Coronavirus disease 2019 (COVID-19) Learn ways to be mindful and keep your stress in check so you can plan, not panic. TheraThink provides an affordable and incredibly easy solution. Information about all the tools and resources needed to manage claim submission and receipt of payments. Confidential property of Optum. BHCA Provider FAQ. Here are some advantages we think you will find: Faster claim payment and disposition Early claims data indicates a significant shift in the use of telehealth for behavioral healthcare. My daily insurance billing time now is less than five minutes for a full day of appointments. We do eligibility and benefits verification for our providers every day of the week.  Happy to help! Every provider we work with is assigned an admin as a point of contact. Let us handle handle your insurance billing so you can focus on your practice. United Health Care (UHC), Optum, and United Behavioral Health (UBH) are all “Optum” companies which handle mental health claims. Our data is encrypted and backed up to HIPAA compliant standards. ... 1115 Waiver Behavioral Health Services Regulation Changes Previous Meetings. 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. The primary claims resource, the claimsLink app, is available on Link, your gateway to UnitedHealthcare’s self-service tools. We’ve created this reference guide of resources to help primary care providers screen patients for depression, Attention Deficit Hyperactivity Disorder (ADHD) and alcohol/substance misuse. X�@] �{���B��`����Vd`x�d, ;&e Behavioral health eligibility Behavioral health benefits are available to members and dependents enrolled in medical insurance through Optum, your behavioral health vendor. 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. Intake / Evaluation (90791) Billing Guide, Evaluation with Medical Assessment (90792). Provider Portal: First Time Registration for Optum ID Check if your agency already bills UnitedHealthcare (UHC), Payer ID 87726, and receives Direct Deposits from Optum Pay. But it’s important to do your due diligence to ask if you are in network for all of these plans. If you want to never have to make these sorts of calls, consider our billing service for help. Optum Provider Provider Phone Number: (800) 888-2998, United Behavioral Health Provider Phone Number: (800) 888-2998. Behavioral health programs may help you cope with emotional struggles. This time-saving and secure transaction feature is designed to streamline the claim submission process with Provider Express. (Inpatient detoxification services will be coordinated by Optum but services are provided through your PPO, HMO or Bronze Health Coverage, when clinically necessary.) Easier to be certain than to be wondering what the deal is! Tip:  Say representative, I don’t have it, and press “0” to get a real human as fast as possible. Please submit EAP claims to the Behavioral Health claims submission address on the consumer ID card. 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. United Behavioral Health Provider Phone Number: (800) 888-2998. 0 Call to verify network status and you’ll be ready to accept all three in no time! endstream endobj startxref Box 30567 Salt Lake City, UT 84130-0567. HealthNet (CA, OR, AZ) P. O. 185 0 obj <>/Filter/FlateDecode/ID[<2AA1C081C7C0C94C8D7F269CD6CBC6DB>]/Index[157 51]/Info 156 0 R/Length 116/Prev 61654/Root 158 0 R/Size 208/Type/XRef/W[1 2 1]>>stream 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. 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. 157 0 obj <> endobj Until April 30, 2020, Optum Behavioral Health will reimburse appropriate claims for telehealth services according to the following: Commercial . As you’re aware, treatment is critical since it can contribute to the patient’s readiness to change at risk behaviors. You free me to focus on the work I love!”. 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. United Health Card Provider Phone Number: (877) 842-3210. Optum EAP. Claims Address For All UHC, UBH, and Optum. Optum Maryland gives care to people served by the Maryland Department of Health (MDH), Behavioral Health Administration (BHA). 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 Behavioral health, telehealth, health resources, health forms. Box 30755 Salt Lake City UT 841300755. Optum Claims Addresses. Billing guidelines: Optum Behavioral Health will reimburse … optum behavioral health provider relations New features will bring more power to your practice so you can spend less time on claims and more time getting people the care they need. Normally, about 2% of all behavioral health claims Optum receives are for a telehealth visit. If you want to never have to make these sorts of calls, consider our billing service for help. 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. 30541 Salt Lake City, UT 84130-0541 optum behavioral health claim form More generally on the telehealth front, Optum has seen telehealth claims increase from … You can call, text, or email us about any claim, anytime, and hear back that day. Denny and his team are responsive, incredibly easy to work with, and know their stuff. P.O. Optum [formerly United Behavioral Health (UBH)] provides mental health and substance abuse rehabilitation treatment services, whether inpatient or outpatient. Box 30567 Salt Lake City, UT 84130-0567. Billing for Services (Submitting Claims) Covered Services and Authorizations. 30760. 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). Welcome to Optum Pay™ We help your practice efficiently reconcile and manage claims payment and remittance data. By the end of March, approximately 33% of all behavioral health claims for Optum … The lawsuit comes as claims for addiction and mental health treatment are on a sharp rise. %%EOF Normally, about 2% of all behavioral health claims Optum receives are for a telehealth visit. 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. When checking eligibility for AllWays Health Partners members, remember to search by name and date of birth. You'll always be able to get in touch. 84130-0760. Contact for Questions. 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. Salt Lake City. • Free Account Setup - we input your data at signup. Optum networ… Learn how we can handle your mental health insurance billing and credentialing headache: It's our goal to ensure you simply don't have to spend unncessary time on your billing. We understand that it's important to actually be able to speak to someone about your billing. We are your billing staff here to help. TheraThink.com © 2020. An integrated care model serves both dimensions of individual health to reduce inefficiencies and improve outcomes. Optum Behavioral Health, EAP, WorkLife & Mental Health Services. 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). 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