Claim Tips

Introduction

Optum supports multiple ways of submitting a claim for service. We encourage our clinicians to submit claims electronically or through the Claim Entry feature of Provider Express.

Optum processes claims for its members on multiple claims systems, depending on the member's benefit plan. As a result, Optum has multiple mailing addresses for paper claim submissions. In order to ensure prompt and accurate payment, please verify the mailing address prior to submitting your claim. For EDI and online claims, a claim mailing address is not required.

Claim Submissions Related to ICD-10

For more information or any ICD-10 related issues you may be having regarding submitting claims, please visit our ICD-10 Resource page. In addition, you may also want to review the following Knowledge Briefs: 

Frequently Asked Questions about Claim Submission

To check eligibility and benefits, please log in and use the online search feature. Otherwise, you can call the number on the back of the member's ID card.
To check the status of an authorization, please log in and use the Auth Inquiry feature. Otherwise, you can call the number on the back of the member's ID card.