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. x An established patient presents with treatment needs (time period and/or visits and/or specific services) that go beyond those levels indicated in your most recent Clinical Submission response.
Clinical Submission Process Guide for UnitedHealthcare® Policies After verifying the member’s benefits with UnitedHealthcare you must confirm clinical submission requirements 1 with OptumHealth using one of the following resources: x Consult Quick Group Check under “Tools & Resources” on www.myoptumhealthphysicalhealth.com.
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