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Forms and resources for health care professionals (10)

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    Claims provider manual

    Our provider claims guide offers our network providers key information and support in submitting claims.

    Online prior authorization submissions

    View important benefits of submitting prior authorizations online using the prior authorization module (Curo)

    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.

    Optum-OR physician/provider change form

    Please use this form to request demographic updates, remit address changes, or updates to your practice information.

    Oregon Prior Authorization Form

    This form for Optum Rx (non-Medicare) and UnitedHealthcare (non-Medicare).

    Prior authorization grid

    View a list of CPT codes requiring a prior authorization for Oregon.

    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.

    Provider claim reconsideration request form

    Use these forms for the Oregon market.