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Claims for payer-provider connectivity

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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.

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+4,000 payer connections

Including Medicare, Medicaid and the Blues®

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X12 transaction testing

For HIPAA 5010 conformity, fix errors and certify compliance

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97.5% first-pass payment rates

Without the need to rip out and replace in-house technology

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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Start the conversation

The path to a denial-free future is possible with the right partner. Our flexible engagement model can adjust to match your organizational needs.

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