Provider EDI Resources

Provider EDI and EFT Resources

PreferredOne Aspirus Health Plan will at times need to perform maintenance on its systems. While maintenance is performed, some EDI services may not be available during part or all of the maintenance window. Maintenance is performed according to this schedule:

  • Routine maintenance: Routine maintenance is preformed from 4:00am-4:15am daily and from 3:00am-9:00am on the Sunday following the second Tuesday of the month.
  • Non-routine maintenance: Non-routine maintenance will announced via an email message at least one week before the maintenance occurs. Please send a message to pone_electronic.commerce@optum.com if you wish to be included in email announcements.
  • Unscheduled downtime: Unscheduled or unexpected maintenance will be announced via an email message at least one hour before the maintenance occurs, if possible. Please send a message to pone_electronic.commerce@optum.com if you wish to be included in email announcements.
  • Our System is available 24x7x365 (including weekends and holidays) except during one of the timeframes listed above.

837 Transaction - Clearinghouse Payer IDs

PreferredOne utilizes a number of clearinghouses in order to receive claims from providers. These clearinghouses have assigned a Payer ID to PreferredOne. Please use this ID with submitting PreferredOne claims to your clearinghouse. Refer to the list below for more information.

Aspirus Health Plan utilizes a number of clearinghouses in order to receive claims from providers. These clearinghouses have assigned a Payer ID to Aspirus Health Plan. Please use this ID with submitting Aspirus Health Plan claims to your clearinghouse. Refer to the list below for more information.

Note: If the clearinghouse you use is not listed, you must contact your clearinghouse to determine if the claim can be submitted electronically and what payer ID to use.

835 Transaction

PreferredOne also utilizes clearinghouse connections to send 835 transaction (Electronic, Remittance Advice) for PAS, PCHP, and PIC claims only (PPO claims are not paid by PreferredOne, and therefore not included). If you would like to receive the 835 transaction, please contact your clearinghouse to begin the registration process. Please refer to the list below for the current clearinghouse connections.

Aspirus Health Plan also utilizes clearinghouse connections to send 835 transaction (Electronic, Remittance Advice). If you would like to receive the 835 transaction, please contact your clearinghouse to begin the registration process. Please refer to the list below for the current clearinghouse connections.

Clearinghouses listed are available to the Aspirus Health Plan commercial plans.

Clearinghouse ConnectionPayer IDProfessionalInstitutionalDentalERA (835)
Availity41147XX X
Change Healthcare41147XXXX
eProvider Solutions41147XX X
HealthEC LLC41147XXXX
Office Ally411479744XX X
PNC    X
RelayHealth - Institutional8578 X X
RelayHealth - Professional3410X  X
TriZetto Provider Solutions41147XX X
TruBridge41147XX X
Waystar41147XX X

Electronic Funds Transfer

Electronic Funds Transfer (EFT) is available for providers, but in order to receive EFT, you must be receiving the electronic remit (835 or .PDF) from PreferredOne. EFT for providers without a direct contract with PreferredOne is subject to certain restrictions. To enroll for EFT payments, please complete the EFT enrollment form; then fax the completed form to 763-847-4814.

For more information about PreferredOne's EDI resources, contact the PreferredOne Electronic Commerce department at: pone_electronic.commerce@optum.com.

If you are missing an 835 or EFT, please contact your clearing house or financial institution for resolution. If they are unable to resolve the issue, they will contact PreferredOne on your behalf.

PreferredOne Compliance with Electronic Remittance Advice Requirements

PreferredOne Compliance with Minnesota E3 Electronic Claim Requirements

Minnesota Administrative Uniformity Committee (AUC) Homepage

Electronic Funds Transfer (EFT) is available for providers, but in order to receive EFT, you must be receiving the electronic remit (835 or .PDF) from Aspirus Health Plan. EFT for providers without a direct contract with Aspirus Health Plan is subject to certain restrictions. To enroll for EFT payments, please complete the EFT enrollment form; then fax the completed form to 763-847-4814.

For more information about Aspirus Health Plan's EDI resources, contact the Aspirus Health Plan Electronic Commerce department at: pone_electronic.commerce@optum.com.

Aspirus Health Plan Compliance with Electronic Remittance Advice Requirements