P.O. Filing your claims should be simple. For assistance with EAP-related issues, please contact the number on the back of the member's ID card or call Optum EAP 24/7 at 1-800-358-8515. Behavioral Health Behavioral health benefits and the Employee Assistance Program are administered by Optum. They can provide you immediate help or direct you to one of our network providers for no-cost, face-to-face consultations. What is the Optum payer ID for Electronic (EDI) claims submission. Find out where to submit your claim. Each member you see may have claims submitted to a different address. even if they are not enrolled in medical insurance. Visit the Optum Behavioral Health website at LiveAndWorkWell.com and enter access code 00832 to find: Some conditions that may be perceived as mental health or substance abuse related problems are not covered by Optum Behavioral Health. Additionally, the code cannot be used for prescription drugs or virtual care visits. physicians office or insurance company) or discussed with an individual that you designate. Optum Financial - Connecting Health Care & Finances Behavioral health resources and services. Payments for services from a non-participating provider are generally sent to the member, except where federal or state mandates apply, or negotiated agreements are in place. Customer service representatives are available from 8 a.m. to 5 p.m., Pacific Time. If you do not want to agree to these Terms of Use and thus not register, you can call Optum at 855-Here4TN (855-437-3486) to access these services, such as your individual benefit and claims information. This program is administered by Optum Behavioral Solutions. You may be subject to balance billing for amounts above the allowable amount. Use our qualified expense search tool to find out what expenses you can spend your HSA and FSA dollars on. Select the appropriate Payer ID below to view Medica claim submission and product guidelines for each plan. Employee Assistance Program (EAP) and, Request more information Provide support for employees' everyday needs Call 1-800-852-1091 for assistance in obtaining services when outside of the Ohio service area. Physician services Unlock ambulatory growth to help better serve your patients. Appointment of Representative - A Medicare, Medicaid or dually funded Medicare and Medicaid member (or patient) may use this form to designate an authorized representative to act on his or her behalf in filing a grievance, requesting an initial determination, or in dealing with any of the levels of the appeals process. Find contribution details and how savings may grow over time. This is important because you may be getting medicines frombothyour behavioral health clinician and your medical doctor. Release of Information - Member must complete the release of information form, include all necessary documentation and sign before information will be sent to a third party (i.e. Clean Claim Requirements Make sure claims have all required information before submitting. You can also visit bcbs.com to find resources for other states. EAP is available at no additional cost to all employees and their families. To find out about EAP Services, refer to the Benefit Plans section of the Optum Network Manual. . Yes. Authorizations. Increased demands at work and home can add to employees' stress, and in turn affect your company. Box 30755 Salt Lake City, UT 84130-0755, FMH P.O. There are NO out-of-pocket costs such as co-pays, co-insurance or deductibles when you access services. This is called balance billing. 1. State and Higher Education: EAP services are available to all benefits-eligible employees and their eligible family members, Local Ed and Local Gov: EAP services are available to employees who are enrolled in medical insurance. Flexible spending accounts (FSAs), dependent care assistance programs (DCAPs), and health reimbursement arrangements (HRAs), (collectively, Employer-Sponsored Plans) are administered on behalf of your plan sponsor by Optum Financial, Inc. or ConnectYourCare, LLC (collectively, "Optum Financial") and are subject to eligibility and restrictions. Can connect you with a variety of resources and benefits, even get you in touch with a convenience service specialist to help with the fun stuff: dinner reservations, vacation plans and much more. Home | Optum EAP Our GuidanceResources platform fully integrates EAP, behavioral health, wellness and absence management services. Employees undergo a special assessment by a disability specialist who is an Optum network provider trained in disability management. The resources on this page are specific to your state. The resources for our providers may differ between states. See the Ohio EAPto access the training catalog. Optum Pay. We currently don't offer resources in your area, but you can select an option below to see information for that state. You should contact Optum Behavioral Health before seeking care to ensure the highest level of benefits. It looks like you're outside the United States. at 855-Here4TN (855-437-3486) If the emergency room visit is going to result in an admission to the hospital for a behavioral health or chemical dependency condition, the member of the facility must contact Optum for authorization. An, if you would prefer to meet with someone face-to-face about an issue, you get six free confidential counseling sessions a year. Always verify the patient's eligibility at the time of service. Your dashboard may experience future loading problems if not resolved. Coinsurance amounts made for mental health and substance abuse services count toward your health plan deductible and out-of-pocket maximums. Save on the cost of commuting to work by paying with pretax money. Those requiring registration are denoted by the lock symbol. If you would like to file an appeal, please call the number on the back of your insurance card. It is best if you can contact Optum before you arrive at the hospital. However, authorizations for EAP services are required and must be initiated by members or contracted . . PDF Optum - Provider Claims This Behavioral Health Provider Manual, the EAP Manual and other related communications are posted on Aetna.com, on the Provider Education & Manuals page. Please contact Optum at 1-800-924-0105. If you have questions or concerns regarding a medical claim, please refer to the phone number on your insurance card. Where to Submit Your Optum Claim - Provider Express Be sure to include the following (in English or accompanied by an English translation): Employee name and Social Security number or Alternate ID, Date and description of service(s) provided, Unit cost of service (per hour or per day charge, for example). Box 30602 Salt Lake City, UT 84130-0602, Claims Processing P.O. The Optum Store makes it easy to find what products are eligible. You can use Availity to submit and check the status of all your claims and much more. EAP claims can be submitted here on Provider Express by using Claim Entry and choosing the EAP option. Appointment of Representative - A Commercial member (or patient) may use this form to designate an authorized representative to act on his or her behalf regarding a grievance, or an appeal of a denial of service or payment. For EDI and online claims, a claim mailing . Take advantage of your employee assistance program to help your family now. GRIEVANCE FORM- Use this form if you would like to file a complaint or appeal. This information is required for identification and authentication purposes. There are a number of different Optum mailing addresses depending upon the member's benefit plan. Nutritional counseling, membership costs for health clubs and weight loss clinics, and similar programs. You save on every dollar you put into your FSA. File an out-of-network claim for behavioral health services online(requires login), Download, print and mail in your claim| tip sheet, Claims Processing P.O. Box 30757 Salt Lake City, UT 84130-0757. Request a search for convenience service options - We can help you find resources for anything from hobbies, recreation, home repair, travel, and more. Claims Submission. Whether youve just opened your account or youre preparing to retire, our resources make it easy to save, pay and invest in your future. Request a search for parenting support groups, classes and more- Prenatal classes, postpartum support, parenting classes for any parent and parenting situation. To receive benefits under the plan, you should contact Optum Behavioral Healthbefore inpatient and outpatient behavioral health services are provided. If your health plan includes the Employee Assistance Program (EAP), you can call our coordinators 24/7 for a no-cost, confidential assessment of your situation and a referral to licensed professionals and services. Electronic Data Interchange Vendors Automate your claims process and save. Wellness Assessment - Complete this brief pre-visit questionanaire about your emotions and feelings. Employee Assistance Program (EAP) Solutions | Optum Home Employee Assistance Program (EAP) Solutions We provide support across the full spectrum of employee needs. Estimate your health care costs during retirement so you can be prepared. Box 30760, Salt Lake City UT 84130-0760. For EDI and online claims, a claim mailing address is not required. Refer to NDC Claim Submission or call UnitedHealthcare EDI Support at 800-842-1109 for more information. Welcome to your Student Assistance Program, brought to you by Optum EAP. Medical Plan Assistance Program-The Medical Plan Assistance Program (MPAP) provides free or reduced-cost medical coverage to benefits-eligible caregivers who are eligible based on family size and income. This program and its components may not be available in all states or for all group sizes and is subject to change. Federal and state laws and regulations are subject to change. Box mail addresses are based upon the consumer's benefit plan. The Union Pacific Employee Assistance Program (EAP) offers support in all areas of life: Confidentially call the National Employee Assistance Helpline (800) 779-1212. Mental health and substance abuse disorders and conditions, including, but not limited to: Conditions requiring long term care in custodial settings, such as nursing homes. Can I submit my Optum claims electronically? And it's available to support you and your family (and even your entire household) anytime, 24/7. How to Submit Claims Cigna makes it easy for health care providers to submit claims using Electronic Data Interchange (EDI). We do not share data that identifies individual users with employers. You can use Availity to submit and check the status of all your claims and. As a result, Optum has multiple mailing addresses for paper claim submissions. Submit the most current information. UHC Community Plan, P.O. Enter the State of Ohio access code number: 00832 to enter the site or register as a user by creating a user name and password. EAP claims can be submitted here on Provider Express by using Claim Entry and choosing the EAP option. Be sure to keep copies of all bills and claims for your records. P.O. You canregister here. If an ineligible individual gains authorization fraudulently, intentionally misrepresents a material fact regarding an ineligible individual, or a previously eligible dependent who no longer meets applicable eligibility requirements utilizes services, the following consequences apply: Check out all the covered services and programs you have available to you. Regional Service Delivery Office 14141 Southwest Fwy, Ste 500 Sugar Land, TX 77478, Please call us M-F 8am-8pm EST 1-866-894-5795. All nonagreement employees and eligible dependents are covered regardless of the Union Pacific healthcare plan in which you are enrolled or whether you waive UPs healthcare coverage. Get support, answers and expert care. Expand All add_circle_outline Alabama Thats why Anthem uses Availity, a secure, full-service web portal that offers a claims clearinghouse and real-time transactions at no charge to healthcare professionals. Health savings accounts (HSAs) and Medicare Advantage Medical Savings Accounts (MSAs) are individual accounts offered or administered through Optum Bank, Member FDIC, a subsidiary of Optum Financial, Inc. Optum Financial, Inc. is not a bank or an FDIC insured institution. At Optum Financial, we help you save on health costs, so you have more to spend on the things you love. Optum Employee Assistance Program (EAP) (providerexpress.com) Programoverview. We currently don't offer resources in your area, but you can select an option below to see information for that state. Simply log in to begin. Local Ed and Local Gov: EAP services are available to employees who are enrolled in medical insurance. Please check with your health plan or benefits portal for coverage of these non-EAP services. There are no limits on the number of clinically necessary visits or inpatient days under the program. Depending on your patient's plan, the mailing or fax address will be different. App Store is a service mark of Apple Inc., registered in the U.S. and other countries. Optum provides 24-hours-a-day, seven-days-a-week phone assessment and referral services for a variety of behavioral health issues, such as: Alcohol Anger management Anxiety chemical dependency Compulsive disorders Depression Marital and family issues Serious mental illnesses Stress You may review your explanation of benefits forms online by visiting liveandworkwell.com and registering on the site. Contact with your medical doctor ensures you get the best and safest treatment. If the medical plan provides out-of-network benefits, you may have access to out-of-network benefits through Optum Behavioral Solutions, but at a higher cost to you. Box 8207, Kingston NY 12402-8207, Note: Adobe Acrobat Reader is required to view and print PDFs. There are three ways to submit claims to Evernorth: Via mail, fax, or an electronic data interchange (EDI) vendor. ABA services must be pre-certified. In order to ensure prompt and accurate payment, please verify the mailing address prior to submitting your claim. Live and Work Well: Employee Assistance Program (EAP) Optum's Disability Solutions Program involves early identification of employees who have applied for or may be on short-term mental health disability. Employee Assistance Program (EAP) | Anthem It is critical to your overall health that your behavioral health provider knows about any medical problems you may have. No information should be sent to the workplace. Our customer service centers can help you with your claim questions. In almost all cases where claims are incurred outside of the U.S., the provider will require full payment at the time of service. What information do you share with my employer? If you do not obtain pre-authorization before obtaining medical care, you will be required to pay a $350 penalty. PDF Employee Assistance Program (EAP) - Provider Express Medica | Claim Submission and Product Guidelines The five EAP visits per year, per issue are per individual. It does not determine whether or not the employee will be paid while they are away. That's why Anthem uses Availity, a secure, full-service web portal that offers a claims clearinghouse and real-time transactions at no charge to healthcare professionals. As a result, Optum has multiple mailing addresses for paper claim submissions. This program is not a substitute for a doctor's or professional's care. Commonwealth of Massachusetts Group Insurance Commission website, Return to Ventura County Health Care Plan website, Raytheon's Global Health Resources website, is a setof services providedto you and members of your householdby your employerat, provides easy access toan emotional support professional by phone any time, may connectyou to confidential, no-cost, short-term counseling sessions with licensed professionals, financial and legal support, and help with community resources, may connectyou to confidential, no-cost, short-term counseling sessions with licensed professionals if your plan allows, financial and legal support, and help with community resources, may connectyou to confidential, no-cost, short-term counseling sessions with licensed professionals and help with community resources, is a setof services providedto you and your eligible dependents by your employerat, is your coverage for mental health and substance use services, helps you pay for out-patient therapy, psychiatry, and in-patient hospitalizations for the treatment of depression, anxiety, substance use disorders, eating disorders, autism and more, may require you to pay out of pocket expenses such as co-pays, co-insurance, and deductibles, is your elected coverage for mental health and substance use services through a benefits health plan, Find support for anxiety, depression, or substance use, Finding child development, childcare or elder care resources.