Question 1

What is the Stedi payer ID for Optum?

Accepted Answer

The Stedi payer ID for Optum is QOQWQ.

Question 2

What is the primary payer ID for Optum?

Accepted Answer

The primary payer ID for Optum is IP079.

Question 3

What payer IDs does Optum use?

Accepted Answer

In addition to its primary payer ID IP079, Optum uses several other payer IDs, including EMP01 and IP079.

Question 4

What transactions does Optum support?

Accepted Answer

Optum supports the following transactions: 837P professional claims, 837I institutional claims, and 835 Electronic Remittance Advices (ERAs).

Question 5

What transaction types require transaction enrollment with Optum?

Accepted Answer

Optum requires transaction enrollment for 835 Electronic Remittance Advices (ERAs). Other supported transactions don't require enrollment. Stedi handles transaction enrollment steps for you.

Question 6

What is transaction enrollment?

Accepted Answer

Transaction enrollment is a process required by some payers before you can send or receive certain transactions. Stedi handles this process for you.

Question 7

What is a coordination of benefits (COB) check?

Accepted Answer

A COB checks determines if a member has coverage from more than one payer. Optum supports COB checks through Stedi.

Question 8

What is Optum's parent group?

Accepted Answer

Optum is part of UnitedHealth Group.

Question 9

What other names does Optum go by?

Accepted Answer

Optum is also known as Coachella Valley Physicians, Empire Physicians Medical Group, Mercy Physicians Medical Group, NAMM California, North American Medical Management, Primary Care Associates Medical Group, PrimeCare Medical Group of Chino Valley, PrimeCare Medical Network, PrimeCare Medical Network Chino, PrimeCare Medical Network Citrus Valley, PrimeCare Medical Network Corona, PrimeCare Medical Network Hemet, PrimeCare Medical Network Inland Valley, PrimeCare Medical Network Moreno Valley, PrimeCare Medical Network NAMM, PrimeCare Medical Network Redlands, PrimeCare Medical Network Riverside, PrimeCare Medical Network San Bernardino, PrimeCare Medical Network Sun City, PrimeCare Medical Network Temecula, Riverside Physicians Network, and Valley Physicians Network.

Optum

Supported transactions

Eligibility checks

Coordination of benefits checks

Real-time claim status

Professional claims

Institutional claims

Claim payments

Dental claims

Unsolicited claim attachments