features and benefits
Emphasis on pre-pay cost avoidance
Optum processes for insurance enrollment reporting shifts efforts from traditional post-pay recovery to pre-pay cost avoidance. Rather than “pay and chase,” we help quickly identify when Medicaid participants have other primary coverage, which is more cost-effective.
Broad access to member data and fast updates
Optum maintains a database of more than 120 million lives. This gives us access to more enrollment data and better visibility between commercial payers and Medicaid agencies. We also refresh our data weekly, which speeds up our rate of identifying other coverage.
Frequent updates and faster claims handling
Updating enrollment data more often helps prevent claims denials and the need to reprocess. Our efficient claims handling processes prevent delays in payments, helping reduce provider abrasion.
Pre-built, multi-tenant Medicaid platform
Third-Party Liability is one of many modular solutions on our Optum® Medicaid Management Services (OMMS) platform. Functions are pre-built and we configure it to your state's needs. At the same time, we keep your data secure and separate from other state tenants.