This article is for acute care facilities and surgical day care centers caring for our members
Please share with relevant office staff and billing agencies
As you know, we’ve partnered with Equian, a national payment integrity vendor, since 2018 to review select inpatient facility claims on a pre-payment basis. In 2019, Optum acquired Equian.
Effective March 1, 2026, Equian will update their contact information and applicable reporting documentation to reflect Optum’s name. Aside from this, there will be no changes to the itemized bill pre-payment review program.
Please refer to the table below for updates and notify any relevant office staff and billing agencies of these changes.
| For Optum requests related to | Contact them electronically at | Mailing addresses |
|---|---|---|
| Itemized bill requests |
New email: mca@optum.com Same fax: 1-800-435-2049 |
When mailing documents, please continue to use the existing addresses: USPS mail: Or UPS/FedEx packages: |
| Reconsiderations or appeals |
New email: reconsiderations@optum.com Same fax: 1-866-700-5769 |
|
| Provider reports |
New email: reconsiderations@optum.com Or |
|
| Resolutions |
New email: claimsresolution@optum.com Same phone: 1-800-806-9784 |
If you have any questions, please call Network Management and Credentialing Services at 1-800-316-BLUE (2583). As always, thank you for the care you provide to our members.
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