Outpatient Services Claims

To find out about outpatient services, refer to the Optum Network Manual.

Yes, network providers and groups can enter outpatient behavioral health claims through the Claim Entry feature on Provider Express.

Or, find out about submitting EDI/Electronic claims.

All outpatient claims should be submitted on a red CMS-1500 claim form. More information is available about submitting claims on this form at the CMS site.

If you are participating provider, it is important to utilize the codes reflected on your agreement, or you may risk denial of claim(s) payment.

View the listing of all 1500 Optum required fields.