Primary Electronic Claims Submission Overview

With OptumInsight Netwerkes Clearinghouse, you can reduce the number of errors, rejections, and denials by creating unlimited rules and edits for your claims at no additional charge. We employ one application to transmit UB, CMS 1500, and dental claims so you can track the status of your claims at all times.

Primary Electronic Claims Submission is just one feature of OptumInsight Netwerkes, a web-based clearinghouse that provides primary and secondary electronic claims transmissions, electronic remittances, eligibility verification, claim statusing, and much more to help you supercharge your revenue cycle with faster reimbursement and compliant claims resolution.

With the Netwerkes transparent system, provider staff can see where every claim is in the transmission process at all times. In addition, this premier large provider group and hospital clearinghouse solution automates existing business processes to help you:

• Eliminate recurring errors
• Prevent underpayments, overpayments, and denials
• Increase auto-adjudication rates and productivity