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Optum Care Network

Optum Care Network

This page contains information you can use to exchange healthcare transactions with Optum Care Network using Stedi.
Use any of the following payer IDs to send transactions to Optum Care Network using Stedi APIs or SFTP. Read the docs
Primary Payer ID
OCN01
Stedi Payer ID
ISVMZ
Payer ID aliases
2940, 4730, OCN01
Coverage types
Dental, Medical, Vision

Supported transactions

Use Stedi to exchange the following transactions with Optum Care Network 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 Care Network.
Not supported

Coordination of benefits checks

(COB)
Submit coordination of benefit checks to Optum Care Network 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 Care Network in real-time by sending a claim status check (276/277).
Supported

Professional claims

(837P)
Submit professional claims to Optum Care Network and receive 277 claim acknowledgments asynchronously.
Supported

Institutional claims

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

Claim payments

(835 ERA)
Receive electronic remittance advice (ERAs) from Optum Care Network to review full payment details.
Not supported

Dental claims

(837D)
Submit dental claims to Optum Care Network and receive 277 claim acknowledgments asynchronously.
Not supported

Unsolicited claim attachments

(275)
Receive unsolicited attachments for claims submitted to Optum Care Network.
Get started
Use Stedi's APIs to get fast and reliable connectivity to Optum Care Network and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and Optum Care Network today.
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Other names
Alternative known names, networks, or health plans for this payer that may appear on insurance cards, claims, or other correspondence.
  • Alliance Independent Practice Association
  • Arta Western
  • Greater Valley
  • Harrimon Jones
  • Healthcare Partners
  • Magan Medical Clinic
  • Memorial Medical Group
  • Northridge Medical Group
  • Physicians Associates of the Greater San Gabriel Valley
  • Talbert Medical Group
  • Unified Independent Practice Association
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