Flexible Claims Management
Improve member care and reduce costs through UHIN’s secure, efficient, and effective electronic data exchange.
Health plans decrease costs and improve operational efficiencies using our national EDI network, custom-built solutions, and technology for secure, compliant electronic data interchange EDI.
Benefits for Health Plans
National EDI Network
Receive secure, clean claims directly into your system nationwide through direct or integrated Electronic Data Interchange (EDI) methods.
Configurable Solutions
Streamline claim management workflows, increase auto-adjudication rates, and enhance communication with our configurable clearinghouse.
X-12 File Support
Enhance claim processing efficiency and accuracy of payouts with X12 files shared across your Provider network or other trading partners.
Security & Compliance
UHIN is EHNAC accredited, SOC 2 certified and supports HIPAA compliance. We ensure secure transactions across our network.
Features of the Clearinghouse Platform
EDI Clearinghouse & Gateway
Exchange claim and payment information accurately and securely.
Business Intelligence
Gain insight into your EDI workflow and traffic, then optimize.
Compliance
Rest assured that your transactions are handled securely and in compliance with HIPAA.
Provider Portal
Receive claims from providers through our MYUHIN solution for claims, eligibility, EDI enrollment, and more.
EDI Enrollment
Enhance your EDI enrollment with our dedicated team to field provider requests.
Normalized Real Time Eligibility
Remove processing snags by receiving data in a format that is optimal for your system.
Payment and Remittance
Simplify your remittances; send a single file and we’ll split each remittance out to the correct destination.
Validation
Reduce the burden on your system and decrease turnaround time for rejections with SNIP validation.
Diverse Provider Support
Hospitals
Healthcare Systems
Behavioral Health Providers
Chiropractors
Dentists
Ambulatory Services
Emergency Medical Services (EMS)
Rehabilitation Centers
Skilled Nursing Facilities (SNF)
Long-Term & Post Acute Care Facilities (LTPAC)
Security and Compliance
We are committed to managing data securely, effectively, and with integrity.
Paper-to-EDI
Support providers that submit paper claims by seamlessly converting physical claims to Electronic Data Interchange (EDI) format.
Mailroom Management
Our proprietary Mailroom Accountability and Control System (MACS) oversees mailroom activities, performance, and automatation.
Machine Learning Models
Our Machine Learning Models (MLM) process is fine tuned for high quality automation and accuracy to deliver consistent and predictable results.
Scanning & Data Capture
Customize and automate your scanning and data capture. We secure data, conduct realtime ISO-compliant audits, and streamline processes.
