ID: 41194
Commercial Insurance
MN

OptumHealth CMC

OptumHealth Complex Medical Conditions (CMC) is an Optum (UnitedHealth Group) business line that manages care coordination and claims/payment processing for complex medical cases and specialty care programs, providing provider network management, claims processing and case/care management services.

Capabilities

Professional Claims (1500)
Institutional Claims (UB-04)
Electronic Attachments
Workers' Comp
ERA/Remittance
Eligibility Verification
Claim Status Inquiry
Prior Authorization
Dental Claims
Secondary Claims
Real-Time Processing

Alternative Names

Name Payer ID
PacifiCare Encounters 3824
OptumHealth formerly CMCPacificare Encounters 9513
OptumHealth Care Solutions 41194
United Resource Networks (former) 41194

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