Unified Health Services

Unified Health Services (UHS) is a revenue cycle management company specializing exclusively in Workers' Compensation claims for healthcare providers. Founded in 1997, the company serves hospitals, health systems, and ambulatory surgery centers across all 50 states with end-to-end claims management services. UHS has processed over $8.5 billion in managed accounts receivable and handled more than 5.5 million billed patient visits across 1,246 locations.

The company's service model covers the complete Workers' Compensation claims lifecycle, from day-one eligibility verification and prior authorization through billing, denial management, appeals, and payment processing. UHS maintains a proprietary rules engine that accounts for state-specific fee schedules and payer requirements across 65+ jurisdictions. The platform integrates with standard healthcare clearinghouses using ANSI X-12 837 claim submission and 835 remittance formats for auto-posting to existing billing systems.

UHS reports performance metrics including a denial rate under 2%, first-pass approval rates exceeding 95%, and electronic data interchange (EDI) rates above 75%. The company positions its service as addressing the "RCM Death Spiral" where denied claims accumulate faster than internal teams can process them, focusing on preventive measures before claims are filed rather than just managing denials after submission.

Healthcare organizations should consider UHS when Workers' Compensation claims represent a significant source of denials, payment delays, or administrative burden. The company's specialized focus means it can navigate complex multi-state regulations and payer-specific requirements that generalist RCM providers may struggle with. Organizations facing backlogs or high rework rates may benefit from both the ongoing claims management services and the separate aged AR recovery offering.

Prospective clients can expect a service model that handles Workers' Compensation claims from initial patient registration through final payment, including the administrative burden of tracking down attachments, managing appeals, and processing lockbox payments. The standard EDI integration approach suggests minimal disruption to existing workflows while adding specialized Workers' Compensation expertise.

UHS serves exclusively healthcare providers dealing with Workers' Compensation claims, targeting hospitals, health systems, and ambulatory surgery centers. The company's services address healthcare-specific challenges including HIPAA compliance, integration with hospital billing systems, and coordination with existing clearinghouses. UHS handles the unique regulatory complexity of Workers' Compensation billing across different healthcare delivery settings, accounting for variations in state fee schedules, jurisdiction-specific filing requirements, and payer-specific rules that differ from standard commercial or government healthcare payers.

Mid-to-large hospitals, health systems, and ambulatory surgery centers treating significant volumes of Workers' Compensation patients across multiple states. Organizations experiencing denial rates above 5%, struggling with prior authorization processes, or dealing with backlogs of aged Workers' Compensation claims. Facilities seeking to reallocate internal staff from specialized Workers' Comp billing to other revenue cycle priorities while maintaining or improving collection performance.