Proactive claims management
Healthcare organizations face increasing challenges with coding and billing processes — on top of ongoing workforce strains and financial hardship. The cost of denials alone makes up an estimated 20% of revenue cycle expenses.
Optum claims solutions help you tackle barriers to improve cash flow by automatically flagging claims for inaccurate coding and billing documentation prior to payer submission. On average, we help clients achieve a 23:1 return on investment.
Our team of claims management experts understand payer rules and regulatory guidelines to help you sustain performance, efficiency and accuracy.
Explore medical claims and reimbursement management solutions
A/R Recovery and Denial Management
Assurance Reimbursement Management
Business Office Performance Services
Claims Manager
Credit Balance
A no-cost service to identify, research and resolve credit accounts.
Optum payer lists
Professional claims payer list
(PDF download)
Institutional claims payer list
(PDF download)
Dental claims payer list
(PDF download)
Electronic Remittance Advice (ERA) payer list
(PDF download)
Optum Real Time Claims Status payer list
(PDF download)
Optum Real Time Eligibility payer list
(PDF download)
Referrals and Authorizations Payer List
(PDF download)
Related healthcare insights
E-book
This E-book will help you master five fundamentals for a sound financial future.
White paper
Learn 5 ways to make changes that will prevent and remediate denied claims.
White paper
In volume 2 of this white paper, discover 3 strategies to improve revenue performance from proper levels of reimbursement to writing off bad debt and expanding into new service areas.