OptumCare Quick Reference Guide
2016 Quick Reference Guide Welcome to OptumCareTM Network in Utah OptumCare Network in Utah is an organization that has a history of improving quality of care, clinical outcomes, and member satisfaction through collaboration with the care delivery system. OptumCare has local provider support services and offers
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OptumCare Provider Dispute Resolution Request Form
www.optumcare.comOr mail the completed form to: Provider Dispute Resolution OMN PO Box 46770 Las Vegas, NV 89114-6770 *Provider Name: *Provider TIN: Provider Address: CLAIM INFORMATION Single Multiple “LIKE” Claims (attach spreadsheet) Number of claims: _____ *Patient Name: *Date of Birth (MM/DD/YYYY): *Member’s Health Plan ID: *Patient Account Number:
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