Transaction Exchange Gateway Services Overview

A true partnership

OptumInsight Gateway Services are based upon a true partnership—we offer all our products and services to each of our gateway partners. This generous level of revenue sharing underscores our belief in the importance of being directly tied to the provider.  

Value

• Open access to our complete payer list:  www.ENSHealth.com (click on Payer Lists)
• Expanding direct payer lists, including access to UnitedHealth Group’s® complete list of payers, including UnitedHealthcare®, Oxford®, AmeriChoice, PacifiCare® and more.
• Multiple reporting options
• Proven customer account management
• Comprehensive agreements, including 270/271, 276/277, 278, 277, 835, 837P, and 837I
• Access to the OptumInsight Workers' Compensation Clearinghouse, the industry's first electronic clearinghouse for e-billing.

Key features

• Complete 837P and 270/271 companion guides
• Standard communication protocol—FTP with PGP encryption or SFTP
• Standardized reporting from OptumInsight and payers
• Open Payer List—once the initial file is tested and approved for production, clients can submit to any payer on our listing without further testing or notification
• Automated enrollment for Medicare, BCBS, and Medicaid, storage of all the EMC agreements on our website with a corresponding instruction sheet for each agreement