UnitedHealthcare · Eligibility, Coverage or Benefit Inquiry

Implementation notes for feeding the 270 transaction to UnitedHealthcare.

Envelope defaults

{
  "isaSenderQualifier": "ZZ",
  "isaReceiverQualifier": "ZZ",
  "receiverId": "87726",
  "versionId": "005010X279A1",
  "gsCode": "HS",
  "usageIndicator": "P"
}

Required fields

NM1/NM109 — Payer ID = 87726 (UHC)
TRN/TRN02 — Trace number for reassociation

Fixed values

None.

Endpoint: UnitedHealthcare EDI 270/271 real-time or batch via Optum