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Electronic Payments & Statements

With Electronic Payments & Statements (EPS), you can use a single tool to receive electronic funds transfer (EFT) and electronic remittance advice (ERA) for most UnitedHealthcare health plans. By enrolling in EPS, you’ll receive claims payments by direct deposit or virtual card payment (VCP) and can access your explanations of benefits (EOBs)/remittance advices online or via 835 ERA files. There’s no need to have practice management software or technical expertise to use EPS.

If you have questions about EPS, please call 877-620-6194

Benefits of EPS

No matter what your practice size or claims volume, EPS could mean faster payment, easier reconciliation and less paperwork. 

 

Paper payment process

1

Wait for check to arrive by mail

2

Sort checks

3

Fill out deposit slip

4

Bring check to the bank to deposit

VS
1

Get payments deposited directly to your bank account or process a virtual card payment - an average of five to seven days faster than waiting for paper checks to arrive

How EPS Works

EPS is administered by Optum, a company that specializes in providing health care financial information, tools and solutions.

  • Claim payments are deposited directly into your designated bank account or you can process a virtual card payment, up to five to seven days faster than the paper payment process. 
    • With direct deposit, you have the option to split routing of payments and remittance advices by the National Provider Identifier (NPI) number and/or payer.
  • You receive email notification of payments.
    • Multiple users can receive notifications.
    • Users can be assigned different access levels.
  • You can view your information online, or receive 835 ERA files from your clearinghouse/vendor.
    • View remittance advices for the last 30, 60 or 90 days or use advanced search options.
    • Save PDF remittance advice files to your computer rather than printing and filing copies. You can print individually or in bulk.

EPS Posting Options

Learn more about posting options and VIEW SCREENSHOTS (PDF)

 General informationAvailable the day of the depositAdobe Acrobat files that are searchable & can be saved to your computerInternet access is the only requirement
Electronic Provider Remittance Advice (EPRA) PDF contains one HIPAA-compliant claim         
Payer Provider Remittance Advice (Payer PRA) Identical to mailed remittance advices, including UnitedHealthcare’s proprietary adjustment codes; not consolidated      
Multiple PRA PDF consolidates all remittance advice information associated with a payment ‒ more claims per page and less paper used if printed       
835 ERA files Requires a practice management system and a program that reads 835 ERA files; through your clearinghouse or available free on the EPS website      
 

UnitedHealthcare Plans that Offer EPS

  • UnitedHealthcare Commercial
  • UnitedHealthcare Medicare Solutions
  • UnitedHealthcare Oxford
  • UnitedHealthcare Community Plan:
     

    – Arizona
    – Delaware
    – Florida
    - Hawaii
    – Iowa
    – Kansas
    – Louisiana

    – Maryland
    – Massachusetts
    – Michigan
    – Mississippi
    – Nebraska
    – New Jersey
    – New Mexico
    – New York

    – Ohio
    – Pennsylvania
    – Rhode Island
    – Tennessee
    – Texas
    – Washington
    – Wisconsin

     

* Available Jan. 1, 2016

Easy Enrollment 

 

  • EPS is available to physicians, facilities, other health care professionals and billing organizations at no added costs.
    • No need to upgrade your system ‒ practice management software and technical expertise are NOT required
    • No need to change your current posting process; auto-posting is optional
    • No need to change your claim submission method

 

  • You can enroll in EPS online, here’s what you’ll need:
  1. Bank account information for the direct deposit option
  2. Either a voided check or a bank letter to verify bank account information
  3. A copy of your organization’s W-9 form

We typically process your enrollment within five business days of receiving it. Once you’re set up, we’ll email you your EPS login information.

If you have questions about EPS, please call 877-620-6194

EPS Resources

INTRODUCTION TO EPS (PDF)

INSTRUCTOR-LED WEBINAR (30 minutes; registration required)

OPTUM WEBSITE

VCP FAQS (PDF)

 

Industry Resources

Council for Affordable Quality Healthcare (CAQH)

  • The 2014 CAQH INDEX REPORT (PDF) found that using ERA and EFT can save health care providers $7.21 per transaction, and providers and facilities can save more than $1.5 billion by using ERA and EFT industry-wide.
  • Use the CAQH SAVINGS CALCULATOR to estimate your potential savings from switching to electronic methods such as EPS. 

American Medical Association (AMA)