New online utilization management requirement

Submit prior authorization requests and inpatient notifications online for patients delegated to Optum Health Networks

Starting Aug. 1, 2024, network health care professionals will be required to submit prior authorization requests and inpatient admission/discharge notifications online for patients who are delegated to Optum Health Networks in the following states:

• Connecticut
• Indiana
• New York
• Ohio
• Oregon
• South Carolina
• Wisconsin

You can determine if your patient is delegated to Optum Health Networks by checking their member ID card. The card will list LIFE1 as the payer ID.

By submitting your prior authorization requests and inpatient notifications online, you’ll receive a decision faster than you would with a fax submission.

What this means for you

If you have patients in the states listed above who are delegated to Optum Health Networks, you’ll need to submit prior authorization requests and inpatient admission/discharge notifications for these patients using the Referrals & Prior Authorization platform in the Optum Pro portal. Optum Health Networks will no longer accept prior authorization or inpatient notifications by fax, starting Aug. 1, 2024.

How to submit prior authorization requests and inpatient notifications online

• If you already have an Optum Pro account: Sign in to the Optum Pro portal using your One Healthcare ID and password, then select Referrals & Prior Authorization from the navigation ribbon on the left
  • If you don’t already have a One Healthcare ID, visit identity.onehealthcareid.com to get started
• If you need to create an Optum Pro account: Visit optumproportal.com, then select Register Now

The following fax numbers will be decommissioned:

• Connecticut
  • General prior authorization, Medicare Part B, and clinical submissions for new or existing authorizations: 855-268-2904  
  • Inpatient notifications and clinical submissions: 844-700-5131 
•  Indiana, New York, Ohio and South Carolina
  • General prior authorization: 855-248-4063
  • Medicare Part B: 855-244-8503
  • Clinical submissions for new or existing prior authorizations: 877-940-3604
  • Inpatient notifications and clinical submissions: 844-700-5131 
• Oregon
  • General prior authorization: 855-248-4063
  • Medicare Part B: 855-244-8503
  • Clinical submissions for new or existing prior authorizations: 877-940-3604
  • Inpatient notification and clinical submissions: 855-249-8166 

Education resources

We offer eLearning modules in the Education & Training section of Optum Pro. To access the eLearning modules: 

• Select Education & Training from the navigation ribbon on the left
• eLearnings are available in the Activity section; select + to expand the collapsed Activity section
• Select the Curo Provider Authorization Portal (National) eLearning course from My Learning or Completed 

Learn more

Questions?

If you have questions about the portal, please contact your Optum Health Network account manager. For technical assistance, contact the support team using the Contact Us link located at the bottom of the Optum Pro portal.

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