Delegated Relationship with Optum Medical Network in Utah Effective January 1, 2015

Effective January 1, 2015, Optum Medical Network will be delegated for claims payment and utilization management for all UnitedHealthcare Group Medicare Advantage HMO and AARP® Medicare Complete benefit plans in Utah. Optum Medical Network provides local support services and offers innovative value-based arrangements that align incentives with improved outcomes.

The following information will change on UnitedHealthcare Medicare Advantage member identification (ID) cards as of Jan. 1:

Claims Submission

Claims for your UnitedHealthcare Medicare Advantage members for Dates of Service January 1, 2015 going forward should be submitted with the Payer ID: LIFE1 through Optum Medical Network’s preferred method of electronic claim submission known as Electronic Data Interchange (EDI).

EDI is the computer-to-computer transfer of data transactions and information between trading partners (payers and providers). EDI is a fast, inexpensive and safe method for automating the business practices that take place on a daily basis. There is no charge for submitting claims electronically to Optum Medical Network.

Electronic claims submission allows the provider to eliminate the hassle and expense of printing, stuffing and mailing your claims to Optum Medical Network. It substantially reduces the delivery, processing and payment time of claims. There is no charge for submitting claims electronically. Providers are able to use any major clearinghouse.