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Register for an One Healthcare ID to get started today

NAVIGATING OPTUM

Welcome

An Optum overview

First time logging into Provider Express

What is a Provider Advocate (formerly Network Manager)

How to contact Optum

AUTHORIZATIONS & BENEFITS

Covered Benefits for Members

Eligibility and Benefits

Prior Authorization of Service

Coordination of Care

 

 

 

BILLING & CLAIMS

File your claims electronically

Provider Express claim entry

Electronic Data Interchange (EDI)

Claim tips

Get paid faster

Claim Inquiry and Adjustments

 

DATA VERIFICATION

Updating your practice information

HELP IMPROVE MEMBER ACCESS

Join the Express Access Network

Easy to offer Telemental Health Services

Keep your practice information current on Provider Express

PROVIDER RESOURCES

Optum Video Channel

Earn up to 3% more than contracted fee schedules

Achievements in Clinical Excellence

Frequently Accessed Forms

Guidelines/Policies & Manuals

Provider Express Support

Autism/Applied Behavior Analysis

Navigating Optum Webinar Deck

NAVIGATING OPTUM ON-DEMAND

View pre-recorded webinar here

Navigating Optum FAQs

Navigating Optum Webinar Deck

Autism/Applied Behavior Analysis

Our network clinicians report the highest level of satisfaction when they submit claims online through Provider Express.  The Claim Entry transaction is available in the secure section of Provider Express – simply register for a One Healthcare ID today to gain access to this, and other, helpful tools. 

  • Need help registering for a One Healthcare ID?  Watch this quick video

Provider Express claim entry available 24/7

Provider Express Claim Entry is available to Optum network clinicians and group practices free of charge, 24/7, for outpatient behavioral health and EAP claims.  The claim entry form is intuitive and easy-to-use – it allows you to data enter the required info and submit in real-time for quick processing.  Check out this helpful video to learn more:  Claim Entry on Provider Express