Forms and resources for health care professionals (7)
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Claims provider manual
Our provider claims guide offers our network providers key information and support in submitting claims.
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 grid
View a list of CPT codes requiring prior authorization for Utah
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 forms
Use these forms for the Optum Care Network–Utah.