insurance payer for Optum?
Answered
Does anyone know what the insurance payer information is for Optum?
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In simple practice in MA I use United Health Care payer 87726 as well as how I submit it and get the reports. All the reports come back under it for my united health care, Harvard Pilgrim, and Allways clients. Has worked no problem so far, but just having an optum 87726 ID listed as a payer would be best and easiest. Are there ways to add in those other insurances also under ID 87726?
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Hi Rita, apologies for my delayed response. Our team has received an update from our clearinghouse. They’ve confirmed that they’ve established a claims filing connection with Bind Benefits through payer ID 25463.
Let me know if you have any questions about SimplePractice that I can help with.
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Hi Cristal, because you submitted the claim to the incorrect payer, there's no need to file a cancellation claim or submit a corrected claim. All you need to do is delete the claim that was submitted to Harvard Pilgrim, then adjust the client's insurance payer under Edit Details > Billing and Insurance. Then, create and submit a new claim for the sessions that were on the previous claim.
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Hi,
I have basically the same question as Akira. I am a provider in New Hampshire and I have taken the steps to enroll with Harvard Pilgrim through Simple Practice. Should I continue to wait on the enrollment process or should I be submitting bills directly to HPHC or UHC or Optum, etc.? It's a little confusing.
Thanks,
Amy
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Hi Amy - You'll want to contact insurance payers directly to confirm where you should bill your clients' claims to. The best way to do this is by calling the Provider line listed on the back of your clients' insurance cards. You can also refer to our guide for some helpful tips on Selecting the correct insurance provider.
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Hello! I am contracted through Optum in Massachusetts for Harvard Pilgrim and UBH. I am struggling to get my payments from Optum to simplepractice. The Eligible Inc is not listed as a billing service with Optum, on the Optum pay website. Has anyone else encountered this issue and can help me? i know that the correct payer id for all these plans is 87726, but i think i am using the wrong 87726 (cause there is only 50 to pick from!) thanks you!
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hi Kellie - I am also contracted with Optum in MA and unfortunately I don't think there is a way to align their payments through SP. Your best bet is to generate a claim and then manually submit claims directly through the Optum site. You'll have to go back to Optum to check when you've been paid and then reconcile the payments in your SP billing. Hope that makes sense. It's a bit of an annoyance but once you get into the swing of it it's OK.
Tina
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Hi Everyone, thanks you for contributing to this conversation and sharing your experiences!
Kellie, if you're trying to enroll in ERAs through SimplePractice, go to Settings > Insurance > Enrollments and hit the +Enroll button under the Payment Reports row for this payer. You don't want to enroll in ERAs through Optum, or any other insurance payer portal. The 50 payers you see listed on the Settings > Insurance page aren't the only ones that we have a connection with, they're just the first 50 in numero-alphabetical order. Use the search bar to find many payers listed for the Payer ID 87726.
Note: you must assign this payer to one of your clients in their client file > Edit > Billing and Insurance > Insurance Information section prior to submitting an enrollment. If you're still unable to process an enrollment, please reach out to our Insurance Team by submitting an email Help Request.
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