UHINtransactor (UHINt)
UHINt is an internet based product that can be used to interface between a medical billing system and UHINet (UHIN's internet portal). It can also be used to directly type in claims, eligibility inquires, and other health care transactions.
UHIN offers UHINt at no charge to members who need a way to exchange administrative messages (claims, remits, eligibility, claim attachments, etc). UHIN’s mission is to reduce the cost of health care and this is one method we use to achieve our mission.
UHINt can be used several ways
- PM Vendor Files: Sending HIPAA compliant (ASC X12N 40101A) transactions from Practice Management Systems. Some PM Vendors can produce an X12N transaction as an output file. UHINt can be used to "pull these X12 output files into the UHIN gateway" and submit the transaction files to the various payers who connect with UHIN.
- Hand Data Entry: The HCFA1500 Form, the UB92 Form, and the Dental Claim Form are found on UHINt. This allows providers who want this option to hand enter their claims data and submit claims electronically (837).
- Real time Eligibility Requests (270) and Responses (271) can also be sent using this tool. The decision to handle a real-time eligibility transaction is made by the PAYER. Not all payers have the capacity to do real-time responses. You can send an eligibility request real time and depending on the payer receive a response within seconds. UHIN payers have increased the content of their response to include benefits and how much has been met towards certain maximums. You can also use an expanded screen to drill down to the specific benefit (i.e. routine exam or physical medicine).
- Claim Status transactions are also available on UHINt. The Claim Status Request (276) and Claim Status Response (277) can be sent and received using UHINt to find the status of your claim electronically!
Common Administrative Transactions:
| X12 Name | Common Name |
| 270 | Eligibility Request |
| 271 | Eligibility Response |
| 275 | Attachment |
| 276 | Claim Status Request |
| 277 | Claim Status Response |
| 277 FE | Claim Acknowledgement (Error Report) |
| 278 | Authorizations, Referrals Request/Response/Notification/Inquiry |
| 834 | Enrollment |
| 835 | Claim Payment/Remittance |
| 837 | Claim or Encounter |
| 864 | Unformatted Claim Acknowledgement |
| 997 | Acknowledgement |
| TA1 | Interchange Acknowledgement |
