KNOWN ISSUES: OptumInsight having problems with ERAs
We received the following email from OptumInsight regarding ERAs for UBH. On some ERAs from UBH, the system is not recognizing the client on the ERA. Some of the claims in the ERA will match correctly, but others will not because of this issue. In the email below, Optum says that no provider action is required at this time. They also do not have an ETA on the resolution of this issue either.
If you recognize this problem in your UBH ERAs, we recommend waiting to post these for now. Hopefully, Optum will resolve the issue soon, and they will provide instructions at that time on how to fully resolve the problem.
Once we receive more information, we will update this post.
From: Pennie, Rachel E
Date: Mon, Oct 3, 2016 at 2:53 PM
Subject: OptumInsight System Notification - ERA Issues
To:
Date / Time (Time Zone): October 3, 2016, 1:45PM
Optum has identified issues with Electronic Remittance Advice (ERA) files due to a system upgrade over the weekend. The identified issues are:
Changes within the ISA header information
The ERA naming convention
No ETA is available yet about resolution of this issue.
Provider action is not required at this time.
We apologize for any inconvenience this may cause.
Please do not respond to this email with questions.
Optum Claims Integrity & Connectivity Solutions
1755 Telstar Drive, Suite 400
Colorado Springs, CO 80920
Phone: 877-309-4256
Fax: 888.567.8880
Customer support service by UserEcho
Optum has resolved the issue with UBH ERAs. In their email below, they explain that you should call their service desk if you want them to resend any ERAs that were processed incorrectly from 10/1 to 10/3.
From: Mast, Carolyn J
Date: Tue, Oct 4, 2016 at 11:24 AM
Subject: Optum System Notification: ERA Issues
To:
Date / Time (Time Zone): October 4, 2016 10:25 AM MDT
Optum has resolved the issues associated with Electronic Remittance Advice (ERA) files as a result of a system upgrade over the weekend. The identified issues fixed were:
Changes within the ISA header information
The ERA naming convention
Provider action needed only if you were unable to consume your ERA file from 10/1 – 10/3. In this case, please
open a ticket with Service and Support and we will have your file reposted.
We apologize for any inconvenience this caused.
Please do not respond to this email with questions.
Optum Claims Integrity & Connectivity Solutions
1755 Telstar Drive, Suite 400
Colorado Springs, CO 80920
Phone: 877-309-4256
Fax: 888.567.8880