Optum - eClaim services

Optum Intelligent EDI
eClaim Services

Send claims electronically and get paid faster!

For over 10 years, Optum® has been in partnership with UB-04 Software, Inc. and together helps providers and payers simplify the administration of healthcare.

UB04software.com & Optum® offer an easy solution with the following benefits:

  • Achieve higher first-pass payment rates and help your organization get paid quickly and accurately.
  • Optum works with 74 million consumers, four out of five hospitals, 67,000 pharmacies and 300 health plans
  • Individual or batch claim submission available 24/7, 365
  • Over 3,000 payer connections, including (Medicare, Medicaid) and the Blues
  • 400+ connected hospital and provider software vendor partners
  • Process Professional HCFA/CMS 1500 & Institutional UB-04 claims

Frequently Asked Questions

What are the benefits of this service?
  • One central location to manage all billing materials
  • Remittances
    • Optum remittance service allows organizations to receive remittances from more than 400 commercial and governmental insurers that have ERA connections with Optum and puts your organization on the receiving end of those connections.
    • Claims Services - submission, remediation and status: Allows you connect to an extensive group of commercial and governmental payers, and manage your claims submissions and the status of those claims from a single solution.
      • ~ Primary and secondary claims submission - connect to more than 3,000 connections, including Medicare, Medicaid and the Blues; file secondary claims electronically to reduce billing costs and accelerate payment.
      • ~ Denial management - Edits and rejections are identified while clean claims are sent to payers.
    • Real-Time Eligibility - Intelligent EDI Eligibility offers two types of eligibility: real-time and batch. Submit eligibility requests by file upload, API integration and direct data entry. The information received is direct from the payer
    • Claim Status Updates - Avoid long on-hold times when calling payers
  • Reduce Errors - Catch & fix in minutes, rather than days and weeks
  • Rapid claims & payment processing - Get paid faster and directly
  • Eliminate the need for paper forms, stamps, and envelopes
How do I enroll?

Please fill out the below form to request a demo. You will be contacted within 24 hours.

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Optum Intelligent EDI

UB-04 Software, Inc.

UB-04 Software, Inc. specializes in medical billing form filling software and electronic claims processing. We strive to deliver high-quality, affordable and reliable form filler software products that will increase the efficiency of your claim filing and ultimately your business.

Tel. 1-866-829-2763 (8am-4pm EST)
Fax. 1-866-795-4975

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UB-04 Software

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