Frequently Asked Questions
How does UHS handle denials and appeals?
UHS identifies the denial or reduction, validates the expected reimbursement and applicable requirements, gathers supporting documentation, submits the appropriate response or appeal, and tracks the claim through resolution.
How It Works
Send your ANSI X-12 837 Complex Workers’ Compensation claims with attachments to UHS via any claims clearinghouse and receive an ANSI X-12 835-remittance file that can seamlessly be auto-posted to any Electronic Medical Record or billing system. We customize the implementation process and ongoing collaboration based on customer preferences, instilling confidence in our revenue cycle management services.
The UHS offering includes an Early Out bad debt product and a complete End-to-end Revenue Cycle Management solution.
Key features include the following:
- Eligibility Verification
- Benefit Determination
- Prior Authorization
- Billing
- Contract Compliance
- Accounts Receivable Follow Up
- Denial Management
- Payer/Employer Financial Engagement
- Cash Management – ANSI X-12 835 & ACH Payments
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