Coverage profile
How Substrate can help you with Optum - Complex Medical Conditions (CMC)
Substrate can help practices and billers with the following claims tasks for Optum - Complex Medical Conditions (CMC).
Frequently asked questions
Optum - Complex Medical Conditions (CMC) payer FAQs
What is the payer ID for Optum - Complex Medical Conditions (CMC)?
The primary payer ID for Optum - Complex Medical Conditions (CMC) is 41194. The correct routing ID can differ by clearinghouse and transaction, so compare the 837P, 837I, 835, 270, and 276 entries before submitting.
What are the 837 payer IDs for Optum - Complex Medical Conditions (CMC)?
The 837P and 837I payer ID for Optum - Complex Medical Conditions (CMC) is 41194 via Stedi.
What is the 835 payer ID for Optum - Complex Medical Conditions (CMC)?
The 835 payer ID for Optum - Complex Medical Conditions (CMC) is 41194 via Stedi.
Routing reference
Optum - Complex Medical Conditions (CMC) payer IDs and operating states
Use the payer ID listed for the transaction you are submitting. Verify current routing and enrollment requirements with your clearinghouse.
| Payer name | Optum - Complex Medical Conditions (CMC)Source: Substrate payer directory · last refreshed |
|---|---|
| 837P professional claims payer IDStedi | 41194Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 837I institutional claims payer IDStedi | 41194Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 835 ERA payer IDStedi | 41194Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
Routing sources and verification
- Substrate payer directoryPayer identity, aliases, operating states, and vendor IDs. Last refreshed .
- Stedi payer catalogMatched by payer ID; matched record: Optum - Complex Medical Conditions (CMC). Source dated .PrimaryPayerId is used as the transaction payer ID when the corresponding Stedi support flag is true.Open current Stedi reference ↗
Clearinghouse payer IDs are transaction-specific and can change. Confirm the current payer list and the member’s ID card before submission.
Other aliases
Also known as
- 3824
- 41194
- 41194MA
- 9513
- UNTDRN
- OptumHealth Care Solutions
- United Resource Networks
- OPTUM COMPLEX MEDICAL CONDITIONS (UNITED RESOURCE NETWORKS)
- OPTUM - COMPLEX MEDICAL CONDITIONS (CMC) (FKA UR
- OPTUMHC
