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Brief Overview of Optum

WebOptum is a leading health services organization dedicated to helping the system work better for everyone. A division of UnitedHealth Group, Optum helps clinicians to deliver high …

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WebWelcome to Provider Express. This is the provider website designed for behavioral health providers for Optum and its affiliates. This page is new. Please select an icon below to …

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Provider and Staff Toolkits

WebThe goal of these toolkits is to collate and streamline critical information that will further assist your practice and office in caring for Optum members. Behavioral Health Toolkit …

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Where to Submit Your Optum Claim

WebUT. 84130-0884. UHC Community Plan. P.O. Box 30760, Salt Lake City UT 84130-0760. United Health Care Options PPO. Please check the claims address on the member's ID …

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Clinical Criteria and Guidelines

WebOptum Behavioral Clinical Policies: Criteria that stem from evaluation of new services or treatments or new applications of existing services or treatments and are used to make …

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Optum ID-One Healthcare ID

WebOne Healthcare ID retains the simplicity and security of Optum ID while also staying up-to-date with best-in-class capabilities such as biometrics, tokens and on-demand multifactor …

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Improving Your Experience

WebConsistently, year after year, clinicians who use Provider Express tell us the experience is highly productive and a joy to use. The reason Provider Express garners such high …

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UnitedHealthcare Exchange Plans

WebBeginning January 1, 2021, UnitedHealthcare expanded options for members to purchase health insurance using a Health Insurance Marketplace, otherwise known as an …

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Behavioral Health Clinical Policies

WebThe Behavioral Clinical Policies are used to make determinations for those services or treatments determined to be Experimental, Investigational, Proven or Unproven by the …

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Welcome Virginia

WebBest Practice Guidelines. Coordination of Care (COC) Provider Contract Provisions and Compliance Requirements. Additional information and forms are available, including …

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TMH Online Course Overview

WebThe course covers a multitude of areas such as the history, evolution, models of care and benefits of telemedicine. In addition, the course provides a detailed overview of …

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Join Our Network

WebGroup/Practice Providers. If you are part of a group practice that is contracted with Optum/OHBS-CA, please consult with your group administrator regarding joining the …

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Behavioral Health Toolkit for Medical Providers

WebWelcome to the Optum Behavioral Health Toolkit for Primary Care Physicians (PCP) and other providers. Resources to assist you in your practice and help your patients are …

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Evaluation and Management (E/M) Codes and Psychotherapy: …

WebDocumentation of E/M services: Effective Jan. 1, 2023, hospital observation care codes (99217‒99220, 99224‒99226) are deleted, and code descriptors for hospital inpatient …

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Behavioral Health Telehealth Billing Quick Reference Guide

WebBehavioral Health Telehealth Billing Quick Reference Guide. The following guidance is intended to assist providers in billing for telehealth services. Effective Nov. 1, 2023. Use …

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Claim Billing Guide – Billing under Supervision

WebClaim Billing Guide – Billing under Supervision. Billing as described below will lead to a more effective claims submission process. (Please contact the EDI Support Desk at 1-800-842 …

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Prior Authorization and Notification for Optum Behavioral Health

WebEffective Nov. 1, 2023, Optum Behavioral Health began eliminating prior authorization requirements for 3 codes specific to Electroconvulsive Therapy (ECT). For treatment that …

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