August 20, 2021
UnitedHealthcare (UHC) announced that effective November 5, 2021, it will no longer print and send Payment Notices by Paper Providers (PRAs) for medical claims to healthcare professionals and facilities health network in California. By CSU, this change will impact all CSU plans except behavioral health; American Association of Retired Persons Medicare Supplements and All Savers Insurance, Sierra Health and Life; UHCOuest; UMR; and student resources.
The UHC indicates that all suppliers, regardless of their contractual status, can view ARPs electronically in several ways, including:
- Document Safe: PRAs will be produced at the time of payment processing and available free of charge to service providers the next day in Document Safe, UHC’s online repository for complaints reports and communications , located on the United Healthcare Provider Portal.
- Optum Pay: electronic payment advices (ERA) and electronic 835 files are accessible via Optum Pay Basic, a free portal access for people registered with ACH / direct, or via Optum Pay Premium, a paid service that includes functions additional practice management. and tools.
- EDI: Suppliers should contact their clearing house to set up 835 Electronic Payment Advice (ERA) transactions using Electronic Data Interchange (EDI) in order to receive their PRAs electronically. Note: Configuration of ERA / 385 takes approximately 30 days from receipt of the request by UHC.
This transition to electronic remittance advices is part of UHC’s initiative to bring providers to completely paperless methods of communication. CSU first announcement in August 2020, which would begin the process of interrupting physician payments via paper checks, would instead require contracted and non-contracted physicians to receive payment through an automated clearinghouse / direct deposit or through credit card payments. virtual credit. In September 2020, the CHU informed that it would begin to move provider remittance notices, clinical and complaint letters, and hospital admissions to electronic processes.
Providers with questions can contact UHC Provider Services at (877) 842-3210.