Forms and resources for health care professionals (9)
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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.
Optum-WA physician/provider change form
Please use this form to request demographic updates, remit address changes, or updates to your practice information.
Prior authorization request form
Use this form to request prior authorization of necessary services in Washington. See the prior authorization grid for a list of this year's services.
Prior authorization supporting documentation cover sheet
View the supporting documents (medical records) cover page for Washington
Provider claim reconsideration request forms
Use these forms for the Washington market.
Washington Provider Manual
Our provider guide offers our network providers key information and support to provide effective care in the Washington market.