New online utilization management requirement

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

Starting Dec. 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:

Colorado
Nevada
New Mexico

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 Medical Management platform in the Optum Pro portal. Starting Dec. 1, 2024, Optum Health Networks will no longer accept prior authorization or inpatient notifications by fax, except where required by law.

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 Medical Management 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 for Optum Pro

Fax numbers will be decommissioned

In Colorado, Nevada and New Mexico, the following fax numbers will be decommissioned:
- General prior authorizations and clinical submissions for new or existing authorizations: 888-992-2809
- Medicare Part B: 855-221-1978
In Nevada, the following fax numbers will be decommissioned:
- Clinical information: 702-688-5056
- Inpatient admission notifications and post-acute requests: 702-804-3773
  - Reminder: You’re required to notify us of admissions within 1 business day
- Notices of Medicare Non-Coverage (NOMNCs): 702-667-4640
- Appeals: 702-804-3743
In New Mexico, 505-232-1387 will be decommissioned for inpatient notifications and clinical information
In Colorado, 844-205-3551 and 844-206-5736 will be decommissioned for clinical information

Education resources

We offer eLearning modules to help you navigate Optum Pro. To access the eLearning modules:

Sign in to the portal
Select Education & Training from the navigation ribbon on the left
eLearning is 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 an Optum Health Networks team member. 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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