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Optum Pinnacle Medical Group

Optum Pinnacle Medical Group

This page contains information you can use to exchange healthcare transactions with Optum Pinnacle Medical Group using Stedi.
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Use any of the following payer IDs to send transactions to Optum Pinnacle Medical Group using Stedi APIs or SFTP. Read the docs
Primary Payer ID
Stedi Payer ID
Payer ID aliases
,,
Coverage types
Medical
Operating states
AKALARASAZCACOCTDCDEFLGAGUHIIAIDILINKSKYLAMAMDMEMIMNMOMPMSMTNCNDNENHNJNMNVNYOHOKORPAPRRISCSDTNTXUTVAVIVTWAWIWVWY
Covered
Not covered

Supported transactions

Use Stedi to exchange the following transactions with Optum Pinnacle Medical Group using APIs or SFTP. Send transactions as JSON or raw EDI files.
Eligibility & benefit verification
Not supported

Eligibility checks

(270/271)
Verify member coverage and benefits by sending real-time and batch eligibility checks to Optum Pinnacle Medical Group.
Not supported

Coordination of benefits checks

(COB)
Submit coordination of benefit checks to Optum Pinnacle Medical Group to determine if a member has overlapping coverage with another plan and determine each payer's responsibility for paying claims.
Claims processing
Not supported

Real-time claim status

(276/277)
Check on the status of a claim previously submitted to Optum Pinnacle Medical Group in real-time by sending a claim status check (276/277).
Supported

Professional claims

(837P)
Submit professional claims to Optum Pinnacle Medical Group and receive 277 claim acknowledgments asynchronously.
Supported

Institutional claims

(837I)
Submit institutional claims to Optum Pinnacle Medical Group and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required

Claim payments

(835 ERA)
Receive electronic remittance advice (ERAs) from Optum Pinnacle Medical Group to review full payment details.
Enrollment process type
Multi-step
Activation timeframe
Weeks
Not supported

Dental claims

(837D)
Submit dental claims to Optum Pinnacle Medical Group and receive 277 claim acknowledgments asynchronously.
Not supported

Unsolicited claim attachments

(275)
Receive unsolicited attachments for claims submitted to Optum Pinnacle Medical Group.
Get started
Start processing healthcare transactions with Stedi and Optum Pinnacle Medical Group today.
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