Information for health care professionals (32)
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Claims provider manual
Our provider claims guide offers our network providers key information and support in submitting claims.
Fertility Solutions Provider Prior Authorization Form
UHC providers may use this form to submit for infertility/fertility prior authorization.
Formulary Updates for Providers
Optum helps minimize patient disruption by providing guidance during formulary cycle updates, allowing for greater medication adherence.
Managed Infertility Program Prior Authorization Form
Oxford providers may use this form to submit for infertility/fertility prior authorization.
Online prior authorization submissions
View important benefits of submitting prior authorizations online using the prior authorization module (Curo)
Optum Care ACE quick reference guide
Get important details about the Advanced Communication System.
Optum Care ACE Smart Edits
Learn more about the Advanced Communication Engine and the edits currently in place.
Optum Care management intake form
To refer to Optum Care management, submit a completed intake form.
Optum Provider Change Form
lease use this form to request demographic updates, remit address changes, or updates to your practice information.
Optum-OR physician/provider change form
Please use this form to request demographic updates, remit address changes, or updates to your practice information.
Optum-WA physician/provider change form
Please use this form to request demographic updates, remit address changes, or updates to your practice information.
Prior authorization requirements
Learn more about prior authorization requirements.
Provider Claim Reconsideration Request Form
Challenge, appeal or request reconsideration of a claim.
Provider claim reconsideration request form
Use this form to challenge, appeal or request reconsideration of a claim.
Provider claim reconsideration request form
Use this form to challenge, appeal or request reconsideration of a claim.
Provider claim reconsideration request form
Use this form to challenge, appeal or request reconsideration of a claim.
Provider claim reconsideration request form
Use this form to challenge, appeal or request reconsideration of a claim.
Provider claim reconsideration request form
Use these forms for the South Carolina market.
Provider claim reconsideration request form
Use these forms for the Kansas City market.
Provider claim reconsideration request form
Use these forms for the Ohio market.
Provider claim reconsideration request form
Use these forms for the New Mexico market.
Provider claim reconsideration request form
Use these forms for the Nevada market.
Provider claim reconsideration request form
Use these forms for the New York market.
Provider claim reconsideration request form
Use these forms for the Oregon market.