What is the change: Optum Care, an affiliate of UHC will now manage the following services for some UnitedHealthcare Medicare Advantage HMO members in Colorado:
- Member eligibility verification
- Prior authorization requests
- Hospital inpatient notifications
- Claim submissions
The members that are affected will have a new process for verifying benefits, obtaining prior auths and new PAYER ID, etc. (please see below)
Who is affected: members who chose Optum Care Network, Optum Colorado Springs or New West Physicians primary care provider (PCP) will be managed by Optum Care:
- Optum Colorado Springs
- Optum Care Network Denver (Physician Alliance of the Rockies)
- Optum Care Network South
- Optum Care Network North
- New West Physicians
To verify the benefits: You can verify UnitedHealthcare member eligibility online or by phone:
- Online: Sign in at UHCprovider.com > Eligibility and Benefits
- Phone: 877-842-3210
To request a prior auth: Prior authorization is required for certain services based on the member’s plan. Request prior authorization at least 14 days before the planned date of elective services in one of the following ways:
- Online: Sign in at optumcare.com (Opens in a new window)
- Phone: 888-685-8491
To submit claims:
- Online: Sign in at optumcare.comOpens in a new window
- Electronic: Use Payer ID LIFE1
- Mail: Optum Care Claims, P.O. Box 30539, Salt Lake City, UT 84130
Inpatient Hospital: Call 888-685-8491 to notify Optum Care of hospital admissions within one business day of the admission.
Further questions? : call UHC at 866-574-6088.
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