UHIN handles electronic transactions for dentists, including claims (837), remittance advice (835), eligibility inquiries and responses (270/271), and claim status inquiries and responses (276/277). UHIN realizes that dentists have specific needs from electronic billing, so we convene a community workgroup that focuses on making the electronic billing process easier for dentists. The UHIN Dental Work Group monitors the national electronic billing standards to educate our community and advocate for dentists' needs. The Work Group also creates guidance for dentists on complex areas of billing, such as what attachments to send to Utah payers and how to bill accident claims.
To learn what the Dental Work Group is all about, have a look at the presentations they've given at the 2013 and 2014 Utah Dental Association conventions:
- 2013 presentation: Focus on e-billing process
- 2014 presentation: Focus on CORE EFT and ERA Operating Rules, HIPAA OMNIBUS regulations, and Coordination of Benefits
- 2015 presentation: Focus on how the ACA, NPI, and ICD-10 apply to dentists, plus explanations of why reimbursement processes can differ among payers
View the Attachment Guidelines that show what attachments each Utah payer requires and when.
The Work Group regularly contributes tips for getting the most out of EDI to the UDA Action newsletter. If you don't receive the UDA Action or didn't save the issue that included a tip you need, read them here!