Electronic Data Interchange (EDI)

At Health Choice Utah, we accept both electronic and paper claims from providers. To help you improve your efficiency and claim accuracy so that you can focus on patient care, we highly encourage you to submit claims electronically by utilizing Electronic Data Interchange (EDI).

The benefits of EDI are:

  • Faster transaction time and payment.
  • Reduced operational costs compared to paper claims (printing, collating, postage, etc.).
  • Increased accuracy resulting from validation of data elements.
  • Reduced adjustments.

In Utah, we work with Change Healthcare and UHIN to make the electronic claims submission process as seamless as possible. Health Choice Utah is fully 5010-compliant. To better serve you, we are affiliated with two clearinghouses in Utah.

 

Name Phone Number Transaction Type/Format Payer ID
Change Healthcare 1-877-469-3263 CMS 1500 – Professional (837P)
UB 04 – Institutional (837I)
Claims Status Inquiry/Response (276/277)
45399
UHIN 1-801-466-7705 CMS 1500 – Professional (837P)
UB 04 – Institutional (837I)
45399

For questions regarding claims, call Health Choice Utah toll-free at 1-877-358-8797.

Electronic Funds Transfer Request

To participate in electronic data interchange, please complete the Electronic Funds Transfer Request, and submit to:

Health Choice Utah
Attn: Network Services Department
PO Box 45900
Salt Lake City, UT 84145
EFT Request Form

Electronic Remittance Advice Enrollment

Please contact your Clearinghouse to enroll to receive Electronic Remittance Advice (ERA). There is no additional charge to receive ERAs, but either you or your Clearinghouse must complete the Change Healthcare enrollment form.  

Paper Claims Processing

To submit paper claims, please mail to:

Health Choice Utah
Attn: Claims Department
PO Box 45900
Salt Lake City, UT 84145

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