Locate your claim payment data with more ease

We’re pleased to announce a couple changes to the claim payment reconciliation process that will help improve your claims payment experience. 

1. Locate payment-related data more quickly
Organizations that receive claim payments electronically through Automated Clearing House (ACH)/direct deposit will notice that all ACH claim payment documents now have the same payment number. This change helps ensure that the payment number listed on the provider remittance advice (PRAs) is consistent with the payment number on the following: 

• 835 files
• Electronic provider remittance advice (EPRAs) 
• ACH addenda records 

This means you’ll now be able to easily find the payment-related data you need in both the UnitedHealthcare Provider Portal Document Library and Optum Pay™ Portal.  

2. Streamline the reconciliation process
We’ll create separate 835 files and PRAs for payments and non-payments (e.g., denials and zero-dollar payments) for most UnitedHealthcare commercial plans. 

This update helps you identify a payment file vs. non-payment file. These dedicated file types make it easier to: 

• Match transactions efficiently: You can focus on matching payments to claims in one file and identifying discrepancies or non-payments in another 
• Track the payment history: You can easily view data to see which files are payments vs. non-payments 
• Automate processing: Distinct data allows you to add rules and tailor specification requirements for handling non-payments 
• Reduce errors: Separate files minimize the risk of errors when completing reconciliation tasks for denials and claims that have an overpayment recovery applied  

Questions?

You can learn more about Document Library in our interactive guide or chat with a live advocate 7 a.m.–7 p.m. CT in the UnitedHealthcare Provider Portal.

For help accessing Document Library, call UnitedHealthcare Web Support at 866-842-3278, option 1, 7 a.m.–9 p.m. CT, Monday–Friday.

You can also contact UnitedHealthcare Provider Services at 877-842-3210, TTY/RTT 711, 7 a.m.–5 p.m. CT, Monday–Friday.

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