The mailing address for completed claim forms and required attachments is: Optum MarylandP O Box 30531Salt Lake City, UT 84130. %PDF-1.5 % "Fiasco," "debacle," and "administrative nightmare" were among the words behavioral health providers and legislators used to describe the ongoing claims reconciliation process with the Maryland Department of Health (MDH) and its system vendor, Optum, at the House Health and Human Services Subcommittee meeting last week. Optum Maryland requires the other carriers remittance advice as proof of timely filing. ` =3 How should providers with off-site facilities, such as hospitals, receive a token to register . tVMvC O4 Utility Nav. (800) 888-1965, TTY 711 We invite you to look through this site to see the many ways we can serve you. Office: (667) 214-2123. May 27, 2021, 5:02pm: Optum Maryland is aware that some users are experiencing issues accessing the Incedo Provider Portal, or are receiving Server Error messages. The website has sections for participants and families as well as providers of mental health services. Monday - Friday: 8:00 AM to 6:00 PM EST, Optum Public Toll Free Help Line: Authorizations are required for services not covered or exhausted by Medicare for those services that typically require an authorization (COMAR 10.09.36.06 B (2) a b). Skip to main content. 231 0 obj <>stream (800) 888-1965, TTY 711. Box 30531 12 0 obj Below is an anticipated schedule of releases. Toll-free number:1-800-888-1965, TTY 711 - Providers should press two andfollow prompts. endobj Incedo Provider Portal is easy to use, secure and available 24/7. Optum Maryland gives care to people served by the Maryland Department of Health (MDH), Behavioral Health Administration (BHA). hbbd```b``U i&d/#` "l.>dqA$WX2$wE4ev=$Q x This indicates that you are leaving our site and these links to other sites are for informational purposes only. To request an interpreter, call (800) 888-1965. espaol (Spanish); (Chinese); (Korean); hrvatski (Croatian); Vit (Vietnamese); (Arabic); Deutsch (German); Tagalog (Tagalog); (Russian); franais (French); (Japanese);romnete (Romanian); (Farsi) ; (Ukrainian); Kreyl ayisyen (Haitian Creole); (Hindi); portugus (Portuguese); Ikirundi (Bantu-Kirundi); (Nepali), Privacy Policy | Terms of Use | Site Map | Accessibility Note:Adobe Acrobat Readeris required to view and print PDFs. Providers can choose any clearinghouse vender to submit claims using EDI. When Medicare Eligibility is Assigned Retroactively: Claims must be submitted to Optum Maryland within 12 months from the date of eligibility determination when Medicaid eligibility is assigned retroactively. Specific file names of claim files are not required by Optum Maryland. Requirements Added to eviCore Partnership, JHHC New Health Care Performance and Quality, JHHC Site of Service Policy Update Effective June 15,2022, New Preauthorization Requirements for CertainProvider-Administered Medications, MLN Revisions to Medicare Part BPneumococcal for Medicare Benefit MM12723, CMS MLN Matters Mental Health Visits viaTelecommunications for Rural Health May 2022, CMS Unveils More User-Friendly MedicareWebsite CMS. Providers received this payment via physical check that was distributed . Maryland 2-1-1, Provider Questions Call Toll-Free: Click on either the Participants and Families or the Providers tab to see the information that applies to you. Example inquiry reasons for contacting this email address: When contacting this email address, please include the following information in the body of the email alongside your providerissue: *To obtain a token, please click hereto complete the provider survey. Please click the drop-down icon to view contact information. February 2023 Provider Training Calendar. If you're an Optum Care provider, you can access the information you need securely. Toll Free Phone Number : 1-800-888-1965, TTY 711 endstream endobj 160 0 obj <. 04-30-21: Incedo Provider Portal - Authorization Entry Issue Resolved 04-09-21: Incedo Provider Portal Accessibility 2023 MDH/BHA and Optum Maryland offer education and community events. (800) 888-1965, TTY 711 News and Events:Stay up-to-date on upcoming Maryland mental health news, training and events. Please click. OPTUM Remaining Authorization Units Feature in Incedo Provider Portal OPTUM Timely Filing Waiver OPTUM Updates to Clinical Request Form OPTUM Vaccine Administration Information Form OPTUM Maryland PBHS LOC Appendix BH2555 FINAL OPTUM Changes to CARC Codes OPTUM Provider Alert - Individual Provider License Expiration Email: krbeall@som.umaryland.edu. The provider must submit the claims to the primary carrier within the primary carriers timely filing limit. JavaScript is required to use content on this page. Claims covered by Medicare should not be sent to Optum Maryland. MDH/BHA and Optum Maryland offer education and community events. After enrollment in Maryland Medicaid, Providers register with Optum using Incedo provider portal. December 2022 Provider Training Calendar. January 2023 Provider Training Calendar. A registration link will be posted at the beginning of the month. Please enable scripts and reload this page. February 2020 Training Schedule. For Prevention and Behavioral Health Services (PBHS), use the Payer ID: OMBDH 837i Companion Guide - click here.837p Companion Guide - click here. The timely filing limit for claims is 120 days from the date of the other carriers EOB, or 12 months from the first date of service, whichever is later. Please click here for full details. BHA Vaccine Hesitancy Webinar. Optum Specialty Pharmacy customer service. hVmo8+%H+$ 13 0 obj 28 0 obj Uninsured Eligibility: Provider Training Guide. CSA Training. For services and providers covered by Medicare, submit claims directly to Medicare following Medicares timely filing guidelines. 159 0 obj <> endobj Maryland 2-1-1, Provider Questions Call Toll-Free: Payment Period for United Health Group (UHG) / Optum Behavioral Health Providers (Optum) The Maryland Department of Health (MDH) is preparing to enter into the next phase of reconciliation to resolve the differences in the estimated claims paid from January 1, 2020 through August, 3, 2020, with actual claims submitted for those dates of service. Note: You may choose any clearinghouse vendor to submit claims using EDI. An Optum Maryland dedicated line to assist with questions related to general information, eligibility, verification, and claim payment status. Contact us O4 Utility Nav Items. FOR ASSISTANCE. TheProvider Alertsare important updates from Optum and the Department. Our mission and values guide the way we treat our providers, members and each other. About Us:Learn more about the MDH/BHA and Optum Maryland partnership. More information and resources can be found throughout the website. Q.4 For corrected claims submission for DOS prior to date 12/29/19 submitted to Beacon, do Privacy Policy | Terms of Use | Site Map | Accessibility Note:Adobe Acrobat Readeris required to view and print PDFs. Find out what that means for you! Optum Maryland will accept paper CMS - 1500 forms for practitioner/professional services or Uniform Billing (UB)-04 forms for inpatient and outpatient facility claims. . (800) 888-1965, TTY 711 March 2020 Training Schedule. Leveraging Incedo's fully integrated medical management platform, Doctors continues to expand its footprint in highly a competitive market, having earned market distinction for offering innovative programs to . Eligibility Criteria and Requirements for Uninsured Consumers, Psychiatric Rehabilitation Program - Adult, Psychiatric Rehabilitation Program Child and Adolescent, General Information and Resources Monkeypox, Incedo Provider Portal Quick Reference Guide. Check the website often as it continues to grow to better serve you! Cell: (443) 687-6522. If you are a person or a family member seeing a MDH/BHA provider, you can access relevant information with the touch of a finger: Note: Providers should press two and follow prompts. Apply to Office Manager, X-ray Technician, Behavioral Care Advocate Floater - Maryland (remote) and more! %%EOF On October 1, 2013, a . <>stream EDI / Electronic claims: Electronic Data Interchange (EDI) is the exchange of information for routine business transactions in a standardized computer format. maryland.optum.com October 2020 BH2555_122019 Maryland Public Behavioral Health System (PBHS) Level of Care Appendix Click on the links below for specific information on available Levels of Care: . 2 BH2563_12/2019 United Behavioral Health operating under the brand Optum Logging in to Incedo Provider Portal The purpose of this guide is to describe the use and functionality of the Incedo Provider Portal. 11 0 obj Incedo Claims Training Participant Guide. To request an interpreter, call (800) 888-1965. espaol (Spanish); (Chinese); (Korean); hrvatski (Croatian); Vit (Vietnamese); (Arabic); Deutsch (German); Tagalog (Tagalog); (Russian); franais (French); (Japanese);romnete (Romanian); (Farsi) ; (Ukrainian); Kreyl ayisyen (Haitian Creole); (Hindi); portugus (Portuguese); Ikirundi (Bantu-Kirundi); (Nepali), Privacy Policy | Terms of Use | Site Map | Accessibility Note:Adobe Acrobat Readeris required to view and print PDFs. Copyright Maryland.gov. Salt Lake City, UT 84130. Hours: Monday - Friday, 8:00 a.m. to 6:00 p.m. For current HSA, FSA and HRA account holders, find support at the link below or call us today. Reference the charts below to identify the acceptable proof of loss for claim submission based on the service type specifics. Optum Maryland has run an off-cycle payment process which was mailed on January 9, 2020. Please note that all access and activity on this site is monitored and by using this site you agree to the confidentiality provisions of both HIPAA and HITECH. endobj Incedo Provider Portal is used verify eligibility, enter requests for authorizations and to submit claims. Box 30531 Salt Lake City, UT 84130 Key Phone Numbers: Please click the drop-down icon to view contact information. Click low to move all $0 claims to the top of the listing. (800) 888-1965, TTY 711 They are at the heart of all we do. Example inquiry reason for contacting this email address: *We recommend providers to only send inquires to the appropriate designated email address to ensure that Optum Maryland efficiently serves you. Incedo Provider Portal Quick Reference Guide, The March Provider Council Meeting will be held onFriday, March 10th at 10:00 am EST. We are working to fix this issue as soon as possible. Incedo Provider Portal (IPP): Utilizing Client-Level COVID-19 Vaccine Status Data Files. A.3 Yes, in Optum's Incedo Provider Portal, you can find the status of claims. You may be trying to access this site from a secured browser on the server. (800) 888-1965, TTY 711 About Us:Learn more about the MDH/BHA and Optum Maryland partnership. Optum Maryland gives care to people served by the Maryland Department of Health (MDH), Behavioral Health Administration (BHA). We invite you to look through this site to see the many ways we can serve you. P.O. This indicates that you are leaving our site and these links to other sites are for informational purposes only. Advancing The Value of Care. 10 0 obj In addition to this Web site, you can also find important resources and information at the following Web sites: Privacy Policy | Terms of Use | Site Map | Accessibility Note:Adobe Acrobat Readeris required to view and print PDFs. DORS Training 1.27.20. November 2022 Provider Training Calendar. March 2023 Provider Training Calendar. 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