You can complete the simple set-up process with minimal involvement from UnitedHealthcare Dental.
Notify your clearinghouse that you would like to enroll for 270/271 delivery for UHC/DBP Payer ID 52133 and/or for UMR Payer ID 39026
Promptly complete a series of tasks assigned by the clearinghouse to ensure there are no delays
Notify your dental Practice Management Software (PMS) vendor of intent to move forward with sending and receiving 270/271 transactions for UHC/DBP and UMR. This will allow your system to automatically generate an inquiry and/or to enable automatic posting of benefit information to patient accounts.
Problem: You are receiving AAA*Y*73*C˜AAA*Y**71*C˜ (Invalid or missing name and date of birth) Solution: Verify name and date of birth in your records and include member ID.
Problem: You are receiving AAA*Y**75 (Subscriber/insured not found) Solution: Member may not be a UnitedHealthcare member or has no active coverage.
Problem: You are receiving AAA*Y**71 (Subscriber/insured date of birth doesn’t match patient database) Solution: Check formatting of date of birth. Format should be YYMMDD.
Problem: You are not receiving benefit information you are expecting to see Solution: Contact your PMS vendor and check if the 270/271 is fully activated or if they are not translating the code appropriately.
For more assistance, please reach out to your associated clearinghouse if you run into any issues during the 270/271 setup process. They work directly with Optum360, UnitedHealthcare Dental’s clearinghouse, to set up the EDI connection.