Transaction Manager Overview

Reliable, real-time access to the information you need

HIPAA guidelines permit system-to-system communications between hospitals and payers—but only tools that automatically scrub and adjust transaction content and formats make it possible. Until now, building your own connections has been an overly complex and difficult task. By contrast, OptumInsight TransactionManager provides pre-built connection packages that simplify direct payer connections.

A comprehensive solution that helps you:

• Easily manage direct connections
• Manage all EDI from a single application for comprehensive reporting and visibility
• Screen for HIPAA and payer companion guide compliance
• Automatically trigger claims status inquiries and eligibility inquiries
• Take advantage of preferred pricing on OptumInsight trading partner services
• Automatically correct transaction data content

A complete solution

OptumInsight TransactionManager bundles claims scrubbing tools with payer/trading partner connection management capabilities, transaction tracking/reconciliation analytics, and a comprehensive transaction data repository, to offer a comprehensive solution for managing direct transaction exchange. And all exchange is centrally controlled to provide comprehensive tracking, reporting, and reconciliation.

Administrative simplification

Finally, providers and hospitals have a tool that fulfills the promises of HIPAA “administrative simplification.” With OptumInsight TransactionManager you can exchange, rapidly and directly with payers, all of the HIPAA-mandated transactions—837s, 835s, 270/271s, 276s/277s, and 278s—and have peace of mind about compliance.