Forms and resources for health care professionals (8)
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Claims provider manual
Our provider claims guide offers our network providers key information and support in submitting claims.
New Mexico Prior Authorization Form
This form for Optum Rx (non-Medicare) and UnitedHealthcare (non-Medicare).
Optum Care ACE quick reference guide
Get important details about the Advanced Communication System.
Optum Care ACE Smart Edits
Learn more about the Advanced Communication Engine and the edits currently in place.
Optum Care management intake form
To refer to Optum Care management, submit a completed intake form.
Prior authorization request form
Use this form to request prior authorization of necessary services in the Optum West markets. See the prior authorization grid for a list of this year's services.
Prior authorization requirements for Optum Care Network–New Mexico
View the prior authorization process for New Mexico.
Provider claim reconsideration request form
Use these forms for the New Mexico market.