UHIN Transactor (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, etc.

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 including:

• 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 that UHIN connects to.

•  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!

 UHINt Education:

UHIN offers an educational seminar on how to use UHINt that members are encouraged to attend. The introduction class reviews:

·  downloading UHINt from the internet

·  completing the set-up process and

·  utilizing UHINt (including security)

Advanced classes are also offered. These discuss

·  file archiving

·  eligibility requests in more detail

Check out the education section of this website for more information.  There is no charge for current UHIN members.

For more information about using UHINt and to sing up for a UHINt class, please contact the UHIN at (801) 466-7705, ext. 200.

Common Administrative Transactions – Their X12 Names:

X12 Name            Common Name

837                      Claim

835                      Remittance Advice

277CA                 Claim Acknowledgement

270                      Eligibility Request

271                      Eligibility Response

276                      Claim Status Request

277                      Claim Status Response

• 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*.  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! 

UHINt Education:

UHIN offers an educational seminar on how to use UHINt that members are encouraged to attend. The introduction class reviews:

·  downloading UHINt from the internet,

·  completing the set-up process and

·  utilizing UHINt (including security)

·  file archiving and

·  eligibility requests in more detail

Check out the education section of this website for more information.  There is no charge for current UHIN members.

For more information about using UHINt and to sing up for a UHINt class, please contact the UHIN at (801) 466-7705, ext.200.

Common Administrative Transactions – Their X12 Names

X12 Name:             Common Name:

837                        Claim

835                        Remittance Advice

277CA                   Claim Acknowledgement

270                        Eligibility Request

271                        Eligibility Response

276                        Claim Status Request

277                        Claim Status Response

• Sending ANSI ASC X12N 4010 (HIPAA compliant) transactions. Vendors can sometimes produce an output of the X12N transactions. UHINT can then be used to "pull your files into the gateway" or submit the transaction files.
  
• Direct Data Entry (DDE). The HCFA1500 Form, the UB92 Form and the Dental Claim Form are found on UHINT. This allows providers who submit low volumes of claims or providers that do not utilize a practice management system to enter their claims data and submit claims electronically.
• Real time Eligibility Requests (270) and Responses (271) can also be sent using this tool.  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!
  

For more information about using UHINt, please contact the UHIN Help desk at (801) 333-2900.  

  There is an educational seminar taught by UHIN staff that members are encouraged to attend. The class reviews downloading UHINT from the internet, completing the set-up process and utilizing UHINt.  Advanced classes that discuss file archiving and eligibility requests in more detail are also available.  Check out the education section of this website for more information.  There is no charge for current UHIN members.

Advanced classes are also offered. These discuss: