000179-002. Visit UHIN .org for more
information.

Benefits of ERA and EFT
Why wait for snail mail when Electronic Remittance Advice (ERA) And Electronic Funds
Transfer (EFT) can deliver claim information to you and payments to your bank
account the same day as they are posted?

Greater Efficiency
With ERA (transaction 835), you can review claims as soon as processing is
complete, with no lag time waiting for the mail. Additionally, most EDI software can
be configured to automatically post claim information directly to the patient’s
account without having to manually reenter the data. Using ERA decreases time
spent reconciling accounts and reduces data entry errors.

Greater Security
With EFT, payments are deposited directly to your bank account as soon as the
payment is processed. EFT eliminates concerns of your check being delivered to the
wrong address, stolen from the mail, or signed and cashed by an unauthorized
person. EFT also eliminates the need for a staff member to spend time carrying the
check to the bank. And, as with ERA, most EDI software can be configured to
automatically post payments directly to the patient’s account.

Enroll in EDI, ERA, and EFT
EDI transactions are standardized throughout the industry. This means your office
can enjoy the efficiencies gained through EDI when doing business with most payers.
Visit Electronic Data Interchange (EDI) for more information about:

• Accepted transactions
• Enrolling for EDI
• Submitting claims
• Receiving assistance
  Don’t wait—make your office more efficient by signing up for EDI, ERA, and EFT today.