Availity payment integrity

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Submit and track your claims, manage payments and get the details on Electronic Data Interchange for batch processing. View and submit claims and view, submit and flag reconsiderations; submit information on pended claims, and find confirmations and access letters, remittances advices and reimbursement policies. Enroll in Optum Pay, select payment method and view payments, search payment remittance and download and print remittance advices.

The Electronic Data Interchange EDI gives you an efficient electronic method for submitting and receiving batch transactions for multiple patients and payers. Claims and billing training Interactive Guide: Use the UnitedHealthcare Provider Portal to view claim status, take action, if needed, check the status of tickets and more. Claims Status Quick Start Guide Get the most up-to-date claims status and payment information - all in 1 easy-to-use tool without mailing or faxing.

Claims Reconsideration Quick Start Guide Get the most up-to-date claims status and payment information, and the ability to submit your claim reconsideration requests — all in one easy-to-use tool without mailing or faxing. Need to upload a document? Are we missing some information to process your claim?

TrackIt will tell you. No need to pick up the phone or wait for the mail. You can complete many actions without leaving the tool.

Claim Reconsideration Form - Single Claim This form is to be completed by physicians, hospitals or other health care professionals for paper Claim Reconsideration Requests for our members. Claims Overpayment Refund Form - Single or Multiple Please complete this form and include it with your refund so that we can properly apply the check and record the receipt.

If a check is included with this correspondence, please make it payable to UnitedHealthcare and submit it with any supporting documentation. Electronic Payment Solutions Quicker access to payments for healthcare professionals. You can: Reduce overpayment resolution time by managing overpayment requests from multiple payers in one app. View overpayment inventory in real time and assign related tasks to specific users. Manage overpayment documentation and maintain case histories electronically.

Sign up to be notified when you have a new overpayment. Request more information about or dispute an overpayment request. To get started: Access the overpayments application on the Availity Portal at Availity.

You must provide a description of the dispute. To resolve recoupment concerns , PDF opens new window — View information regarding general inquiries and the escalation process to resolve recoupment concerns, such as overpayments, financial recovery reviews, disputes and medical record requests. PPI overpayment and recoupment Once a claim has been identified as overpaid, Humana may send a written notice of overpayment within the applicable time frame for each of Humana's products.

Subrogation, Medicare secondary payer, and other payer liability Use the Injury Report and File Status Request , PDF opens new window to: Report accidents Confirm if Humana provided benefits for an accident-related injury or illness Request final payment information needed to settle claims made against other insurance carriers and individuals Once you have completed the request, please email a saved copy to SubrogationReferrals Humana.

Box Louisville, KY If you have additional questions or need to supply additional information, please contact us. Chat with us.