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Provider Guide - Optum Care

Provider GuideContents1 Purpose1 Business Overview4 Optum Medical NetworkContact Information7 Patient Enrollment & Assignment7 Health Plan Contact Information8 Health Plan ID Cards9 Optum Medical Network Website10 Optum Medical Network Provider Portal12 Optum Medical Network Customer Service13 Language & Hearing Impaired Assistance13 Eligibility14 Claims15 Electronic Data Interchange (EDI)16 Claim Submission Address17 Billing18 Reading the Provider Remittance Advice (PRA)18 Electronic Fund Transfer (EFT)19 Claims & Encounter Submissions20 Submission Time Frames21 Glossary of Claims Terminology23 Helpful Billing & Claims Hints24 Credentialing & Recredentialing26 Health Improvement27 Quality Improvement29 5-Star Measures30 Medical Records Standards34 Appointm

1 Provider Guide Provider Guide 2 Purpose ... Preferred and exclusive specialists were chosen based on quality, performance metrics, geographic location and availability of clinical services. Please direct all patient referrals within ... Providers: For eligibility call 1-877-778-7226 SCAN Health Plan Arizona Member Services: 1-888-540-7226 8 A.

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