united healthcare (uhc) - emdeon · note: if you are using emdeon max shell versions prior to 2.3...

United Healthcare (UHC) Review Notification, Subscriber and Dependent v1.2

5.19.2017

United Healthcare Review Notification

This publication is the proprietary property of Emdeon and is furnished solely for use pursuant to a license agreement giving the user the right to use the Emdeon product(s) referenced in this document. All uses of this document are subject to the terms of such license agreement. This document may not be used except as permitted by such license agreement or changed, copied, photocopied, reproduced, translated, or reduced to any electronic medium or machine readable form without the prior consent of Emdeon. Copyright is held by Emdeon Business Services, LLC.

Emdeon is not liable for any losses or damages that result from the use of this material, including loss of profit or indirect, special, or consequential damages.

United Healthcare Review Notification Table of Contents

© 2014 Emdeon Business Services LLC. All rights reserved. Page i

Table of Contents

Overview --------------------------------------------------------------------------------------------------------------- 1 About the Transaction -------------------------------------------------------------------------------------------- 1 Customer Support ------------------------------------------------------------------------------------------------- 1

Emdeon Customer Support ---------------------------------------------------------------------------------- 1 Requests --------------------------------------------------------------------------------------------------------------- 2

Request Data ------------------------------------------------------------------------------------------------------ 2 Input Prompts ----------------------------------------------------------------------------------------------------- 3

Account # ----------------------------------------------------------------------------------------------------- 3 Admission Date ----------------------------------------------------------------------------------------------- 3 Admission Type ----------------------------------------------------------------------------------------------- 3 Admit Msg ----------------------------------------------------------------------------------------------------- 3 Amount -------------------------------------------------------------------------------------------------------- 4 Date of Birth -------------------------------------------------------------------------------------------------- 4 Dep DOB ------------------------------------------------------------------------------------------------------ 4 Dep First Name ----------------------------------------------------------------------------------------------- 4 Dep Gender --------------------------------------------------------------------------------------------------- 4 Dep Group # -------------------------------------------------------------------------------------------------- 4 Dep Last Name------------------------------------------------------------------------------------------------ 4 Diagnosis Code 1 --------------------------------------------------------------------------------------------- 4 Diagnosis Code 2 --------------------------------------------------------------------------------------------- 5 Diagnosis Code 3 --------------------------------------------------------------------------------------------- 5 Discharge Date------------------------------------------------------------------------------------------------ 5 Est DOB ------------------------------------------------------------------------------------------------------- 5 First Name ---------------------------------------------------------------------------------------------------- 5 Gender -------------------------------------------------------------------------------------------------------- 5 Group # ------------------------------------------------------------------------------------------------------- 5 Last Mnst Period ---------------------------------------------------------------------------------------------- 5 Last Name ----------------------------------------------------------------------------------------------------- 5 PE Addl ID ----------------------------------------------------------------------------------------------------- 5 PE Addl ID 2--------------------------------------------------------------------------------------------------- 6 PE Addl ID 3--------------------------------------------------------------------------------------------------- 6 PE Admin Ref # ----------------------------------------------------------------------------------------------- 6 PE Contact ---------------------------------------------------------------------------------------------------- 6 PE Contact 2 -------------------------------------------------------------------------------------------------- 6 PE Contact 3 -------------------------------------------------------------------------------------------------- 6 PE Last/Org --------------------------------------------------------------------------------------------------- 6 PE Last/Org 2 ------------------------------------------------------------------------------------------------- 6 PE Last/Org 3 ------------------------------------------------------------------------------------------------- 6 PE Level of Svc ------------------------------------------------------------------------------------------------ 6 PE Place of Svc ------------------------------------------------------------------------------------------------ 7 PE Prov Addr 1 ------------------------------------------------------------------------------------------------ 7 PE Prov Addr 2 ------------------------------------------------------------------------------------------------ 7 PE Prov Addr 3 ------------------------------------------------------------------------------------------------ 7 PE Prov City --------------------------------------------------------------------------------------------------- 7 PE Prov City 2 ------------------------------------------------------------------------------------------------- 7 PE Prov City 3 ------------------------------------------------------------------------------------------------- 7 PE Entity Type 2 ---------------------------------------------------------------------------------------------- 7 PE Entity Type 3 ---------------------------------------------------------------------------------------------- 7 PE Prov First -------------------------------------------------------------------------------------------------- 7 PE Prov First 2 ------------------------------------------------------------------------------------------------ 8 PE Prov First 3 ------------------------------------------------------------------------------------------------ 8 PE Prov ID ----------------------------------------------------------------------------------------------------- 8 PE Prov ID 2 -------------------------------------------------------------------------------------------------- 8 PE Prov ID 3 -------------------------------------------------------------------------------------------------- 8

United Healthcare Review Notification Table of Contents

© 2014 Emdeon Business Services LLC. All rights reserved. Page ii

PE Prov State ------------------------------------------------------------------------------------------------- 8 PE Prov State 2 ----------------------------------------------------------------------------------------------- 8 PE Prov State 3 ----------------------------------------------------------------------------------------------- 8 PE Prov ZIP --------------------------------------------------------------------------------------------------- 8 PE Prov ZIP 2 ------------------------------------------------------------------------------------------------- 8 PE Prov ZIP 3 ------------------------------------------------------------------------------------------------- 9 PE Prov Tel ---------------------------------------------------------------------------------------------------- 9 PE Prov Tel 2 -------------------------------------------------------------------------------------------------- 9 PE Prov Tel 3 -------------------------------------------------------------------------------------------------- 9 PE Service Type ----------------------------------------------------------------------------------------------- 9 Proc Code ----------------------------------------------------------------------------------------------------- 9 Relationship --------------------------------------------------------------------------------------------------- 9 Req Addl ID --------------------------------------------------------------------------------------------------- 9 Req Last/Org -------------------------------------------------------------------------------------------------- 9 Req Prov ID --------------------------------------------------------------------------------------------------- 9 Service Type ------------------------------------------------------------------------------------------------ 10 Sub DOB ---------------------------------------------------------------------------------------------------- 10 Sub First Name --------------------------------------------------------------------------------------------- 10 Sub Last Name ---------------------------------------------------------------------------------------------- 10 Subscriber ID ----------------------------------------------------------------------------------------------- 10 Svc Admin Ref # -------------------------------------------------------------------------------------------- 10 Svc Contact ------------------------------------------------------------------------------------------------- 10 Svc Date Begin ---------------------------------------------------------------------------------------------- 10 Svc Date End ------------------------------------------------------------------------------------------------ 10 Svc Last/Org ------------------------------------------------------------------------------------------------ 10 Svc Prov Addl ID -------------------------------------------------------------------------------------------- 11 Svc Prov Addr 1 --------------------------------------------------------------------------------------------- 11 Svc Prov City ------------------------------------------------------------------------------------------------ 11 Svc Prov Entity ---------------------------------------------------------------------------------------------- 11 Svc Prov First ----------------------------------------------------------------------------------------------- 11 Svc Prov ID ------------------------------------------------------------------------------------------------- 11 Svc Prov State ---------------------------------------------------------------------------------------------- 11 Svc Prov Tel ------------------------------------------------------------------------------------------------- 11 Svc Prov Zip ------------------------------------------------------------------------------------------------- 11 Svc Unit Count ---------------------------------------------------------------------------------------------- 11 Svc Unit Qual ----------------------------------------------------------------------------------------------- 12

Responses ------------------------------------------------------------------------------------------------------------ 13 About Your Responses ------------------------------------------------------------------------------------------ 13

Status ------------------------------------------------------------------------------------------------------- 13 Closed ------------------------------------------------------------------------------------------------------- 13 Retry -------------------------------------------------------------------------------------------------------- 13 Error --------------------------------------------------------------------------------------------------------- 13 Input Information ------------------------------------------------------------------------------------------- 13 Notification Status ------------------------------------------------------------------------------------------ 13 Payer Information ------------------------------------------------------------------------------------------ 14 Requesting Provider Information -------------------------------------------------------------------------- 14 Subscriber --------------------------------------------------------------------------------------------------- 15 Subscriber Additional ID------------------------------------------------------------------------------------ 15 Dependent -------------------------------------------------------------------------------------------------- 15 Dependent Additional ID ----------------------------------------------------------------------------------- 15 Patient Event ------------------------------------------------------------------------------------------------ 15 Service Level ------------------------------------------------------------------------------------------------ 16

Error Messages -------------------------------------------------------------------------------------------------- 17 Index ----------------------------------------------------------------------------------------------------------------- 18

United Healthcare Review Notification Overview

© 2014 Emdeon Business Services LLC. All rights reserved. Page 1

Overview

About the Transaction The United Healthcare (UHC) subscriber and dependent Health Care Services Review Notification informs UHC that a plan member has been admitted to a facility (e.g., acute care hospital, skilled nursing facility, or an acute rehabilitation facility), which allows UHC the opportunity to coordinate programs related to the setting of care, discharge planning, and referral to after-care programs. Timely admission notification allows UHC staff, physicians and hospital staff to engage in dialogue designed to ensure that the patient’s care path is consistent with evidence-based therapies and management and to coordinate care related to the facility stay. It is extremely important that UHC be made aware of an admission as soon as possible. This enables UHC to engage the appropriate resources for a positive effect on clinical outcomes while the patient is in the hospital and to coordinate care after discharge.

Note: If you are using Emdeon MAX shell versions prior to 2.3 or Server versions prior to 4.11, you must run this transaction using dialup.

Customer Support

Emdeon Customer Support 800.333.0263

[email protected]

mailto:[email protected]

United Healthcare Review Notification Requests


Requests

Request Data The following list shows the information for which you are prompted in a typical Health Care Services Review Notification. See the “Input Prompts” on page 3 for specific requirements.

Requesting Provider Information

Provider last name/organization name

Provider ID

Patient Event (PE) Information

PE place of service

PE level of service

PE Administrative reference number

Admission type

Admission date

Discharge date

Admitting message

Principal diagnosis code

Secondary diagnosis codes

Patient Event (PE) Provider Information

(Information for up to three PE providers may be entered.)


Provider first name

Provider ID or admitting facility ID

Provider entity type

Provider address

Provider’s contact person

Provider telephone number, fax number or email address

Service Type

Service Provider Information


Provider first name

Provider ID

Provider entity type

Provider address

Provider’s contact person

Provider telephone number, fax number or email address

Service-Related Information

Primary procedure code



Service type

Service quantity

Service administrative reference number

Service begin date

Service end date

Patient Information

Subscriber last name

Subscriber first name

Subscriber ID

Subscriber date of birth

Subscriber gender (subscriber transactions only)

Last menstrual period

Estimated date of birth

Dependent last name (dependent transactions only)

Dependent first name (dependent transactions only)

Dependent group number (dependent transactions only)

Dependent date of birth (dependent transactions only)

Dependent gender (dependent transactions only)

Relationship (dependent transactions only)

Input Prompts Prompts are listed in alphabetical order.

Account # Requirement: Optional.

The patient’s account number. For your internal use only (not sent to the payer).

Admission Date Requirement: Required.

The proposed or actual date of admission, in MMDDCCYY format.

Admission Type Requirement: Required.

The type of admission. Choose a value from the drop-down list.

Admit Msg Requirement: Required if Diagnosis Code 1 is not entered.

The admit time (AT) followed by a free-form text message (ICD) about the admission or the patient’s diagnosis (admitting reason, chief complaint, etc.). You can enter up to 28 characters. Enter the admit time in HHMMSS format (hour, minutes and seconds), enter a semi-colon (;), then enter ICD= followed by the text message. Use this format for the admit time and message:



AT=HHMMSS;ICD=ZZZZ…

For example: AT=081500;ICD=mult fractures

Note: Do not use facility-specific acronyms, terminology or abbreviations. Use English descriptions or common industry terminology.

Amount Requirement: Optional.

The amount of the claim. For your internal use only (not sent to the payer).

Date of Birth Used in: Subscriber transactions Requirement: Required.

The subscriber’s date of birth, in MMDDCCYY format.

Dep DOB Used in: Dependent transactions. Requirement: Required.

The dependent’s date of birth, in MMDDCCYY format.

Dep First Name Used in: Dependent transactions. Requirement: Required.

The dependent’s first name.

Dep Gender Used in: Dependent transactions. Requirement: Optional.

The dependent’s gender. Choose a value from the drop-down list.

Dep Group # Used in: Dependent transactions. Requirement: Optional.

The dependent’s plan group number.

Dep Last Name Used in: Dependent transactions. Requirement: Required.

The dependent’s last name.

Diagnosis Code 1 Requirement: Required if the Admit Msg was not entered.

The primary ICD-9-CM or ICD-10-CM patient diagnosis code.



Diagnosis Code 2 Requirement: Optional.

A second ICD-9-CM or ICD-10-CM patient diagnosis code.

Diagnosis Code 3 Requirement: Optional.

A third ICD-9-CM or ICD-10-CM patient diagnosis code.

Discharge Date Requirement: Optional.

The date the patient was discharged, in MMDDYY or MMDDCCYY format.

Est DOB Requirement: Situational.

The estimated date of birth, in MMDDYY or MMDDCCYY format, if the patient’s review involves a pregnancy. If you do not enter a date, the date defaults to the current date.

First Name Used in: Subscriber transactions. Requirement: Required.

The subscriber’s first name.

Gender Used in: Subscriber transactions. Requirement: Optional.

The subscriber’s gender. Choose a value from the drop-down list.

Group # Used in: Subscriber transactions. Requirement: Optional.

The subscriber’s plan group number.

Last Mnst Period Requirement: Situational.

The date of the patient’s last menstrual period, in MMDDYY or MMDDCCYY format.

Last Name Used in: Subscriber transactions. Requirement: Required.

The subscriber’s last name.

PE Addl ID Requirement: Optional.



An additional provider ID for the admitting facility or Patient Event (PE) provider.

PE Addl ID 2 Requirement: Optional.

An additional ID for the second Patient Event (PE) provider.

PE Addl ID 3 Requirement: Optional.

An additional provider ID for the third Patient Event (PE) provider.

PE Admin Ref # Requirement: Optional.

An administrative reference number for the Patient Event (PE) provider.

PE Contact Requirement: Optional.

A contact person’s name for the admitting facility. If you do not have a contact person’s name, enter Not Available in this field.

PE Contact 2 Requirement: Optional.

A contact person’s name for the second Patient Event (PE) provider.

PE Contact 3 Requirement: Optional.

A contact person’s name for the third Patient Event (PE) provider.

PE Last/Org Requirement: Required.

The admitting facility’s name.

PE Last/Org 2 Requirement: Required.

The last name of a second Patient Event (PE) provider, if a person, or organization name.

PE Last/Org 3 Requirement: Optional.

The last name of a third Patient Event (PE) provider, if a person, or organization name.

PE Level of Svc Requirement: Optional.

The level of urgency of the service rendered. Choose a value from the drop-down list.



PE Place of Svc Requirement: Required.

The place of service for the patient event. Choose a value from the drop-down list.

PE Prov Addr 1 Requirement: Optional.

The street address or PO Box portion of the admitting facility.


The street address or PO Box portion of the second Patient Event (PE) provider’s address.


The street address or PO Box portion of the third Patient Event (PE) provider’s address.

PE Prov City Requirement: Optional.

The city portion of the admitting facility’s address.

PE Prov City 2 Requirement: Optional.

The city portion of the second Patient Event (PE) provider’s address.

PE Prov City 3 Requirement: Optional.

The city portion of the third Patient Event (PE) provider’s address.

PE Entity Type 2 Requirement: Required.

The second type of entity admitting or attending the patient. Choose a value from the drop-down list.

PE Entity Type 3 Used in: Subscriber transactions. Requirement: Optional.

The third type of entity admitting or attending the patient. Choose a value from the drop-down list.

PE Prov First Requirement: Optional.

The admitting facility’s name.



PE Prov First 2 Requirement: Required.

The first name of the second Patient Event (PE) provider.

PE Prov First 3 Requirement: Optional.

The first name of the third Patient Event (PE) provider.

PE Prov ID Requirement: Required.

The facility ID of the admitting facility. The admitting facility ID must match the provider ID of the requesting provider.

PE Prov ID 2 Requirement: Required.

The provider ID of the second Patient Event (PE) provider. You must enter either the admitting or attending provider ID.

PE Prov ID 3 Requirement: Optional.

The provider ID of the third Patient Event (PE) provider. Enter either the admitting or attending provider ID.

PE Prov State Requirement: Optional.

The state portion of the admitting facility’s address.

PE Prov State 2 Requirement: Optional.

The state portion of the second Patient Event (PE) provider’s address.

PE Prov State 3 Requirement: Optional.

The state portion of the third Patient Event (PE) provider’s address.

PE Prov ZIP Requirement: Optional.

The admitting facility’s ZIP code, in 99999 or 999999999 format. Do not enter a dash.

PE Prov ZIP 2 Requirement: Optional.

The second Patient Event (PE) provider’s ZIP code, in 99999 or 999999999 format. Do not enter a dash.



PE Prov ZIP 3 Requirement: Optional.

The third Patient Event (PE) provider’s ZIP code, in 99999 or 999999999 format. Do not enter a dash.

PE Prov Tel Requirement: Optional.

The admitting facility’s telephone number, FAX number or email address.

PE Prov Tel 2 Requirement: Optional.

The second Patient Event (PE) provider’s telephone number, FAX number or email address.

PE Prov Tel 3 Requirement: Optional.

The third Patient Event (PE) provider’s telephone number, FAX number or email address.

PE Service Type Requirement: Required.

The type of service relating to the patient event. Choose a value from the drop-down list.

Proc Code Requirement: Optional.

The primary procedure code relating to the service(s) requested.

Relationship Used in: Dependent transactions. Requirement: Optional.

The relationship of the patient to the subscriber.

Req Addl ID Requirement: Optional.

An additional provider ID for the requesting provider.

Req Last/Org Requirement: Required.

The requesting provider’s last name, if a person, or organization name.

Req Prov ID Requirement: Required.

The provider ID of the requesting provider. The requesting provider’s provider ID must match the admitting facility ID entered in the first PE Prov ID field.



Service Type Requirement: Optional.

The type of service relating to the condition. Choose a value from the drop-down list.

Sub DOB Used in: Dependent transactions. Requirement: Required.

The subscriber’s date of birth, in MMDDCCYY format.

Sub First Name Used in: Dependent transactions. Requirement: Required.

The subscriber’s first name.

Sub Last Name Used in: Dependent transactions. Requirement: Required.

The subscriber’s last name.

Subscriber ID Requirement: Required.

The UHC subscriber ID of the plan subscriber.

Svc Admin Ref # Requirement: Optional.

An administrative reference number for the service provider.

Svc Contact Requirement: Optional.

A contact name for the service provider.

Svc Date Begin Requirement: Optional.

The proposed or actual beginning date of service, in MMDDYY or MMDDCCYY format.

Svc Date End Requirement: Optional.

The proposed or actual ending date of service, in MMDDYY or MMDDCCYY format.

Svc Last/Org Requirement: Required if the servicing provider is not the Patient Event provider.

The service provider’s last name, if a person, or organization name.



Svc Prov Addl ID Requirement: Optional.

An additional provider ID for the service provider.

Svc Prov Addr 1 Requirement: Optional.

The street or PO Box portion of the service provider’s address.

Svc Prov City Requirement: Optional.

The city portion of the service provider’s address.

Svc Prov Entity Requirement: Optional.

The type of service provider ID used in this transaction. Choose a value from the drop-down list.

Svc Prov First Requirement: Required if the servicing provider is not the Patient Event provider.

The service provider’s first name.

Svc Prov ID Requirement: Optional.

The service provider’s ID.

Svc Prov State Requirement: Optional.

The service provider’s state.

Svc Prov Tel Requirement: Optional.

The service provider’s telephone number, fax number, or email address.

Svc Prov Zip Requirement: Optional.

The service provider’s ZIP code, in 99999 or 999999999 format (no dash).

Svc Unit Count Requirement: Optional.

The quantity of the services to be rendered.



Svc Unit Qual Requirement: Required if you entered a service quantity; otherwise, optional.

The type of units entered in the Svc Qty field. Choose a value from the drop-down list.

United Healthcare Review Notification Responses


Responses

About Your Responses All of the items described in the following response explanation may not appear in every response. The database will return only the information that is applicable to your query.

If the database does not return a particular piece or section of information in a specific response, the headings for that information will not print. Items will shift position to fill the vacancy.

Your username appears in the upper left corner of the response. See your product User’s Guide for information about creating usernames.

Additional Reference Documents

More information about your response can be found in the following documents:

• PC-Standard-Health-Care-Service Review-Dictionary.pdf – gives a more detailed description of data fields returned in the standard Emdeon response.

• Dictionary-of-Transaction-Error-Messages.pdf – a complete dictionary of error messages.

• Common Response Abbreviations.pdf – common abbreviations used in the standard Emdeon response, along with their full description.

These documents are available on your installation CD, and on the Web at:

www.emdeon.com/resourcelibrary/#84

Note: The above documents are in Portable Document Format (.pdf). You must have the Adobe® Acrobat® Reader to view this document. If you do not have the Reader, you can download it for free at www.adobe.com.

Status

Closed Emdeon received a valid response. Read your response for clarification.

Retry Emdeon did not receive a valid response. Read the message in the response for clarification.

Error A communications-related error or error of greater severity occurred. Read the message in the response for clarification.

Input Information The Input Information section shows the information you entered in your inquiry.

Notification Status This section returns information about the status of the notification such as:

An Action Code and a description assigned by the payer to identify the reason for the health care service review outcome:

A1 - Certified in Total

http://www.emdeon.com/resourcelibrary/#84

http://www.adobe.com/



A2 - Certified Partial

A3 - Not Certified

A4 - Pended

A6 – Modified*

C - Cancelled

CT - Contact Payer

NA - No Action Required

*Note: Action Code A6 – Modified indicates that the notification was successfully entered into the system.

The ID number assigned by the requesting provider to the health care service review outcome.

Whether or not a second surgical opinion is required.

An administrative reference number for the notification and associated services.

A previous authorization number.

Payer Information This section returns information about the payer such as:

The notification transaction reference number.

The date the transaction was generated by the payer.

The payer’s primary identification number.

The payer’s name.

The name of the payer’s contact person.

The telephone number for the payer’s contact person.

If the service authorization was rejected, this information describes the error condition associated with the rejection.

A follow-up action message for the preceding reject reason.

Requesting Provider Information This section returns information about the requesting provider such as:

If the trading partner information was rejected, this information describes the error condition associated with the rejection.


The provider ID of the requesting provider.

The requesting provider’s name.

The name of the requesting provider’s contact person.

The telephone number for the requesting provider’s contact person.

A description of the requesting provider’s or facility’s role.

The taxonomy code and description designating the requesting provider’s or facility’s specialty.

If the requesting provider was rejected, this information describes the error condition associated with the rejection.

A follow-up message to the preceding reject reason.



Subscriber This section returns information about the subscriber such as:

An error message associated with the subscriber’s diagnosis or the service date information.


Up to three trace numbers assigned to identify the transaction.

Up to three originators of the trace numbers.

The type of identification and an additional reference number for the subscriber.

The subscriber’s subscriber ID.

The subscriber’s name and date of birth.

The subscriber’s gender.

If the subscriber was rejected, this information describes the error condition associated with the rejection.


Subscriber Additional ID This section returns information about additional information on the subscriber such as:

The type of identification and an additional reference number for the subscriber.

A free-form message about the additional reference number.

Dependent This section returns information about the dependent such as:

An error message associated with the dependent’s diagnosis or the service date information.




The type of identification and an additional reference number for the dependent.

The dependent’s primary ID number.

The dependent’s name and date of birth.

The dependent’s gender.

The dependent’s relationship to the subscriber.

If the dependent was rejected, this information describes the error condition associated with the rejection.


Dependent Additional ID This section returns information about additional information on the dependent such as:

The type of identification and an additional reference number for the dependent.

A free-form message about the additional reference number.

Patient Event The Patient Event section contains details about the requested services such as:



An error message associated with the patient’s diagnosis or the service date information.




A category code and a description of requested patient event.

The type of certification for the patient event.

The service type code and a description of the requested services.

The date of the patient event.

The proposed or actual admission and discharge dates.

The issue and expiration dates for the patient event certification.

Up to 12 diagnosis codes associated with the certification number, and their associated descriptions.

The provider ID of the admitting facility or Patient Event provider.

The admitting facility or Patient Event provider’s name.

An additional identification number for the Patient Event provider.

The Patient Event provider’s specialty.

If the Patient Event provider was rejected, this information describes the error condition associated with the rejection.

Service Level The Service Level section contains details about the level of services such as:

An error message associated with the level of service or the service date information.




A category code and a description of requested level of service.

The type of certification for the level of service.

The service type code and a description of the level of service.

The date of the service.

The issue and expiration dates for the service certification.

The effective date of the service certification.

Up to two procedure codes for the professional services.

Up to two quantities for the services rendered.

The provider ID of the servicing provider.

The servicing provider’s name.

An additional identification number for the servicing provider.

The taxonomy code and description designating the servicing provider’s specialty.

If the servicing provider was rejected, this information describes the error condition associated with the rejection.

A follow-up message to the preceding reject reason.



Error Messages Transaction-related error messages begin with CL, HT, RH, or another alphabetic prefix, followed by a number and a line or so of text. Messages are self-explanatory.

For a comprehensive description of all error messages, see the document Dictionary of Transaction Error Messages.

This document is available on your installation CD, and on the Web at:

www.emdeon.com/resourcelibrary/#84

http://www.emdeon.com/resourcelibrary/#84

United Healthcare Review Notification Index


Index A About the Transaction, 1 About Your Responses, 13 Account #, 3 Admission Date, 3 Admission Type, 3 Admit Msg, 3 Amount, 4

C Closed, 13 Customer Support, 1

D Date of Birth, 4 Dep DOB, 4 Dep First Name, 4 Dep Gender, 4 Dep Group #, 4 Dep Last Name, 4 Dependent, 15 Dependent Additional ID, 15 Diagnosis Code 1, 4 Diagnosis Code 2, 5 Diagnosis Code 3, 5 Discharge Date, 5

E Emdeon Customer Support, 1 Error, 13 Error Messages, 17 Est DOB, 5

F First Name, 5

G Gender, 5 Group #, 5

I Input Information, 13 Input Prompts, 3

L Last Mnst Period, 5 Last Name, 5

N Notification Status, 13

P Patient Event, 15 Payer Information, 14

PE Addl ID, 5 PE Addl ID 2, 6 PE Addl ID 3, 6 PE Admin Ref #, 6 PE Contact, 6 PE Contact 2, 6 PE Contact 3, 6 PE Entity Type 2, 7 PE Entity Type 3, 7 PE Last/Org, 6 PE Last/Org 2, 6 PE Last/Org 3, 6 PE Level of Svc, 6 PE Place of Svc, 7 PE Prov Addr 1, 7 PE Prov Addr 2, 7 PE Prov Addr 3, 7 PE Prov City, 7 PE Prov City 2, 7 PE Prov City 3, 7 PE Prov First, 7 PE Prov First 2, 8 PE Prov First 3, 8 PE Prov ID, 8 PE Prov ID 2, 8 PE Prov ID 3, 8 PE Prov State, 8 PE Prov State 2, 8 PE Prov State 3, 8 PE Prov Tel, 9 PE Prov Tel 2, 9 PE Prov Tel 3, 9 PE Prov ZIP, 8 PE Prov ZIP 2, 8 PE Prov ZIP 3, 9 PE Service Type, 9 Proc Code, 9

R Relationship, 9 Req Addl ID, 9 Req Last/Org, 9 Req Prov ID, 9 Request Data, 2 Requesting Provider Information, 14 Retry, 13

S Service Level, 16 Service Type, 10 Status, 13 Sub DOB, 10 Sub First Name, 10 Sub Last Name, 10 Subscriber, 15 Subscriber Additional ID, 15 Subscriber ID, 10 Svc Admin Ref #, 10 Svc Contact, 10 Svc Date Begin, 10 Svc Date End, 10 Svc Last/Org, 10 Svc Prov Addl ID, 11 Svc Prov Addr 1, 11 Svc Prov City, 11

United Healthcare Review Notification Index


Svc Prov Entity, 11 Svc Prov First, 11 Svc Prov ID, 11 Svc Prov State, 11 Svc Prov Tel, 11 Svc Prov Zip, 11 Svc Unit Count, 11 Svc Unit Qual, 12

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© 2014 Emdeon Business Services LLC. All rights reserved.

http://www.emdeon.com/

http://www.emdeon.com/