Optum offers many benefits:

• Tracking Claims
• Multiple method of submitting claims online
• Downloading EOBs
• Autopost Claims Payment to your System
• Filing Appeals online
• Making Inquiries about Claims or Appeals
• Less time spent holding for claims status checks
• Real time information
• Send electronic attachments

To enroll with Optum, fill out our Online Enrollment Form. After you have completed the enrollment form, there is a Provider Authorization Signature Page that must be printed, signed, and faxed to Optum Customer Service Desk at 310-808-9217. To enroll more than one physician/provider with your access, please use the "add more button" on the registration form. You may add as many providers or staff to your account as needed.

IPA Providers and Facilities can fill out the Claims Access Form to request access to the Claims Portal. Once your office has been approved, you will receive notification and instructions on how to log in. If you are unsure of your eligibility to gain access to the Claims Portal, please call the Claims Customer Service Hotline at 310-965-1261.

There are no set-up fees or monthly fees and we do not charge for electronic claims submission! We are essentially a free clearing house. There are no fees for customer service or technical support, which is available 24 hours a day, 7 days a week.

No, you can use our website with dial-up Internet access; however, high-speed internet access is recommended.

You will need to reset your password every 60 days. If you have not accessed the Claims Portal within 60 days, then call Customer Service Desk to reset your password, at 310-630-2300.

Call Optum Customer Service Desk at 310-630-2300.

The Claims Customer Service Hotline has the answers to your claims-related questions. Please call 310-965-1100.

If you have questions about Claims or if you are eligible to sign up for Optum Claims Online Portal, contact Customer Service at 310-630-2300. Do not contact Claims Customer Service for access.

You can use the Claims Portal to file a formal dispute about an action or inaction on a Claim. Note: This feature will be available in a future release.

• Search for the Claim using the QuickSearch by entering the original Claim number
• Pull up the Claim detail to confirm that this is the desired claim
• Click on the "File Appeal" button and fill out the resulting form
• Upon submission, you will be notified when we receive the Appeal, and when there are any status changes to that Appeal

An Inquiry is merely a question about an existing Claim or Appeal. An Appeal is a formal dispute that you can file electronically through the Claims Portal. You must have the original claim number to pull up the Claim. This feature will be available in a future release.

You will receive a notice that we have received your Appeal, and another notice when the status of the Appeal has changed. The turn around time depends on the nature of the appeal.

You will receive a notice that we have received your inquiry. A Claims Representative will respond as soon as possible to you.

Once we receive the signed enrollment form, it usually takes 5 - 7 business days, excluding weekends and holidays, to provide you with access to the Optum Claims Portal (excluding the ability to submit claims online).

No, Optum has an enrollment form. You can try out our suite of tools, and if you are not pleased with the services we offer, you are free to stop using the website.

The time it will take to obtain access to submit claims online will vary by vendor. You will be contacted directly by the Claims Department to provide you with access to submit claims.

You can call the Claims Customer Service Hotline at 310-965-1100 for answers to your claims-related questions between 8:00 am to 4:30 pm, Monday-Friday. For Claims Portal questions and/or to start live direct submission of claims, please call 310-965-1261.

You can call Optum Customer Service Desk at 310-630-2300 for technical questions/issues. In order to submit claims through the portal, you will need a practice management software package that will allow you to generate claim files in the ANSI 5010 or Print-image format. Currently, we are only able to accept Print-image files of the CMS-1500 form for Professional claims.

All you need is Internet access to the Optum Claims Portal website. If you want to submit claims through the portal, you will also need a practice management software package that will allow you to generate 837p claim files in the 5010 format. The Claims Portal website offers an online tutorial to train your office staff on the use of our Claims tools. NOTE: Internet Explorer versions older than IE11 are no longer supported. For optimum viewing please use Internet Explorer version 11 and above, Chrome, or Firefox.

To begin the direct claims submission process, please call 310-965-1261.

Once you've contacted us to begin the test phase of the claims submission process, you will submit claims through our Portal by following the steps below:

• Create a claim file in either the 5010 or Print-image file format, using your current billing software
• Log into https://claims.hcp-connect.com and click on the "Claims Submission" tab
• For the 837 5010 format:
• Click on the "Upload Claims" tab
• Click "Browse"
• Find your file and click "Open"
• Click, "Upload"
• For Print-image file format:
• Click on the "Print Image" tab
• Click "Browse"
• Findyour file and click "Open"
• Click, "Upload"

We accept HIPAA compliant ANSI 837p and 837i file formats in the 5010 version. However, we are only able to accept Print-image files of the CMS-1500 form for Professional claims at this time.

Yes, we are certified HIPAA compliant. The Enrollment form details the HIPAA policies and procedures we follow to protect your private health information as well the security measures used in our computer systems to ensure privacy.

Yes, you must convert the claims into the 837 HIPAA compliant file format prior to submitting it to us online.

Please notify CSD at 310-630-2300 to terminate your enrollment.

Yes, you can run a list of all EOB's generated for a specific date range and select any one of them to download and autopost claim payments in your system.