Provider Experience Sub Menu

NAVIGATING OPTUM

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)

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

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