Transcription of Clinical Submission Process Guide
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Clinical Submission Process Guide
OptumHealth Care Solutions Physical Health includes OptumHealth Care Solutions, LLC, ACN Group IPA of New York, Inc., Managed Physical Network, Inc., and ACN Group of California, Inc. REVISED: 10/15/10 2010 OptumHealth Care Solutions Physical Health. UM Dept. 1 Clinical Submission Process Guide for UnitedHealthcare Policies After verifying the member s benefits with UnitedHealthcare you must confirm Clinical Submission requirements with OptumHealth using one of the following resources: 1x Consult Quick Group Check under Tools & Resources on Call Quick Group Check toll-free line at (888) 329-5182. Please complete and submit both the provider and patient sections of the Patient Summary Form when required and in the following situations: 2x A new patient presents for evaluation and treatment. x An established patient presents, but a Clinical Submission has not been previously sent.
3 Functional Outcome Measures are highly recommended, but not required and include: x Neck Index x Back Index x Disability of the Arm, Shoulder and Hand (DASH) x Lower Extremity Functional Scale (LEFS) Functional outcome measures should be completed on all submissions, scored by the health care provider, and
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