Simplify EDI Management: The Ideal Clearinghouse Solution for Large Providers

Managing Electronic Data Interchange (EDI) processes can be complex for large healthcare providers: Maintaining reliable connections, ensuring seamless claim submissions, accurately tracking remittances, verifying eligibility, and handling EDI transactions across multiple payers. These are burdensome without the right clearinghouse partner. That’s where our comprehensive clearinghouse solution and support team steps in.

Why Large Providers Need a Reliable Clearinghouse

Large healthcare providers deal with high volumes of claims and remittances, making efficient EDI management essential. Medical administrative transaction volume increased by 11% to 55 Billion transactions in 2022 (per CAQH). Handling mountains of transactions makes the need for automation that much more apparent. 

A robust claim management solution consolidates all payer connections into a single, reliable network, reduces administrative costs and labor, improves cash flow, delivers real-time eligibility, and supports EDI enrollment. 

1. Access to an Extensive Payer Network

We pride ourselves on having one of the most comprehensive payer networks available. Without reliable payer coverage, even a minor disruption can lead to significant revenue cycle issues. That’s why verifying your connections upfront is vital. 

Setting up payer connections and managing your claim volume across the network can be overwhelming and complicated. Using a clearinghouse, like UHIN, lifts the burden by handling the vast, dynamic relationships with payers and trading partners for you. Our clearinghouse connects with thousands of payers nationwide, ensuring that you have the necessary reach to keep your operations running smoothly. You can further simplify your connections with payers by integrating the UHIN Clearinghouse into your current Electronic Health Record (EHR) or Practice Management system (PM), making communications and claim management that much easier in your preferred workflow.

We encourage you to check out our payer list to verify if we have the connections you require. With our national EDI network, you can be confident that your claims will reach their destination without a hitch, reducing delays and improving your cash flow.

2. Real Cost Savings

Switching to our clearinghouse solution could lead to substantial savings for your organization. We offer usage-based pricing that ensures you only pay for what you use, with no long-term contracts or hidden fees that are common with others. We earn your business every day. 

Because we’re a non-profit, we provide competitive rates and exemplary support. We’re a mission-driven company focused on the improvement of care and costs. Private and public companies that operate clearinghouses tend to focus on their own costs and revenue first, then their customers. We invite you to explore our pricing options and see how much you could save by making the switch today. Don’t miss out on the opportunity to enhance your EDI management, maximize payments, and reduce costs at the same time.

3. Improved Cash Flow

Working with a clearinghouse that focuses on connectivity and modern EDI practices improves cash flow by streamlining critical processes, such as eligibility checks and claim submissions. Maintaining connections with payers enables consistent reimbursement and offloads risk if other networks are compromised. 

In addition, automating claim management systems reduces errors, accelerates claim approvals, and minimizes claim denials. This supports consistent payments and allows caregivers to focus on delivering quality patient care, contributing to sustained financial health.

4. Dedicated EDI Enrollment Support

In order to submit claims electronically to payers, providers must first complete EDI enrollment. Getting started with a new clearinghouse can be daunting, but our team of EDI enrollment specialists (all based in the U.S.) are here to help. They are ready and waiting to assist providers with enrollment, ensuring a smooth transition. 

EDI enrollment is vital to your success as claim management moves further into the fully electronic era. Enrollment enhances efficient communication with payers, enabling providers to submit claims and get paid faster. Our specialists provide personalized support to establish your connections quickly, so you can start experiencing the benefits of our services right away. With our team by your side, you’ll have the support you need to easily make the change.

5. Verifying Patient Eligibility

Electronic patient eligibility verification improves patient payment by allowing providers to check insurance eligibility easily before treatment. This results in reduced manual work for staff, less mistakes, and fewer denied claims. Providers can collect more co-pays or coinsurance upfront using electronic patient eligibility verification. Leveraging a software solution also ensures that the data being transmitted is accurate, and can be processed quickly and in real-time in many cases.

Real-time patient eligibility verification ensures that all patient information is correct right from the start and has long-term effects. Accurately verifying patient eligibility before treatment ensures that submitted medical claims align with insurance policies and patient coverages. Effective verification processes directly lead to fewer claims rejections and more approvals. Streamlining this process leads to reduced administrative burden, and expedites payments by not having to reprocess rejected claims.

Key Benefits for Large Providers

Our clearinghouse service offers several critical benefits tailored to the needs of large healthcare providers. By partnering with us, you can expect:

  1. Extensive payer network that ensures you have the necessary reach to keep your operations running smoothly.
  2. Cost savings with automation and a non-profit clearinghouse model focused on your success.
  3. Improved cash flow through faster automated claim processing and fewer rejections.
  4. Simplified EDI enrollment supported by a team of EDI enrollment specialists ready to help you.
  5. Real-time patient eligibility verification that reduces delays and improves patient satisfaction.

Ready to Get Started?

If you’re ready to take the next step, visit our National EDI Network solutions page for more details on the benefits of working with UHIN. Next, check out our payer list and review our pricing options. Then, see how easy it is to start with our dedicated EDI Enrollment team.

Contact us today to learn more about how we can help streamline your EDI processes and support your organization’s growth.


EDI Champions: Achieving Data Excellence

Leaders in healthcare electronic data interchange (EDI) must pursue peak performance in claim management and data excellence, akin to athletes pushing to win at the highest levels. Just as divers, gymnasts, cyclists, hurdlers, basketball teams, and sprinters train relentlessly to execute with precision, EDI leaders must remain focused, while taking meaningful actions to improve their operations every day.

The Pursuit of Perfect Precision

Divers focus on every detail to dive with precision from platforms up to 33 feet above the water and break the water with a splash-less entrance. For divers, hitting the surface with flat palms for a “rip entry” leads to a medal-worthy, tiny splash. Achieving excellence in claim management stems from meticulous attention to claim accuracy and closing the proximity of error. This pursuit involves reducing manual claim processes, refining validations, and improving auto-adjudication rates that will reduce costs and alleviate staff bandwidth. This makes the difference between winning gold and watching from the bleachers.

Automation of claims transactions could reduce the cost per transaction by up to 50% for health plans.

CAQH Index Report | 2023

Adaptation and Innovation

In the high stakes world of gymnastics, adaptation and innovation are key to staying ahead of the competition. Similarly, the healthcare industry is constantly evolving, and staying competitive requires embracing innovation and adaptation. From adopting cloud-based EDI solutions to integrating Fast Healthcare Interoperability Resources (FHIR), EDI managers must be at the forefront of technological advancements. These innovations are revolutionizing claim management in ways that will enable enhanced data accuracy and improve compliance with ever-changing regulations.

Harnessing the Power of Data

Data is the lifeblood of both cyclists and claim managers. For world-class cyclists, data-driven insights and performance metrics are crucial for fine-tuning their training regimens. Power output, revolutions per minute, heart rate, watt-to-weight ratio, and other data help cyclists cross the finish line first. In the realm of healthcare, harnessing the power of data can transform claim management. Health plans can leverage claim data in many valuable ways, like identifying high-utilizers who drive up costs and loss ratios, detecting fraud, optimizing payouts, and more. This proactive approach – rooted in data analysis – can lead to reduced costs, precise payouts, improved security, and enhanced efficiency across the business.

Overcoming Hurdles

To win gold, world-class hurdlers prepare rigorously to clear physical hurdles without losing momentum. Similarly, EDI managers face daily challenges like dealing with paper claims, EDI enrollment, and meeting claim resolution within the mandated time frame. The right claim management solution will help to alleviate daily issues, deliver accurate data and facilitate consistent communications that ensure a smoother path to claiming gold in data excellence.

The Role of Teamwork

Behind every successful team is a dedicated group of coaches, trainers, and support staff. In healthcare data management, teamwork is equally vital. Collaboration between EDI managers, IT and operations teams, and technology partners is essential for achieving peak performance. By fostering a culture of open communication and cross-functional cooperation, organizations can ensure that every team member is aligned with the common goal of excellence in data management. This collaborative effort results in seamless workflows, fewer errors throughout the claim lifecycle, and enhanced automation. 

Celebrating Achievements

Every milestone reached on the track, whether it’s a personal best or a new world record, is a cause for celebration. In healthcare data management, it’s important to recognize and celebrate achievements. From achieving a new high in auto-adjudication rates to successfully implementing a new EDI system or resolving complex claim issues, these accomplishments are a testament to the hard work and dedication of the entire team. Celebrating these successes not only boosts morale but also reinforces the commitment to continuous improvement and excellence.

Health plans can deliver short-term business cost savings affecting about 10% of total payer expenses by aggressively simplifying operations in 2024.

Gartner | 2024

The Path Forward

In conclusion, claim managers at health plans can achieve excellence by adopting specific action items, such as refining validation processes, increasing their auto-adjudication rate, and ensuring secure transactions. Drawing inspiration from world-class athletes, they must remain focused, resilient, and committed to continuous improvement. 

Leveraging data effectively and fostering teamwork are crucial for precise claim management and improving overall efficiency. Embracing innovation and adaptation will keep health plans competitive, cost-efficient and compliant in the evolving healthcare landscape. Thoughtful preparation and execution will help EDI managers overcome the hurdles on a daily and long-term basis. Coming together as a team, including with your EDI partner, leads to better communications, reduced manual work, and seamless workflows. Celebrating achievements, no matter how small, reinforces the commitment to excellence and motivates the entire team to strive for peak performance. 

The journey may be challenging, but the rewards of excellence in healthcare data management are well worth the championship effort.

Partnering with an established leader in claim management, like UHIN, sets your health plan on a path towards EDI excellence. As a mission driven clearinghouse, UHIN approaches claim management differently: we pass cost savings on to customers, provide expert, US-based customer service, and focus on the success of our customers – not our own.


Newsletter: May 2024 Issue

MAY 2024

For many of us, Memorial Day marks the unofficial start to summer. Hard to believe we’re heading into June! In this month’s newsletter, we look at the importance of resilient, redundant and interoperable systems, the events and webinars coming up, and we attempt to foretell everything that will happen for the rest of the year.

Remember to join us on LinkedIn for frequent news and updates!


The first half of this year was packed with exciting news and rocked by tech incidents. While we can’t predict the future, we can plan a better path ahead

Look into your crystal ball 🔮 What are your predictions (big or small) for things to come in healthcare this year? And, what are your goals that you hope to accomplish? We want to hear from you! 


John Lynn and Colin Hung look at where the industry stands just two months following the ransomware attack. For healthcare professionals, this could be a watershed moment for information security, revenue cycle management (RCM) and back-up planning for potential, future incidents.


City connected with blue lines of communication

Our most recent blog post (authored by Brian Chin, UHIN’s CEO) addresses the importance of redundant and resilient healthcare systems, and how they support seamless interoperability in times of crisis. There are, of course, great benefits and challenges when it comes to maintaining interoperability during disaster recovery (see them below👇).


September 13: Utah Medical Association (UMA) annual House of Delegates in Midvale, UT

October 15-17: Civitas Annual Conference in Detroit, MI

​​​​More to come: Stay tuned!


people icons

We’ll host training sessions on the new CHIE platform, specifically for portal users. Stay tuned for more details on our virtual Payer Panels where you can ask questions and get answers from health plan representatives.


May is Mental Health Month. Our partners and customers offer services and solutions that can help, including AARP Utah’s mental health and wellness resources and Valley Behavioral Health’s treatment programs and services for children and youth. We invite you to learn how you can get involved all year by visiting Mental Health America.



Newsletter: April 2024 Issue

APRIL 2024

This month we announced our affiliation with Comagine Health and added new CHIE data sources from CommonSpirit Health. We look forward to growing with our new strategic partners, customers, and you! Keep reading for what else happened in April and what’s coming up next month.​​​​​​

P.S. Follow our LinkedIn page for more frequent news, posts and insights


“Aligning our health care knowledge and expertise through affiliation is a profound opportunity to advance our parallel missions, while delivering greater success to our customers and partners. We have collaborated successfully for more than a decade. As affiliates, UHIN and Comagine Health can serve as a unified force for change in health care for the foreseeable future.”

​​​​​​- Brian Chin, UHIN’s Chief Executive Officer

Keep scrolling for more information on our affiliation.


Comagine logo, UHIN logo, Comagine and UHIN affiliation announcement

We have announced our official affiliation with Comagine Health, a national nonprofit healthcare consulting firm. We have a long history of working together over the last decade on federal and state initiatives to advance electronic health record (EHR) adoption, cost transparency reporting, capacity and functionality of all-payer claims databases (APCDs) and interoperability and surveillance activities. Combining our technology solutions and Comagine Health’s analytic services will enable more actionable health insights and more sustainable, transformational improvements for communities.​​​​​​


CommonSpirit health logo, UHIN logo, New data source CommonSpirit Health

The CHIE continues to add important data sources, providing healthcare professionals with vital medical information when it is needed most. Recently, we’ve onboarded CommonSpirit Health as a data source.


WEDI spring conference

We’re attending the WEDI Spring Conference from May 13 – 16 (virtually). We look forward to learning more from experts, like Aneesh Chopra, about solutions to improve information exchange, enhance care quality, and reduce cost and burden. 

Are you planning to attend online, too?


In addition to online product trainings for our customers, we’re preparing virtual payer panels for later this year. These will be similar to the payer panels you may have attended in previous years at the HIT Conference.


We’re reading the recent CAQH report on the wide differences in administrative transaction costs for generalists, specialists and behavioral health providers. “The medical industry spends an astonishing $83 billion annually on staff time to conduct routine administrative transactions between providers and health plans during and after a patient-provider encounter. Providers shoulder 97 percent of these costs.”



Newsletter: March 2024 Issue

MARCH 2024

“Our life is March weather, savage and serene in one hour” (Ralph Waldo Emerson)

Such was life in the healthcare information technology sector this month. We collectively faced daunting cyber circumstances and peered into an optimistic future filled with the possibilities of A.I., resilient and redundant networks, and healthcare interoperability for all.


Cyberattacks affect all of us. We're here to help.

UHIN is dedicated to maintaining interoperability for all payers, providers and partners. When an event as large as the Change Healthcare cyber incident impacts our community, we know we need to serve as a bridge to stable ground. Read more about the actions we’re taking to support our community at this time.


We’re actively supporting Providers by expediting enrollment with Payers to get claims flowing again. Providers can leverage our solutions to create and send professional and institutional claims, submit via SFTP, file tool or online hand-entry, check claims status, manage denials and rejections, and search, view, and download payment information.

We can connect with health plans, so they may receive claims from providers through a direct connection to our clearinghouse. Empower your provider network by elevating your collaboration efforts, securely sharing information and data, and providing better affordable care for your members.​​​​​​


Typing on computers

The alarming rise in cyber threats – namely ransomware – highlight the urgent need for enhanced cyber resiliency and robust security measures in healthcare. Read our recent blog post with five ways to reduce your risk and secure personal health information (PHI) from cyberattacks.


HIMSS shared their recap of the 2024 Global Health Conference & Exhibition (March 11-15 in Orlando). Cybersecurity, A.I.,and health equity and access to care delivery were big themes this year. What were you most excited to learn at HIMSS this year?


We’re preparing a series of online trainings for CHIE users this year. Explore our new platform and share feedback with our HIT experts. Stay tuned for updates on upcoming trainings.


Comagine Health logo

Comagine Health President and CEO Marc Bennett addresses how the organization has been managing competing tensions while building partnerships to serve as a prime contractor for the 13th Statement of Work in the Midwest CMS QIN-QIO Region 6.



How UHIN is Taking Action Following the Change Cyberattack

UHIN is dedicated to maintaining interoperability for all payers, providers and partners. When an event as large as the Change Healthcare cyberattack impacts our community, we know we need to serve as a bridge to stable ground.

In response to the incident, UHIN immediately disconnected from Change Healthcare’s platform to prevent potential harm. We also conducted a detailed review of our internal systems, confirming no impact on our network. UHIN continues to communicate with Change Healthcare and United Health Group to receive the latest updates and guidance.

UHIN is currently retaining any claims submitted after February 21, 2024, that are intended to be delivered to Change. These retained claims will be processed through our system and sent to Change once it is safe to re-establish those connections. The restoration timeline is being updated by UnitedHealth Group here.

Do you have more questions about the Change Healthcare cyberattack?
Visit the FAQ section of our Clearinghouse for Providers page here.

For providers, you need to get your claims flowing again. We are working with payers to expedite your enrollment with them. You can then create and send professional and institutional claims, submit via SFTP, file tool or online hand-entry, check claims status, manage denials and rejections, and search, view, and download payment information. Most electronic health records systems have configuration capabilities to securely connect with UHIN’s systems. Sign up to fast-track your enrollment with many payers today, and manage your claims and revenue with assurance.

For health plans, you can receive claims from your providers through a direct connection to UHIN. We support enrollment for your providers, just as we’re currently supporting fast-track enrollment for the payer list below. Empower your provider network by elevating your collaboration efforts, securely sharing information and data, and providing better affordable care for your members.


Newsletter: February 2024 Issue

February 2024 Newsletter

February 2024

Thanks for spending this extra day going around the sun with us. In February, we dove into the 2023 CAQH Index Report and prepared for the CHIE’s migration to a new platform.

One more thing: For our providers experiencing disruptions in their claims management due to the Change cyberattack, we’re here to help. Please contact us to fast track your enrollment with payers at customersuccess@uhin.org.


American Heart Month

In February we recognized Black History Month and American Heart Month. Here are just a couple ways to support and celebrate these causes throughout the entire year:

For health care professionals and clinicians, use the resources in the Center for Disease Control (CDC) heart toolkit to support their patients, especially women, by listening to their heart.

In Utah? Dive into Utah’s rich black history at the Utah Black History Museum! Find the mobile exhibit across Utah this year or consider donating.​


CHIE platform

The new platform empowers CHIE users to better understand patient populations, provide greater care, reduce waste while improving quality, and pinpoint at-risk patients to intervene before their next encounter.

After consulting with our community’s advisory committee, we will be migrating five years of data with the exception of opt out consents, immunizations, allergies, and colonoscopies for which a longer history will be migrated.

Technical implementation is currently underway and we anticipate user migrations will start in Q2 of 2024. We will keep all CHIE users informed of our progress via email.


Copyright CAQH

We published two blog posts sharing our thoughts on the most recent CAQH Index released earlier this month. How did electronic transaction adoption and healthcare administration change in 2023 for both providers and payers? Keep reading to find out.


Our CEO, Brian Chin, recently attended ViVe 2024. Artificial Intelligence was a hot topic this year, as you may have expected. Check out a few photos from the conference here.

Are you going to HIMSS 2024? Let us know what you’re most excited to see while in Orlando next month at communications@uhin.org.


We have online trainings coming up for the new CHIE platform. Please sign up for CHIE updates and our Events notifications to add these to your calendar so you don’t miss a thing!


Do you have something your peers in healthcare and tech just have to know about? An innovative interoperability solution or point of view? Please email us at communications@uhin.org and we’ll include links to our favorite community content each month.

Next month we’ll attend HIMSS 2024 and help to raise awareness of the risks and symptoms of diabetes on American Diabetes Alert Day (March 26). 


2023 CAQH Index Report: Insights for Healthcare Providers

The Council for Affordable Quality Healthcare (CAQH) released their annual index report earlier this month. Data from the 2023 CAQH index sheds light on electronic administrative transaction adoption rates, areas of waste and cost avoidance, and the impacts of medical staffing shortages. At UHIN, we’ve recognized similar, significant trends through our claims management, specifically in claims submission, claims status inquiry and electronic remittance advice (ERA).

Here are our points of view and takeaways from the 2023 report:

  1. Staffing shortages are a major issue
  2. Electronic adoption increased
  3. Cost and Time spent increased
  4. Collaboration & flexibility are critical
  5. Transaction findings:
    • Claims submission
    • Claims status
    • Eligibility and Benefits
    • ERA

1. Staffing shortages are a major issue

The COVID-19 pandemic strained the healthcare system, which led to significant staffing shortages that continue to impact the industry, especially for providers. The impact of the pandemic is felt most intensely in the time to conduct administrative tasks: 

  • Provider time to conduct transactions increased in 2023, on average, 14 percent which accounted for 77 percent of the increase in total medical spend.
  • For the second consecutive year, time to complete electronic transactions grew. While staffing issues and transaction volumes increased, providers required more time to commit administrative tasks. 

Staffing issues were felt in the hiring process as less experienced staff were onboarded who ”required more time to understand processes and requirements.”

Our MYUHIN billing and claim management solution helps ease the onboarding burden.  An intuitive platform like MYUHIN won’t require hours of training to get the job done. New staff can get started quicker and manage your revenue and cash flow better from the start. Tools like Templates and Drafts reduce the time to submit claims. Everything will just fall into place for you.

2. Adoption increased:

In the “new normal” – as CAQH defines this era – adoption of electronic administrative workflows continued to rise in 2023 on the heels of new processes put in place during the pandemic. Per CAQH: “Automated tasks provided flexibility to staff as work environments changed and adapted to a new normal.” These transactions saw the greatest electronic adoption rate:

  • Remittance advice increased from 83% to 88%
  • Eligibility and benefit verification increased from 90% to 94%
  • Electronic claim status inquiries increased from 72% to 74%
  • Claim submission increased from 97% to 98% (almost reaching full adoption)

We noticed a rise in electronic claims submission this year, as well. MYUHIN delivered its one millionth claim in tandem with the uptick in submission volume. We empower you to accelerate your claim submissions, check coverage and benefits of patients in real time, and facilitate status inquiries from payers. These are all critical components to your revenue and cash flow management. 

3. Cost and Time spent increased:

Per CAQH: “Despite the increase in electronic transactions and decrease in manual ones, overall spending on administrative tasks grew due to persistent staffing challenges impacting the time to conduct tasks.”

  • Provider time to conduct transactions increased 14% (on average), the second year that the time to complete electronic transactions has grown.
  • The amount of time for a provider to submit a claim can take up to 20 minutes for a paper claim and up to 10 minutes for an electronic claim.
  • Spending on claim submissions rose 67 percent to $19 billion 
  • Medical providers reported spending, on average, 24 minutes on manual claim status inquiry, costing approximately $12 per transaction – the highest time and cost among the transactions along with prior authorization.

For providers, you can save time by checking eligibility and submitting claims with MYUHIN. If you want to reduce costs (who doesn’t??), our value pricing makes your decision to switch billing solutions a snap.

“With the data and technologies available to us today, we have the power to transform the way we conduct the business of healthcare. However, as an industry, we must align around consistent processes that enable providers to minimize the time spent learning new workflows. This is particularly important given the current labor shortage.”

Erin Weber, Chief Policy and Research Officer at CAQH (via CAQH)

4. Collaboration and flexibility:

Looking ahead, the CAQH index report notes: “As staffing concerns are expected to continue, the industry needs to work together to identify solutions and best practices for time savings.” Claim submission data was particularly dysfunctional between providers and payers, driving an increase in claim denials in 2023. We all need to work together to address the challenges in the medical industry.

We believe in interoperability for all. Healthcare is complex and challenging. Healthcare silos are ingrained in the industry. Where fragmentation begins, quality of care decreases and costs rise. When UHIN looks at the fragmented nature of healthcare we know we need to act and be a force for change.

5. Let’s dig into the transaction analysis:

Claim submission:

  • $2.1 Billion in cost savings opportunity annually for electronic claim submission 
  • 5 minutes in time savings opportunity per transaction for electronic claim submission for providers

Claims status inquiry:

  • The number of claim status inquiries conducted increased by 19%
  • 17 minutes in estimated time savings opportunity per transaction
  • Medical providers reported spending, on average, 24 minutes conducting a manual claim status inquiry, costing approximately $12 per transaction – the highest time and cost among the transactions along with prior authorization
  • $3.2 Billion in cost savings opportunity annually for the medical industry

Eligibility and benefits:

  • Adoption of the electronic eligibility and benefit verification transaction increased 4 percentage points for the medical industry, one of the largest increases
  • Eligibility and benefit verification represents the highest volume transaction for the medical industry, accounting for 54% of all medical administrative transactions
  • 16 minutes in time savings opportunity annually for electronic eligibility and benefit verification for the medical industry
  • $9.3 Billion in cost savings opportunity annually

Electronic remittance advice:

  • Adoption increased to 88% (the highest increase among the transactions)
  • $701M in cost savings opportunity annually for electronic remittance advice for the medical industry
  • 5 minutes in time savings opportunity annually for electronic remittance advice for the medical industry
Read the full 2023 CAQH Index Report here.

Ready to start reducing administrative costs and time? Get in touch!


Unpacking the CAQH Index Report: Health Plan Optimization Through Electronic Administrative Transactions

The Council for Affordable Quality Healthcare (CAQH) released their annual index earlier this month. Data from the 2023 CAQH index report sheds light on electronic administrative transaction adoption rates, time savings, cost avoidance, and the need for collaboration. The effects of the COVID-19 pandemic continue to be felt across sectors, adding to the strain of increasing costs, decreasing cost savings opportunities and increasing time spent on administrative tasks. Yet, there’s still hope. At UHIN, we’ve recognized similarly significant trends in our Clearinghouse transactions and claims management, specifically in claims submission and electronic remittance advice (ERA), and offer solutions that can move health plans to a more positive outcome for themselves and their members.

Our most intriguing takeaways from the 2023 CAQH index report:

  1. Volume increased
  2. Cost avoidance opportunities persist
  3. Collaboration & flexibility will be key moving forward
  4. Certain transactions make a big impact:
    • Claims submission (ASC X12N 837: request to obtain payment or transmission of encounter information for the purpose of reporting delivery of healthcare services)
    • Remittance Advice (ASC X12N 835: an explanation from a health plan to a provider about a claim payment)

1. Volume increased

The index report highlights that electronic transaction volume increased, but for one notable exception, in 2023 (for both payers and providers).

  • Electronic claim submissions increased from 8,751 to 9,476 
  • Claim status inquiry increased from 2,254 to 2,820 
  • Only Electronic remittance advice decreased, moving from 2,499 last year to 2,080 in 2023, marking a 22% decrease

We facilitate each of these transactions and provide other valuable services, like EDI enrollment, to health plans. Since 1993, we’ve empowered our customers to provide better care and better costs to their members. To this day, we remain at the vanguard of electronic data interchange (EDI) and interoperability. Are you ready to learn more about our claims management solutions?

2. Cost avoidance opportunities persist:

Overall, the estimated medical industry spend increased from $55 Billion to more than $82 Billion, driven primarily by staffing shortages coupled with volume increases. In tandem, cost savings opportunities decreased to $16.4 Billion. The report reveals that $89 billion, or 22% of National Healthcare Expenditures in the U.S., is spent on administrative transactions, with potential savings of $18.3 billion through fully electronic transactions. Health plans can still save more than $140 million annually by automating transactions:

Savings opportunities:

  • $104 million with electronic claims submissions 
  • $38 million by moving to electronic remittance advice

It’s important to remember that you don’t need to sacrifice quality when decreasing costs. UHIN provides high quality electronic claims management services at a comparatively low cost. We’ve been doing this for health plans for more than three decades and remain dedicated to our mission: Better costs and better care.

3. Collaboration and flexibility are key:

Looking ahead, the CAQH index report notes that the “industry will need to collaborate and remain flexible in order to identify opportunities and best practices, and respond to emerging and consistent challenges and business needs.”

We couldn’t agree more. Healthcare is complex and challenging. When UHIN looks at the fragmented nature of healthcare we know we need to act and be a force for change. As a central, neutral, community-created organization, we bring together all players in the healthcare environment to create a more connected healthcare system.

“With the data and technologies available to us today, we have the power to transform the way we conduct the business of healthcare. However, as an industry, we must align around consistent processes that enable providers to minimize the time spent learning new workflows. This is particularly important given the current labor shortage.”

Erin Weber, Chief Policy and Research Officer at CAQH (via CAQH)

4. Let’s dig into the transaction analysis:

Claims submission:

  • $2.1 Billion in cost savings opportunity annually for electronic claims submission for providers and payers combined
  • While electronic spend on claims by plans decreased in 2023 (from $576 Million to $517 Million), the total of costs avoided increased (from $4.2 Billion to $5 Billion)

Electronic remittance advice:

  • Adoption increased five percentage points across the medical industry to 88% (the highest increase among the transactions)
  • Medical volume decreased 22 percent
  • $701 Million in cost savings opportunity annually for electronic remittance advice across the medical industry
2023 CAQH index report
Read the full 2023 CAQH Index Report here.

Ready for better costs and better care? Get in touch! 


How Does Your EDI Partner Stack Up? (Part 4 of 4)

Doctor at laptop

4 Questions to Ask

Question 4: How Does Your EDI Partner Reduce the Burden of Claims Submission for Providers?

Plan members want access to a range of high- quality providers. Without a robust provider network, health plans are challenged to grow membership and differentiate themselves from competitors.

The Council for Affordable Quality Healthcare (CAQH) 2022 Index reported that providers spend ten minutes submitting a single electronic claim on average. For paper, it’s 22 minutes. A large part of this is repetitive data entry. These time blocks add up to significant resource drains in a typical day. Alleviating stressors will reduce payer-provider friction and promote cooperation in your common goal to improve health outcomes for members.

With the right EDI partner, you can streamline operations, reduce administrative burden, and improve your organization’s bottom line. Embracing new technologies and cooperative partnerships can help you gain a competitive advantage and, ultimately, provide better care to members.

Our fourth and final question leads you to ask yourself: “Is my EDI partner providing holistic support to my partner’s and my own organization’s operations?”

White paper

Ready to jump to all four questions? Want to see how your EDI partner stacks up? Download our white paper here.

How Does Your EDI Partner Reduce the Burden of Claims Submission for Providers?

Plan members want access to a range of high- quality providers. Without a robust provider network, health plans are challenged to grow membership and differentiate themselves from competitors.

The healthcare industry is becoming more consumer-driven and labor shortages continue to mount. Health plans need to be mindful of provider relationships and the administrative burdens your claims processing may be placing on them.

The Council for Affordable Quality Healthcare (CAQH) 2022 Index reported that providers spend ten minutes submitting a single electronic claim on average. For paper, it’s 22 minutes. A large part of this is repetitive data entry. These time blocks add up to significant resource drains in a typical day. Alleviating stressors will reduce payer-provider friction and promote cooperation in your common goal to improve health outcomes for members.

Your healthcare EDI partner should help you to help providers with an affordable billing tool. Our solution, MYUHIN, reduces repetitive data-entry, and solidifies coding and submissions data to satisfy your processing requirements. Providers can use MYUHIN to submit claims, check patient eligibility, and search, view, and download payment information from any computer, any where.

UHIN is a national EDI network built in 1993 by health plans. We partner with payers and providers across the US. Our approach to EDI and customer service is different. If you’re interest in learning more, please contact us today.