Achieve higher first-pass payment rates
Optum® Intelligent EDI delivers in-stream capabilities to improve claims integrity from first submission to final payer response. Our low-cost claims submission and management services relieve wasteful feedback cycles and inefficiencies that cut into your margins.
Intelligent EDI connects with your existing information systems to add actionable intelligence to your data stream and provide the functionality your organization needs. From a single dashboard you can submit, remediate and check the status of claims.
Our flexible automation capabilities help your organization find opportunities for saving throughout the revenue cycle. You can achieve first-pass payment, reduce denial rates and curb operational costs.
+4,000 payer connections
Including Medicare, Medicaid and the Blues®
X12 transaction testing
For HIPAA 5010 conformity, fix errors and certify compliance
97.5% first-pass payment rates
Without the need to rip out and replace in-house technology
Brochure: Optum Intelligent EDI
Optum Payer Lists
Professional Claims Payer List
Link to download Excel file
Institutional Claims Payer List
Link to download Excel file
Real Time Eligibility Claims Payer List
Link to download Excel file
Real Time Claims Status Payer List
Link to download Excel file
ERA Payer List
Link to download Excel file
Referrals and Authorizations Payer List
Link to download Excel file
Optum Intelligent EDI Eligibility lets our organization get quick, accurate patient information vital to our business and our patients.
– Optum Intelligent EDI Client
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