Welcome to the Optum Network!

Optum Network Manual

• Network Manual

Level of Care Guidelines

• LOC Guidelines

Best Practice Guidelines

• BP Guidelines

Algorithms for Effective Reporting and Treatment (ALERT)

• Intro to ALERT
• ALERT Resources

Coordination of Care (COC)

• COC Flyer
• COC Checklist

Prior Authorization Forms

• Level of Care Request
  • Fax: 844-330-4967 or Email: UTP-PHL@optum.com
• Repetitive Transcranial Magnetic Stimulation (TMS) Request
  • Fax: 844-330-4967 or Email: UTP-PHL@optum.com
• Psychological and Neuropsychological Assessment Supplemental Form
  • Fax: 888-216-4795

Additional information and forms are available, including psych/neuropsych testing guidelines, credentialing plans, and Disability Solutions Manual, on the Provider Express Guidelines/Policies & Manuals and Optum Forms pages.