Our mental health insurance billing staff is on call Monday – Friday, 8am-6pm to ensure your claims are submitted and checked up on with immediacy. Behavioral Health - Optum. Health Details: Largest behavioral health network in the U.S. Easy access to high-quality mental health and substance use disorder services is essential to the health and well-being of the people we serve.Optum ® has the nation’s largest performance-tiered network with more than 185,000 active network providers. At Optum, we’re committed to partnering with state and local communities to coordinate treatment and resources for people with multiple physical and behavioral health conditions. TheraThink.com © 2020. I cannot capture in words the value to me of TheraThink. But it’s important to do your due diligence to ask if you are in network for all of these plans. Optum is pleased to work with our Alaska Medicaid providers to provide training opportunities throughout the year. 157 0 obj <> endobj If you want to never have to make these sorts of calls, consider our billing service for help. ... 1115 Waiver Behavioral Health Services Regulation Changes Previous Meetings. Optum ® Beginning January 1, 2019, Neighborhood partnered with Optum as our behavioral health vendor, replacing Beacon Health Strategies. Normally, about 2% of all behavioral health claims Optum receives are for a telehealth visit. The lawsuit comes as claims for addiction and mental health treatment are on a sharp rise. UnitedHealth Group must reprocess about 67,000 behavioral health care claims that it previously denied, a federal judge ordered on Nov. 3. If you are a person or a family member seeing a MDH/BHA provider, you can access relevant information with the touch of a finger: HealthNet (CA, OR, AZ) P. O. Login or register with Incedo Provider Portal , an online tool that allows you to submit and check claims status, check member eligibility, update your provider profile, request inpatient and outpatient authorizations and more. Behavioral health, telehealth, health resources, health forms. Nearly every member of the Community Behavioral Health Association of Maryland, a provider advocacy group, said the Optum system is harming their clinical and financial performance. Largest behavioral health network in the U.S. Easy access to high-quality mental health and substance use disorder services is essential to the health and well-being of the people we serve. Early claims data indicates a significant shift in the use of telehealth for behavioral health care. Thank you. (Inpatient detoxification services will be coordinated by Optum but services are provided through your PPO, HMO or Bronze Health Coverage, when clinically necessary.) Box 30755 Salt Lake City UT 841300755. optum behavioral health provider relations Optum Behavioral Health, EAP, WorkLife & Mental Health Services. TheraThink provides an affordable and incredibly easy solution. Password. Provider Service: 844-451-3518 Payer ID: 87726 Paper Claims: PO Box 30757, Salt Lake City, UT 84130-0757 Visit the Optum Provider Express Portal for more information and to check member eligibility. For all Optum Behavioral Health commercial plans, any telehealth services provided via a real-time audio and video communication system can be billed for members at home or another location. Behavioral health programs may help you cope with emotional struggles. Let us handle handle your insurance billing so you can focus on your practice. Learn how to offload your mental health insurance billing to professionals, so you can do what you do best. Password is hidden Show Password By the end of March, approximately 33% of all behavioral health claims for Optum … Optum Provider Provider Phone Number: (800) 888-2998, United Behavioral Health Provider Phone Number: (800) 888-2998. All of these companies use the same Payer ID to file claims (87726), so they all end up in the same place at the end of the day. Employer Groups. My cost is a percentage of what is insurance-approved and it’s my favorite bill to pay each month! Find articles, self-care tools, caring providers, and other mental health and substance use disorder resources. As you’re aware, treatment is critical since it can contribute to the patient’s readiness to change at risk behaviors. To receive benefits under the plan, you should contact Optum Behavioral Solutions before inpatient and outpatient behavioral health services are provided. Optum [formerly United Behavioral Health (UBH)] provides mental health and substance abuse rehabilitation treatment services, whether inpatient or outpatient. We understand that it's important to actually be able to speak to someone about your billing. For all Optum Behavioral Health commercial plans, any telehealth services provided via a real-time audio and video communication system can be billed for members at home or another location. United Health Card Provider Phone Number: (877) 842-3210. Insurance Reimbursement Rates for Psychotherapy, Insurance Reimbursement Rates for Psychiatrists, Beginner’s Guide To Mental Health Billing, https://www.uhcprovider.com/content/dam/provider/docs/public/resources/edi/Payer-List-UHC-Affiliates-Strategic-Alliances.pdf, Inquire about our mental health insurance billing service, offload your mental health insurance billing, UnitedHealthcare / All Savers Alternate Funding, UnitedHealthcare of the Mid-Atlantic, MD IPA, Optimum Choice and MAMSI Life and Health (formerly MAMSI), UnitedHealthcare Plan of the River Valley (formerly John Deere Healthcare), UnitedHealthcare Shared Services (formerly UHIS), UnitedHealthcare West / UnitedHealthcare of CA, OK, OR, TX, WA and PacifiCare of AZ, CO, NV, UnitedHealthcare West / Encounters (formerly PacifiCare), UnitedHealthcare Life Insurance Company (formerly American Medical Security), UnitedHealthcare Life Insurance Company – Golden Rule, OptumHealth Behavioral Solutions (formerly United Behavioral Health and PacifiCare Behavioral Health), OptumHealth Complex Medical Conditions (CMC) (formerly OptumHealth Care Solutions and United Resource Networks), OptumHealth Physical Health – includes Oxford, UnitedHealthcare Community Plan / AZ, Long Term Care, Children’s Rehabilitative Services (CRS), UnitedHealthcare Community Plan / CA, DC, DE, FL, GA, HI, IA, LA, MA, MD, MS, NC, NE, NM, NY, OH, OK, PA, RI, TX, VA, WA, WI (some are formerly AmeriChoice or Unison plans), UnitedHealthcare Community Plan / KS – KanCare, UnitedHealthcare Community Plan / MI (formerly Great Lakes Health Plan), UnitedHealthcare Community Plan / NJ (formerly AmeriChoice NJ Medicaid, NJ Family Care, NJ Personal Care Plus), UnitedHealthcare Community Plan / TN (formerly AmeriChoice TN: TennCare, Secure Plus Complete), UnitedHealthcare Community Plan / UnitedHealthcare Dual Complete (formerly Evercare), UnitedHealthcare Community Plan / UnitedHealthcare Long Term Care (formerly Evercare), Rocky Mountain Health Plans (RMHP) / CO – Professional claims, Rocky Mountain Health Plans (RMHP) / CO – Institutional claims, AARP Hospital Indemnity Plans insured by UnitedHealthcare Insurance Company, AARP Medicare Supplement Plans insured by UnitedHealthcare Insurance Company, AARP MedicareComplete insured through UnitedHealthcare / WellMed, AARP MedicareComplete insured through UnitedHealthcare (formerly AARP MedicareComplete from SecureHorizons), AARP MedicareComplete insured through UnitedHealthcare / Oxford Medicare Network, AARP MedicareComplete insured through UnitedHealthcare / Oxford Mosaic Network, OptumCare / AZ, UT (formerly Optum Medical Network & Lifeprint Network), UnitedHealthcare Community Plan / UnitedHealthcare Dual Complete – Oxford Medicare Network, UnitedHealthcare Medicare / Care Improvement Plus (CIP), XLHealth, UnitedHealthcare Medicare / UnitedHealthcare Chronic Complete (formerly Evercare), UnitedHealthcare Medicare / UnitedHealthcare Group Medicare Advantage, UnitedHealthcare Medicare / UnitedHealthcare MedicareComplete (formerly SecureHorizons), UnitedHealthcare Medicare / UnitedHealthcare MedicareDirect (formerly SecureHorizons) 87, UnitedHealthcare Medicare / UnitedHealthcare Nursing Home Plan (formerly Evercare), We charge a percentage of the allowed amount per paid claim (only paid claims). • Free Account Setup - we input your data at signup. United Health Care (UHC), Optum, and United Behavioral Health (UBH) are all “Optum” companies which handle mental health claims. 207 0 obj <>stream • Eligibility & Benefits Verification (in 2 business days), • EAP / Medicare / Medicaid / TriCare Billing, • Month-by-Month Contract: No risk trial period. Optum will connect Neighborhood members to top-quality care that is easy to access and guide high-impact, integrated care to achieve the greatest results, as well as, engage and support members to invest in their own wellness. endstream endobj 158 0 obj <. optum behavioral health claim form Optum's clinician website, Provider Express, supports entry of outpatient behavioral health claims by a registered user. UT. Optum provides a specialized network of professional providers and treatment facilities, which have been thoroughly evaluated according to comprehensive guidelines. Note: We only work with licensed mental health providers. Early claims data indicates a significant shift in the use of telehealth for behavioral healthcare. And that’s it! Normally, about 2% of all behavioral health claims Optum receives are for a telehealth visit. More generally on the telehealth front, Optum has seen telehealth claims increase from … You can do this by calling them at the above phone numbers.  Or you could contact us at TheraThink about our mental health insurance billing service and offload the hassle completely. Welcome to Optum Pay™ We help your practice efficiently reconcile and manage claims payment and remittance data. 84130-0760. h�bbd``b`�$f ��@��$� Optum EAP. %PDF-1.5 %���� You'll always be able to get in touch. Confidential property of Optum. Add in the unnecessarily difficult insurance billing system and we run the risk of working way over full-time. The United Health Care network is very large covering commercial, medicaid, and medicare policies in a variety of states.  This exhaustive list will help you narrow down where to file your United Health Care claims based specifically on the name of the policy. An integrated care model serves both dimensions of individual health to reduce inefficiencies and improve outcomes. Free Account Setup - we input your data at signup. Billing for Services (Submitting Claims) Covered Services and Authorizations. You can call, text, or email us about any claim, anytime, and hear back that day. Q&A. Contact for Questions. Box 30567 Salt Lake City, UT 84130-0567. endstream endobj startxref Always call each insurance company and ask directly. Coronavirus disease 2019 (COVID-19) Learn ways to be mindful and keep your stress in check so you can plan, not panic. Optum Maryland gives care to people served by the Maryland Department of Health (MDH), Behavioral Health Administration (BHA). P.O. Some United Health Care now requires providers to obtain authorization for 60 minute therapy sessions.  If you intend to see a client for longer than 45 minutes, you’ll want to obtain prior authorization to do so. Behavioral Health for Children and Adolescents 2 BH2788_05/2020 You free me to focus on the work I love!”. 0 You can call, text, or email us about any claim, anytime, and hear back that day. Live and Work Well, is a confidential mental health, work/life and EAP resource center offering Optum Behavioral Mental Health interactive assessments, service provider and medication databases, self-help programs and extensive information and tools. Solstice Benefits P.O. UMR P.O. Effective January 1, 2021, the management of behavioral health and substance use benefits will transition from Optum Behavioral Health to Prestige Health Choice for all current Prestige Health Choice members in Florida (Medicaid Regions 9 and 11). %%EOF Tip:  Say representative, I don’t have it, and press “0” to get a real human as fast as possible. Early claims data indicates a significant shift in the use of telehealth for behavioral health care. Learn what types of services are covered, find a provider or telehealth service and more. The ruling comes after a years-long legal battle, which is centered around more than 50,000 patients who were beneficiaries of UnitedHealthcare’s United Behavioral Health (UBH) between 2011 and 2016. This time-saving and secure transaction feature is designed to streamline the claim submission process with Provider Express. Optum ® has the nation’s largest performance-tiered network with more than 185,000 active network providers. Here are some advantages we think you will find: Faster claim payment and disposition Claims Address For All UHC, UBH, and Optum. Get support, answers and expert care. “As private practitioners, our clinical work alone is full-time. 30760. Billing guidelines: Optum Behavioral Health will reimburse telehealth services which use standard CPT codes and a GT modifier or a Place of Service of 02 for Denny has interviewed hundreds of mental health practitioners to better understand their struggles and solutions, all with the goal of making the professional side of behavioral health a little easier, faster, and less expensive. He co-founded a mental health insurance billing service for therapists called TheraThink in 2014 to specifically solve their insurance billing problems. Do not distribute or reproduce without express permission from Optum. Box 19199 Planation, FL 33318. We are your billing staff here to help. Optum Provider Provider Phone Number: ( 800 ) 888-2998 point of.! 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