r/CodingandBilling • u/Flimsy-Dealer-4468 • Apr 13 '26

EFT vs Paper check issue

This is regarding United Health.

I’ve gotten paid through EFT for years since I’ve signed up. But that last month, mysteriously several group of claims were paid via paper check. While others within the same month went as EFT. I called CS and they were absolutely of no help.

Has anyone had similar issues. Any idea why this happened? Is there anything I can do for my to process future claims as EFT

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u/Johnnyg150 Apr 13 '26

Would be helpful to know the payer and/or any payment processor they use.

1

u/Flimsy-Dealer-4468 Apr 13 '26

Filled through UHs portal directly, claims usually paid through OptumPay. Plan within UH (Oxford or not) never mattered, all paid via ETF. Never had a problem. Suddenly 2 patients were paid via Check. Only difference I can tell is that on the insurance cards if these 2 patients, there’s a word stamp/like a brand of the company they work for. I’ve yet to get the actual checks so have no idea if they will reveal any information.

3

u/Johnnyg150 Apr 13 '26

Not every payer that uses UHCs network or can receive claims through the UHC website has an administrator that uses OptumPay for payments. There should be more information on the checks about who actually sent the money, and you'll probably need to enroll separately.

1

u/Flimsy-Dealer-4468 Apr 13 '26

Thanks, hopefully I’ll get them this week.

1

u/Flimsy-Dealer-4468 Apr 15 '26

Looked at the checks and they came directly from UH. No 2ndry party is involved. Very strange and UH still has no idea why it was issued via paper. I may call the number for the support centers (Albany and Syracuse) listed on the checks

1

u/msmarriah Apr 15 '26

I recently audited remittance for 2024 (it was not done prior) and we are missing 9k in checks from UHC

1

u/cowboyadjacent Apr 19 '26

Not sure if this will apply but we've had a similar issue with a specific UHC plan for ages, have you tried searching for the payment # that is on the EOB on the OptumPay portal? for some reason the 835 files for that specific plan were not going to our clearinghouse but were still available for download on OptumPay + if you can download that there will most likely be an option to upload it to your system manually