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Support for AI/GI providers

Autoimmune and Gastroenterology Center of Excellence

When you work with the Optum® Autoimmune (AI) and Gastroenterology (GI) Center of Excellence, you’ll have access to therapy-specific tools and resources to get your patients with AI/GI conditions started on therapy quickly and efficiently. 

Prescribe

Support you and your patients can rely on

The Optum AI/GI Center of Excellence (COE) provides a full spectrum of integrated clinical expertise and enhanced services to your patients with autoimmune or gastroenterological disorders.

Clinical expertise and customized care

Optum AI/GI COE encompasses the following conditions:

  • Dermatology
  • Rheumatology
  • Gastroenterology

Communication preferences: We help facilitate easy and effective communication so you can spend more time with your patients. You can choose how you want to be communicated with via fax, phone, email or a chat through the provider portal — we’ll communicate the way you prefer.

Count on us for care

  See all the ways we can make your life easier as a provider.

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Targeted interventions

Accurate adherence is necessary for efficient treatment. So, we apply built-in targeted interventions, based on years of collected clinical data, to help your patients stay on track.

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Manufacturer support

We work directly with manufacturers using a unique fax and phone, so prescriptions get processed and delivered faster — and your patients get on the therapy they need without delays.

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Appeals team

Our appeals team has nurses who write customized letters of appeal, regardless of formulary restrictions, to help your patients get on the medications that work best for them, faster.

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Digital solutions

We offer convenient, easy-to-use tools including secure messaging, adherence notifications, text reminders and Schedule My Fill to create a seamless patient management experience.

How we help

1050 Patrol Road
Jeffersonville, IN 47130
NPI: 1083045140
NCPDP: 1564930

Fax: 1-877-342-4596
Call: 1-855-427-4682

Speak to your account manager for help with:

  • Prior Authorization (PA) preferences
    • Designated teams focused on PA processing for specialty drugs
    • Early identification of specialty PAs expiring within 30 days
    • Proactive outreach to doctors to start PA process and regular follow-up track status
    • Daily review of open PAs
    • Total oversight for quicker resolution and dispensing
  • Communication channels
    • Choose how you want to get messages: via fax, phone, email or a chat through the provider portal — we’ll communicate the way you prefer. We can help:
      • Run live test claims to verify benefits
      • Find financial assistance for your patients
      • Handle urgent medication requests (if medication is needed within 24 hours)
      • Review reporting and analytics so you know how the program is working

Technology-enabled adherence programs, including a text adherence program and Optum® Schedule My Fill, help your patients follow their care plan to improve patient outcomes.

90.6% average adherence rate for multiple sclerosis patients

Source: Optum Specialty Pharmacy. Multiple sclerosis average adherence rate for 2022. Accessed July 14, 2023.

Schedule My Fill has resulted in:

94% improved/maintained adherence rates

89% fewer gap days

Source: Optum internal data, April 2023

Find everything you need in one place:

  1. View prior authorization status, initiate appeals and see denial history.
  2. Track prescription status and referral activities with enhanced dashboard views.
  3. Easily search for patient medication lists, allergy information, diagnosis codes and insurance information.
  4. Access more features coming soon to streamline your process.
     

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