PAR Status Changes Effective June 1, 2026

Effective June 1, 2026, the PAR Status will change for the following payer(s):

Payer Name: Aetna Better Health of Illinois – Medicaid
Industry ID: 68024
Exchange CPID(s): 5013, 8861
Exchange Real Time ID: ABHILL
Transactions: Eligibility, Claim Status
New PAR Status: Non Par

Payer Name: Alliant Health Plans
Industry ID: 58234
Exchange CPID(s): 2589, 3793
Exchange Real Time ID: ALLIHP
Transactions: Eligibility, Claim Status
New PAR Status: Non Par

Payer Name: Aspire Health Plan
Industry ID: 46156
Exchange CPID(s): 2507, 1163
Exchange Real Time ID: ASPHPL
Transactions: Eligibility
New PAR Status: Non Par

Payer Name: Curative Health Plan
Industry ID: CURTV
Exchange CPID(s): 8055, 9774
Transactions: Claims
New PAR Status: Transitional

Payer Name: Farm Bureau Health Plans
Industry ID: 62045
Exchange CPID(s): 3096, 1151
Exchange Real Time ID: FRMBHP
Transactions: Eligibility, Claim Status
New PAR Status: Transitional

Payer Name: Farm Bureau Health Plans MAPD
Industry ID: RP061
Exchange CPID(s): 8015, 9733
Exchange Real Time ID: FMBHP
Transactions: Eligibility, Claim Status
New PAR Status: Transitional

Payer Name: Luminare Health AZ, IL, IN, MD, MN, NC, PA
Industry ID: 48117
Exchange CPID(s): 4568, 5492
Exchange Real Time ID: CSFMH
Transactions: Eligibility, Claim Status
New PAR Status: Gateway

Payer Name: Las Vegas Firefighters Health and Welfare Trust
Industry ID: NWADM
Exchange CPID(s): 6293
Transactions: Claims
New PAR Status: Non Par

Payer Name: Nippon Life Insurance Company of America
Industry ID: 81264
Exchange CPID(s): 6539, 6443
Exchange Real Time ID: NLICOA
Transactions: Eligibility, Claim Status
New PAR Status: Gateway

Payer Name: WeShare Legacy
Industry ID: USHM1
Exchange CPID(s): 9001, 3450
Exchange Real Time ID: UHSMN
Transactions: Eligibility
New PAR Status: Gateway

Action Required: Please be aware of the upcoming PAR Status changes.

4/30/2026

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Aetna Better Health of Kansas - Termination Eligibility and Claim Status

Real Time Eligibility 270/271 and Claim Status Inquiry 276/277 for the payer listed below is no longer available at Optum, effective immediately.

Payer Name: Aetna Better Health of Kansas
Industry Payer ID: 128KS
IMN Real Time ID: 128KS
Exchange Real Time ID: ABHKS, ABHKS1
CPID(s): 1084, 8111
Optum iEDI Real Time ID: 128KS
Connection Type: X12/ Portal

Reason: Payer no longer offers an electronic connection.

Action Required: None.

4/30/2026

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Report Generation Delay for CPID 6671 HealthSun

A payer intermediary is experiencing issues affecting Institutional report generation for some claims submitted on April 16, 2026.

Payer impacted: 

• CPID 6671 HealthSun

Optum is working diligently with the payer intermediary to resolve the issue and ensure reports are received.

Action Required: None. Please be aware of delays in the report generation for claims submitted during the time frame above.

If you have any questions, please contact Customer Support and refer to Case Number 10287159.

4/30/2026

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Report Generation Delay for multiple CPIDs

A payer intermediary is experiencing issues affecting Professional and Institutional report generation for some claims submitted since April 23, 2026.

Payers impacted:

• CPID 1492 New Mexico Medicaid
• CPID 5562 New Mexico Medicaid
• CPID 1856 UnitedHealthcare New Mexico Medicaid
• CPID 2690 UnitedHealthcare New Mexico Medicaid

Optum is working diligently with the payer intermediary to resolve the issue and ensure reports are received.

Action Required: None. Please be aware of delays in the report generation for claims submitted during the time frame above.

If you have any questions, please contact Customer Support and refer to Case Number 10286981.

4/30/2026

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Report Generation Delay for CPID 8073 Longevity Health Plan of Colorado
A payer intermediary is experiencing issues affecting Institutional report generation for some claims submitted April 17, 2026.

Payer impacted: 

• CPID 8073 Longevity Health Plan of Colorado

The payer intermediary has been unable to generate and deliver the reports.

Action Required: None. Please resubmit claims if payment has not been received.

If you have any questions, please contact Customer Support and refer to Case Number 10287381.

4/30/2026

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Report Generation Delay for CPID 9458 CareSource Ohio Medicaid

A payer intermediary is experiencing issues affecting Professional report generation for some claims submitted since April 27, 2026.

Payer impacted: 

• CPID 9458 CareSource Ohio Medicaid

Optum is working diligently with the payer intermediary to resolve the issue and ensure reports are received.

Action Required: None. Please be aware of delays in the report generation for claims submitted during the time frame above.

If you have any questions, please contact Customer Support and refer to Case Number 10286996.

4/30/2026

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New Electronic Eligibility, Claim Status Connection Available

Optum is pleased to announce the availability of Real-time Eligibility Inquiry and Response 270/271 and Claim Status Inquiry and Response 276/277 for the below payer, effective April 29, 2026:

Payer Name:  Aetna Better Health of Nevada
Industry Payer ID: ABHNV
IMN Real Time ID: ABHNV
Exchange Real Time ID: ABHNV
CPID(s): N/A
IEDI Real Time ID: 11231
Payer Enrollment Required: No
Connection Type: X12

Search Options:
Eligibility Subscriber

• Member ID, First Name, Last Name, Date of Birth
• Member ID, Date of Birth
• Member ID, First name, Last Name
• First Name, Last Name, Date of Birth

Claim Status Inquiry subscriber

• Member id, first name, last name, date of birth
  • Optional additional elements: Payer claim number; Total submitted charges (if charge amount unknown, send 0.00)

4/29/2026

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Electronic Claims and Remittance Connection No Longer Available

Effective May 01, 2026, the payer listed below will no longer be available at Optum for claims or remittance processing.

Payer Name: Village Practice Management Company
Payer ID: 36477
Reason: Payer no longer offers an electronic connection to which Optum can connect. 

Action Required: Please make any necessary system changes.

4/29/2026

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Electronic Claims Connection Suspended

Effective immediately, the payer listed below has been suspended at Optum for claim processing and removed from the payer list.

Payer Name: 21st Century Insurance and Financial Services
Payer ID: 51028
Reason: Payer unavailable electronically.

Payer Name: Consumers Choice of South Carolina
Payer ID: 45321
Reason: Payer unavailable electronically.

Action Required: Please refrain from submitting claims until further notice.

4/29/2026

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New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: Cannon Cochran Management Services (CCMSI Workers Comp)
Professional CPID: 1176
Industry Standard Payer ID: WR322
Payer Enrollment Required: Yes
Remittance Fee: N/A
Payer Location: National

Action Required:

• Add the payers to your system to begin using the new payer connection.
• Enrollment forms must be submitted and approved to begin receiving electronic remittance through Optum. 

4/29/2026

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Electronic Claims Connection Suspended

Effective immediately, the payer listed below has been suspended at Optum for claim processing and removed from the payer list.

Payer Name: 21st Century Insurance and Financial Services
CPIDs: 2170, 9094
Industry Standard Payer ID: 51028

Reason: Payer unavailable electronically.

Action Required: Please refrain from submitting claims until further notice.

4/29/2026

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Update: Report Generation Delay for CPIDs 2824 and 7551 The Health Plan of West Virginia

Update: The payer intermediary has been unable to generate and deliver the reports for some claims submitted on April 16, 2026 and April 17, 2026.

Action Required: Please resubmit claims if payment has not been received.

Original notify sent April 24, 2026:

A payer intermediary is experiencing issues affecting Professional and Institutional report generation for some claims submitted since April 16, 2026.

Payer impacted:

• CPID 2824 The Health Plan of West Virginia
• CPID 7551 The Health Plan of West Virginia

Optum is working diligently with the payer intermediary to resolve the issue and ensure reports are received.

Action Required: None. Please be aware of delays in the report generation for claims submitted during the time frame above.

If you have any questions, please contact Customer Support and refer to Case Number 10277916.

4/29/2026

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Electronic Claims Connection Suspended

The payer listed below has been suspended at Optum for claim processing and removed from the payer list, effective immediately.

Payer Name: Consumers Choice of South Carolina
CPIDs: 6814, 6994
Industry Standard Payer ID: 45321
Reason: Payer unavailable electronically.

Action Required: Please refrain from submitting claims until further notice.

4/29/2026

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Edit Master for CPIDs 7861 and 1986 Alliance Desert Physicians and CPIDs 8177 and 2039 American Public Life (APL)

Optum is changing Edit Masters for the following payers, effective April 29, 2026:

Payer Name: Alliance Desert Physicians
Professional CPID: 7861
Current Edit Master: PE_O007
New Edit Master: PE_T007
Institutional CPID: 1986
Current Edit Master: HE9O007
New Edit Master: HE9T007
Industry Standard Payer ID: 22417

Payer Name: American Public Life (APL)
Professional CPID: 8177
Current Edit Master: PE_O007
New Edit Master: PE_T007
Institutional CPID: 2039
Current Edit Master: HE9O007
New Edit Master: HE9T007
Industry Standard Payer ID: 60801

Action Required: Please make the following changes to accommodate the routing change:

• Revalidate unreleased claims to edit correctly under new edit master.
• Modify any bridge routines based on the edit master.
• No Payer Alias changes are required. Payer names and CPIDs are not changing.

4/29/2026

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Electronic Claims Connection Suspended

The payer listed below has been suspended at Optum for claim processing and removed from the payer list, effective immediately.

Payer Name: 21st Century Insurance and Financial Services
CPIDs: 2170, 9094
Industry Standard Payer ID: 51028
Reason: Payer unavailable electronically.

Action Required: Please refrain from submitting claims until further notice.

4/29/2026

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Report Generation Delay for CPID 4294 ASR Physicians Care

A payer is experiencing issues affecting Professional report generation for some claims submitted April 15, 2026 and April 16, 2026.

Payer impacted: 

• CPID 4294 ASR Physicians Care

Optum is working diligently with the payer to resolve the issue and ensure reports are received.

Action Required: None. Please be aware of delays in the report generation for claims submitted during the time frame above.

If you have any questions, please contact Customer Support and refer to Case Number 10273943.

4/29/2026

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Update: Report Generation Delay for CPID 6802 and 6695 Center for Elders Independence

Update: The payer has been unable to generate and deliver the reports for some claims submitted March 31, 2026.

Action Required: Please resubmit claims if payment has not been received.

Original notice sent April 22, 2026:
A payer is experiencing issues affecting Professional and Institutional report generation for some claims submitted March 31, 2026.

Payer impacted: 

• CPID 6802 Center for Elders Independence
• CPID 6695 Center for Elders Independence

Optum is working diligently with the payer to resolve the issue and ensure reports are received.

Action Required: None. Please be aware of delays in the report generation for claims submitted during the time frame above.

If you have any questions, please contact Customer Support and refer to Case Number 10273951.

4/29/2026

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Update: Report Generation Delay for CPID 6868 Ultimate Health Plan

Update: The payer intermediary has been unable to generate and deliver the reports for some claims submitted submitted April 7, 2026-April 9, 2026.

Action Required: Please resubmit claims if payment has not been received.

Original notice sent April 24, 2026:
A payer intermediary is experiencing issues affecting Professional report generation for some claims submitted April 7, 2026-April 9, 2026.

Payer impacted: 

• CPID 6868 Ultimate Health Plans

Optum is working diligently with the payer intermediary to resolve the issue and ensure reports are received.

Action Required: None. Please be aware of delays in the report generation for claims submitted during the time frame above.

If you have any questions, please contact Customer Support and refer to Case Number 10252738.

4/29/2026

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New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:  

Payer Name: Paysign
Institutional CPID: 7922
Professional CPID: 2738
Industry Standard Payer ID: PSN22
Line of Business (LOB) Code: K77
Payer Enrollment Required: Yes
Remittance Fee: N/A
Payer Location: National 

Action Required: 

• Add the payers to your system to begin using the new payer connection. 
• Enrollment forms must be submitted and approved to begin receiving electronic remittance through Optum. 

4/29/2026

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New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:  

Payer Name: Paysign
Institutional CPID: 7922
Professional CPID: 2738
Industry Standard Payer ID: PSN22
Payer Enrollment Required: Yes
Remittance Fee: N/A
Payer Location: National 

Action Required: 

• Add the payers to your system to begin using the new payer connection. 
• Enrollment forms must be submitted and approved to begin receiving electronic remittance through Optum. 

4/29/2026

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Electronic Claims Connection Suspended

The payer listed below has been suspended at Optum for claim processing and removed from the payer list, effective immediately:

Payer Name: Empire Physician's Medical Group
Payer ID: EMP01
Reason: Payer unavailable electronically.

Action Required: Please refrain from submitting claims until further notice.

4/28/2026

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Electronic Claims Connection Suspended

The payer listed below has been suspended at Optum for claim processing and removed from the payer list, effective immediately.

Payer Name: Empire Physician's Medical Group
CPID: 2146
Industry Standard Payer ID: EMP01
Reason: Payer unavailable electronically.

Action Required: Please refrain from submitting claims until further notice.

4/28/2026

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New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: The Hanover Insurance Company
Professional CPID: 1143
Industry Standard Payer ID: WP927
Line of Business (LOB) Code: E37
Payer Enrollment Required: Yes
Remittance Fee: N/A
Payer Location: National

Action Required:

• Add the payers to your system to begin using the new payer connection.
• Enrollment forms must be submitted and approved to begin receiving electronic remittance through Optum.

4/28/2026

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New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: The Hanover Insurance Company
Professional CPID: 1143
Industry Standard Payer ID: WP927
Payer Enrollment Required: Yes
Remittance Fee: N/A
Payer Location: National

Action Required:

• Add the payers to your system to begin using the new payer connection.
• Enrollment forms must be submitted and approved to begin receiving electronic remittance through Optum.

4/28/2026

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Veterans Administration Fee Basis Programs New Real Time Transaction Update

This is a clarification to a previous communication titled Veterans Administration Fee Basis Programs New Real Time Transaction dated March 24, 2026.

Please be aware this product is NOT available on the following platforms:

• Exchange
• Clearance
• Clearance EDI 

Original notification sent March 24, 2026:
Optum is pleased to announce the availability of Real-time Health Care Request for Review Inquiry and Response 278X217 transaction for the below payer, effective March 20, 2026:

• Payer ID 12115.

Please update your system to take advantage of this payer transaction. For assistance with submitting Real-Time transactions, please contact your Practice Management System Vendor or Optum Customer Care Hub ticket.

Updated Payer Lists may be obtained from your software vendor or Payer List Portal.

4/28/2026

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Eligibility termination for payer ID HALLS on Revenue Performance Advisor

Real Time Eligibility 270/271 for the payer listed below is no longer available at Optum, on the Revenue Performance Advisor (RPA) system, effective immediately.

Payer Name: Health Alliance Medical Plans of Illinois
RPA Payer ID: HALLS

Reason: The runout period has ended. Payer will no longer offer an electronic connection.

Action Required: Providers should review the patient's current insurance ID card for claim filing information. Remove the above Payer ID within your practice management software or contact your software vendor for assistance, as needed.

4/28/2026

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Report Generation Delay for CPID 1497 Dean Health Plan by Medica

The payer listed below is experiencing issues affecting Professional report generation for some claims submitted since April 20, 2026.

Payer impacted:

• CPID 1497 Dean Health Plan by Medica

Optum is working diligently with the payer to resolve the issue and ensure reports are received.

Action Required: None. Please be aware of delays in the report generation for claims submitted during the time frame above.

If you have any questions, please contact Customer Support and refer to Case Number 10282607.

4/28/2026

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Update for Providence Administrative Services Eligibility

This is an update to previously issued communication COM-009203 regarding Providence Administrative Services, Inc. Real-Time Eligibility.

Processing of 270/271 Real-Time Eligibility transactions has resumed for this payer.

Please ensure that transactions are being submitted to the correct payer when sending Real-Time Eligibility requests for Providence Administrative Services, Inc.

Correct Payer Details:

Payer Name: Providence Administrative Services, Inc.

Payer ID: RP070

Address:

16414 San Pedro Ave

San Antonio, TX 78232

Providers and trading partners may now resume submitting 270/271 transactions for this payer.

For assistance with submitting Real-Time transactions, please contact your Practice Management System Vendor or Optum Customer Care Hub ticket.

Moving forward, for assistance or support requests, please use the following option:

• Customer Care Hub Portal: Submit a ticket through the Customer Care Hub at https://customercare.optum.com/public/home.html
  • Please note: If you are not currently registered, you will need to complete the registration process before submitting a ticket.

Updated Payer Lists may be obtained from your software vendor or Payer List Portal.

4/28/2026

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Primewell Health Services Electronic Claim Status/Eligibility Connections No Longer Available

Effective May 12, 2026, Real Time Eligibility 270/271 and Claim Status Inquiry 276/277 for the payer listed below will no longer be available at Optum.

Payer Name: Primewell Health Services
Industry Payer ID: 77701
IMN Real Time ID: 77701
Exchange Real Time ID: VANTHP
CPIDs: 8046, 9764
Optum iEDI Real Time ID: VHPLA
Connection Type: X12

Reason: Payer went out of business.

Action Required: None

4/28/2026

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Report Generation Delay for CPIDs 2431 and 1643 Colorado Access

A payer intermediary is experiencing issues affecting Professional and Institutional report generation for some claims submitted since March 23, 2026.

Payer impacted:

• CPID 2431 Colorado Access
• CPID 1643 Colorado Access 

Optum is working diligently with the payer intermediary to resolve the issue and ensure reports are received.

Action Required: None. Please be aware of delays in the report generation for claims submitted during the time frame above.

If you have any questions, please contact Customer Support and refer to Case Number 10282518.

4/28/2026

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Vision Service Plan (VSP) Electronic Eligibility Connection No Longer Available

Real Time Eligibility 270/271 for the payer listed below is no longer available at Optum, effective immediately.

Payer Name: Vision Service Plan (VSP)
Industry Payer ID: 94-1632821
Exchange Real Time ID: VSPVS1
CPID: 6714
Connection Type: Portal

Reason: Payer no longer offers an electronic connection.

Action Required: None.

4/28/2026

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Report Generation Delay for CPIDs 5568 and 1258 Global Healthcare Alliance

A payer intermediary is experiencing issues affecting Institutional and Professional report generation for some claims submitted since April 14, 2026.

Payer impacted: 

• CPID 5568 Global Healthcare Alliance
• CPID 1258 Global Healthcare Alliance

Optum is working diligently with the payer intermediary to resolve the issue and ensure reports are received.

Action Required: None. Please be aware of delays in the report generation for claims submitted during the time frame above.

If you have any questions, please contact Customer Support and refer to Case Number 10282001.

4/28/2026

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Delay in Electronic Remittance Advice (ERA) for multiple CPIDs

There has been a delay in Professional and Institutional Electronic Remittance Advice (ERA) for the following payer for check dates since March 24, 2026. 

• CPID 3275 Paramount Health
• CPID 5977 Paramount Health

Optum is working diligently with the payer to resolve the issue and ensure ERA are received.

Action Required: Please be aware of a delay in the delivery of ERA for check dates above.

If you have any questions, please contact Customer Support and refer to Case Number 10282038.

4/28/2026

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Report Generation Delay for CPIDs 3275 and 5977 Paramount Health

A payer intermediary is experiencing issues affecting Professional and Institutional report generation for some claims submitted since March 24, 2026.

Payer impacted:

• CPID 3275 Paramount Health
• CPID 5977 Paramount Health

Optum is working diligently with the payer intermediary to resolve the issue and ensure reports are received.

Action Required: None. Please be aware of delays in the report generation for claims submitted during the time frame above.

If you have any questions, please contact Customer Support and refer to Case Number 10282038.

4/28/2026

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New Electronic Eligibility Connections Available

Optum has new electronic eligibility connections available:

Payer Name: Director Guild of America
Connection Type: X12

Payer Name: Molina Healthcare of Connecticut
Connection Type: X12

Full list of payers available for Eligibility transactions through Optum: Clearance Patient Access Eligibility Payer List

Action Required: If you wish to submit eligibility transactions to the payer(s) above, please take the following actions:

1. Submit a request to be connected to any of the payers via the Customer Care Hub https://customercare.optum.com/public/home.html
2. To access the full payer list, login to the Community:
3. Already have an account? Login to your Community account.
4. Go to Connect > Revenue Excellence (RCM) > Clearance Patient Access Suite > Payer List
   1. Don’t have an account? Register for a Community account at the link above and wait for full access to be provided (up to 1 business day after registration is submitted).
5. If further assistance is needed contact support at [email protected] or 800-527-8133 Option 4.

4/27/2026

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New Electronic Eligibility Connections Available

Optum has new electronic eligibility connections available:

Payer Name: Hawaii Medicaid TSH
Connection Type: X12

Payer Name: Health Choice (Arizona)
Connection Type: X12

Payer Name: Health Share Oregon
Connection Type: X12

Payer Name: HEALTHe Exchange TSH
Connection Type: X12

Payer Name: Lincoln Financial Group
Connection Type: X12

Payer Name: WeShare
Connection Type: X12

Payer Name: Western Southern Life Group  
Connection Type: X12

Full list of payers available for Eligibility transactions through Optum: Clearance Patient Access Eligibility Payer List

Action Required: If you wish to submit eligibility transactions to the payer(s) above, please take the following actions:

• Submit a request to be connected to any of the payers via the Customer Care Hub https://customercare.optum.com/public/home.html
• To access the full payer list, login to the Community:
• Already have an account? Login to your Community account.
• Go to Connect > Revenue Excellence (RCM) > Clearance Patient Access Suite > Payer List
• Don’t have an account? Register for a Community account at the link above and wait for full access to be provided (up to 1 business day after registration is submitted).
•  If further assistance is needed contact support at [email protected] or 800-527-8133 Option 4.

4/27/2026

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Payer Change for CPIDs 9777, 8060 University Medical Center

Effective immediately, claims currently exchanged with the following payer must use different CPIDs. 

Payer Name: University Medical Center
Professional CPID: 9777
Institutional CPID: 8060
Remittance Available: No
Industry Standard Payer ID: 11149 

Claims must begin using the following:

Payer Name: UMC Health Plan
Professional CPID: 5711
Institutional CPID: 1670
Remittance Available: No
Industry Standard Payer ID: 75130
Claim Fee: No 

CPIDs 9777 and 8060 University Medical Center will be terminated effective May 1, 2026.  

Enrollment Requirements: 

Claims:

• Payer enrollment for electronic claims is not required. 

Action Required:  

• Please be aware of the changes above and make any necessary changes in your system. 
• To access the new enrollment forms, please visit Enrollment Central.

4/27/2026

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Payer Consolidation- UMC Health Plan

Claims currently exchanged with the following payer must use a different Payer ID, effective immediately:

Payer Name: University Medical Center
Payer ID: 11149 

Claims must begin using the following:

Payer Name: UMC Health Plan
Payer ID: 75130 

Payer ID 11149 University Medical Center will be terminated effective May 28, 2026.  

Enrollment Requirements:
Claims:

• Payer enrollment for electronic claims is not required. 

Action Required:  

• Please be aware of the changes above and make any necessary changes in your system. 
• To access the new enrollment forms, please visit IEDI.

4/27/2026

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Payer Consolidation for Affiliated Doctors of Orange County

Claims currently exchanged with the following payer must use a different payer ID, effective May 29, 2026:

Payer Name: Affiliated Doctors of Orange County
Payer ID: 27344

Payer ID 27344 will be terminated effective May 29, 2026.

Providers must begin using the following ID for electronic claims:
Payer ID: ADOCS
Claim Enrollment Required: No
Secondary Claims Accepted: No

Report Changes:
You may see some differences in the payer reports you receive.

Enrollment Requirements:
Claims:

• Payer enrollment for electronic claims is not required.

Action Required: Please consider the following to allow transactions to process properly due to the above changes:

• Make any necessary system changes.

4/27/2026

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New Clearance Payer Connections April 27, 2026

Optum has new electronic eligibility connections available:

Payer Name: AmeriChoice of New Jersey Commercial
Connection Type: X12

Payer Name: South Country Health Alliance
Connection Type: X12

Full list of payers available for Eligibility transactions through Optum: Clearance Patient Access Eligibility Payer List

Action Required: If you wish to submit eligibility transactions to the payers above, please take the following actions:

• Submit a request to be connected to any of the payers via the Customer Care Hub https://customercare.optum.com/public/home.html
• To access the full payer list, login to the Community:
  • Already have an account? Login to your Community account.
  • Go to Connect > Revenue Excellence (RCM) > Clearance Patient Access Suite > Payer List
• Don’t have an account? Register for a Community account at the link above and wait for full access to be provided (up to 1 business day after registration is submitted).

If further assistance is needed contact support at [email protected] or 800-527-8133 Option 4.

4/27/2026

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Payer Change for CPIDs 9777, 8060 University Medical Center

Effective immediately, claims currently exchanged with the following payer must use different CPIDs. 

Payer Name: University Medical Center
Professional CPID: 9777
Institutional CPID: 8060
Remittance Available: No
Industry Standard Payer ID: 11149 

Claims must begin using the following:

Payer Name: UMC Health Plan
Professional CPID: 5711
Institutional CPID: 1670
Remittance Available: No
Industry Standard Payer ID: 75130
Claim Fee: No 

CPIDs 9777 and 8060 University Medical Center will be terminated effective May 1, 2026.  

Enrollment Requirements: 

Claims:

• Payer enrollment for electronic claims is not required. 

Action Required:  

• Please be aware of the changes above and make any necessary changes in your system. 
• To access the new enrollment forms, please visit Enrollment Central.

4/27/2026

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New Electronic Claims Connections Available

Optum has new electronic claims connections available:

Payer Name: WeShare
Institutional CPID: 9077
Professional CPID: 3857
Payer-assigned Payer ID: WESHR
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: National
Claims Fee: N/A

Plans accepted with this connection:

• WeShare Enhanced
• WeShare Essential
• WeShare Premier
• WeShare Group Enhanced
• WeShare Group Essential
• WeShare Group Premier
• UHSM Gold
• UHSM Bronze
• UHSM Platinum
• UHSM Silver
• UHSM Vital

Action Required: 

• Add the payers to your system to begin using the new payer connection.
• When a payer requires enrollment, forms must be submitted and approved to begin submitting transactions.

Please note: We are providing you with a list of new electronic connections. Please review and choose payers that are appropriate for your business.

4/27/2026

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Village Practice Management Company Electronic Claims and Remittance Connection No Longer Available

Effective May 01, 2026, the payer listed below will no longer be available at Optum for claims or remittance processing.

Payer Name: Village Practice Management Company
Claim and Remittance CPIDs: 5074, 9121
Industry Standard Payer ID: 36477

Reason: Payer no longer offers an electronic connection to which Optum can connect. 

Action Required: Please make any necessary system changes.

4/27/2026

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Payer Type Change for Multiple Payers

Effective April 27, 2026, Optum will be changing electronic remittance routing for the following payers:

Payer Name: Employee Benefit Systems
Payer ID: 42149
Payer Remittance Enrollment Required: Yes
Payer Type: Nonpar

Payer Name: Longevity Health Plan of Florida
Payer ID: LFL01
Payer Remittance Enrollment Required: Yes
Payer Type: Nonpar

Enrollment Requirements:

Remittance:

• Payer enrollment for electronic remittance is required.
  • Providers currently receiving electronic remittance through Optum must complete a new enrollment form.
  • New providers must complete a new enrollment form.

Action Required: Please consider the following to allow transactions to process properly due to the above changes:

• Make any necessary system changes.
• To access the new enrollment forms, please visit IEDI.

4/27/2026

---

Village Practice Management Company Electronic Claims and Remittance Connection No Longer Available

The payer listed below will no longer be available at Optum for claims or remittance processing, effective May 1, 2026.

Payer Name: Village Practice Management Company
Claims and Remittance CPIDs: 5074, 9121
Line of Business (LOB) Code: H65
Industry Standard Payer ID: 36477

Reason: Payer no longer offers an electronic connection to which Optum can connect. 

Payer will no longer accept paper claims.

Action Required: Please make any necessary system changes.

4/27/2026

---

Payer Change for CPIDs 9777, 8060 University Medical Center

Claims currently exchanged with the following payer must use different CPIDs, effective immediately.

Payer Name: University Medical Center
Professional CPID: 9777
Professional Edit Master: PE_B800
Institutional CPID: 8060
Institutional Edit Master: HE9B801
Industry Standard Payer ID: 11149 

Claims received on or after May 1, 2026 must begin using the following:

Payer Name: UMC Health Plan
Professional CPID: 5711
Professional Edit Master: PE_E049
Institutional CPID: 1670
Institutional Edit Master: HE9E049
Industry Standard Payer ID: 75130 

CPIDs 9777 and 8060 University Medical Center will be terminated effective May 1, 2026.  

Enrollment Requirements:
Claims:

• Payer enrollment for electronic claims is not required. 

Action Required: Please make the following updates to accommodate these payer changes: 

• Revalidate unreleased claims to edit correctly under new edit master.  
• Modify any bridge routines based on edit masters. 
• Modify related Payer Alias names to the new CPIDs. 
• To access the new enrollment forms, please visit Enrollment Central. 

4/27/2026

---

Village Practice Management Company Electronic Claims and Remittance Connection No Longer Available

The payer listed below will no longer be available at Optum for claims or remittance processing, effective May 1, 2026.

Payer Name: Village Practice Management Company
Claims and Remittance CPIDs: 5074, 9121
Line of Business (LOB) Code: H65
Industry Standard Payer ID: 36477
Reason: Payer no longer offers an electronic connection to which Optum can connect. 

Payer will no longer accept paper claims.

Action Required: Please make any necessary system changes.

4/27/2026

---

Electronic Payer ID Change for High Desert PACE

Effective April 27, 2026, Optum will be changing electronic claims payer ID and routing for the following payer:

Payer Name: High Desert PACE
Current Payer ID: R3467
New Payer ID: HDP01
Payer Claim Enrollment Required: No
Secondary Claims Accepted: Yes

Payer ID R3467 will be terminated effective May 22, 2026.

Enrollment Requirements:

Claims:

• Payer enrollment for electronic claims is not required.

Report Changes:

You may see some differences in the payer reports you receive.

Action Required: Please consider the following to allow transactions to process properly due to the above changes:

• Make any necessary system changes.

4/27/2026

---

Calvo's SelectCare Health Plans Electronic Remittance Connection No Longer Available

Effective immediately, the payer listed below will no longer be available at Optum for remittance processing.

Payer Name: Calvo's SelectCare Health Plans
Remittance CPIDs: 4094, 8835
Line of Business (LOB) Code: E57
Industry Standard Payer ID: CALSC

Reason: Payer no longer offers an electronic connection to which Optum can connect. 

Action Required: Please make any necessary system changes.

4/27/2026

---

Sonder Health Plans Electronic Eligibility Connection No Longer Available

Effective immediately, Real Time Eligibility 270/271 for the payer listed below will no longer be available at Optum.

Payer Name: Sonder Health Plans
Industry Payer ID: A0339
IMN Real Time ID: A0339
Exchange Real Time ID: SONDR
CPIDs: 1916, 1740
Optum iEDI Real Time ID: A0339
Connection Type: X12

Reason: Payer no longer offers an electronic connection.

Action Required: None

4/27/2026

---

Eligibility Termination for Payer ID 48330 on RPA

Real Time Eligibility 270/271 for the payer listed below is no longer available at Optum, on the Revenue Performance Advisor (RPA) system, effective immediately.

Payer Name: Hawaii Medical Assurance Association (HMAA)
RPA Payer ID: 48330

Reason: Payer no longer offers an electronic connection

Action Required: Providers should review the patient's current insurance ID card for claim filing information. Remove the above Payer ID within your practice management software or contact your software vendor for assistance, as needed.

4/27/2026

---

New Electronic Claims Connections Available

Optum has new electronic claims connections available:

Payer Name: Advanced Health
Payer ID: UOCSO
Transaction Type: Institutional
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: National

Payer Name: Bay Bridge Administrators LLC
Payer ID: 06941
Payer Enrollment Required: No
Secondary Claims Accepted: No
Payer Location: National

Payer Name: Benefit Plan Administrators Roanoke Virginia
Payer ID: 37118
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: Virginia

Payer Name: Choice Physicians Network Coachellamed
Payer ID: CPNCO
Payer Enrollment Required: No
Secondary Claims Accepted: No
Payer Location: California

Payer Name: Choicecare of Ohio HMO
Payer ID: 95348
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: Ohio

Payer Name: United Group Programs
Payer ID: UGP19
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: National

Action Required: 

• Add the payers to your system to begin using the new payer connection.

Please note: We are providing you with a list of new electronic connections. Please review and choose payers that are appropriate for your business.

4/27/2026

---

New Payer ID

Please be aware of the following payer ID change, effective April 28, 2026:

Payer Name: Affiliated Doctors of Orange County
Institutional CPID: 1667 
Current Industry Standard Payer ID: 27344 
New Industry Standard Payer ID: ADOCS  

Providers only need to include the CPID (not Payer ID) in the claim. Optum will manage the Payer ID changes for our customers. 

Action Required: Please make the appropriate changes to accommodate the payer ID change.

4/27/2026

---

Edit Master and Payer ID update for CPID 1667 Affiliated Doctors of Orange County

Optum is changing the payer ID and edit master for the following payer, effective April 28, 2026:

Payer Name: Affiliated Doctors of Orange County
Institutional CPID: 1667
Current Edit Master: HE9T007
New Edit Master:  HE9B801
Current Industry Standard Payer ID: 27344
New Industry Standard Payer ID: ADOCS

Action Required: Please make the following changes to accommodate the routing change:

• Revalidate unreleased claims to edit correctly under new edit master. 
• Modify any bridge routines based on the edit master. 
• No Payer Alias changes are required. Payer name and CPID are not changing.

4/27/2026

---

Pinnacol Assurance Electronic Remittance Connection No Longer Available

The payer listed below is no longer available at Optum for remittance processing, effective immediately.

Payer Name: Pinnacol Assurance
Remittance CPID: 3711
Line of Business (LOB) Code: H8W
Industry Standard Payer ID: 84109
Reason: Payer no longer offers an electronic connection to which Optum can connect. 

Action Required: Please make any necessary system changes.

4/27/2026

---

Pinnacol Assurance Electronic Remittance Connection No Longer Available

The payer listed below is no longer available at Optum for remittance processing, effective immediately.

Payer Name: Pinnacol Assurance
Remittance CPID: 3711
Industry Standard Payer ID: 84109
Reason: Payer no longer offers an electronic connection to which Optum can connect. 

Action Required: Please make any necessary system changes.

4/27/2026

---

Electronic Routing Change and Payer ID update for CPID 5810 Affiliated Doctors of Orange County

Optum will be changing the payer id and electronic claims routing for the following payer, effective April 28, 2026:

Payer Name: Affiliated Doctors of Orange County
Professional CPID: 5810
Current Industry Standard Payer ID: 27344
New Industry Standard Payer ID: ADOCS
Payer Claim Enrollment Required: No
Secondary Claims Accepted: No

Report Changes:
You may see some differences in the payer reports you receive.

Enrollment Requirements:
Claims:

• Payer enrollment for electronic claims is not required.

Action Required: Please consider the following to allow transactions to process properly due to the above changes:

• Make any necessary system changes.

4/27/2026

---

Report Generation Delay for CPID 6671 HealthSun

A payer intermediary is experiencing issues affecting Institutional report generation for some claims submitted April 11, 2026.

Payer impacted: 

• CPID 6671 HealthSun

The payer intermediary has been unable to generate and deliver the reports.

Action Required: None. Please resubmit claims if payment has not been received.

If you have any questions, please contact Customer Support and refer to Case Number 10280270.

4/27/2026

---

Electronic Routing Change and Payer ID update for CPID 5810 Affiliated Doctors of Orange County

Optum will be changing the payer ID and electronic claims routing for the following payer, effective April 28, 2026:

Payer Name: Affiliated Doctors of Orange County
Professional CPID: 5810
Current Edit Master: PE_T007
New Edit Master: PE_B800
Current Industry Standard Payer ID: 27344
New Industry Standard Payer ID: ADOCS
Payer Claim Enrollment Required: No
Secondary Claims Accepted: No

Report Changes:
You may see some differences in the payer reports you receive.

Enrollment Requirements:
Claims:

• Payer enrollment for electronic claims is not required.

Action Required: Please make the following changes to accommodate the routing change:

• Revalidate unreleased claims to edit correctly under new edit master. 
• Modify any bridge routines based on edit masters.
• No Payer Alias changes are required. Payer name and CPID are not changing.

4/27/2026

---

Report Generation Delay for CPID 3089 Allstate

A payer intermediary is experiencing issues affecting Institutional report generation for some claims submitted since April 13, 2026.

Payer impacted: 

• CPID 3089 Allstate

Optum is working diligently with the payer intermediary to resolve the issue and ensure reports are received.

Action Required: None. Please be aware of delays in the report generation for claims submitted during the time frame above.

If you have any questions, please contact Customer Support and refer to Case Number 10280085.

4/27/2026

---

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:  

Payer Name: Western Health Advantage
Institutional CPID: 5634
Professional CPID: 6267
Industry Standard Payer ID: 68039
Payer Enrollment Required: Yes
Remittance Fee: N/A
Payer Location: California 

Action Required: 

• Add the payers to your system to begin using the new payer connection. 
• Enrollment forms must be submitted and approved to begin receiving electronic remittance through Optum. 

4/27/2026

---

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:  

Payer Name: Western Health Advantage
Institutional CPID: 5634
Professional CPID: 6267
Industry Standard Payer ID: 68039
Line of Business (LOB) Code: U8Z
Payer Enrollment Required: Yes \
Remittance Fee: N/A
Payer Location: California 

Action Required: 

• Add the payers to your system to begin using the new payer connection. 
• Enrollment forms must be submitted and approved to begin receiving electronic remittance through Optum. 

4/27/2026

---

Report Generation Delay for multiple CPIDs

A payer intermediary is experiencing issues affecting Professional report generation for some claims submitted on April 20, 2026.

Payers impacted:

• CPID 2438 Tufts Health Plan
• CPID 5475 Tufts Health Public Plans

Optum is working diligently with the payer intermediary to resolve the issue and ensure reports are received.

Action Required: None. Please be aware of delays in the report generation for claims submitted during the time frame above.

If you have any questions, please contact Customer Support and refer to Case Number 10280018.

4/27/2026

---

Update: Report Generation Delay for CPID 2712 The Alliance

Update: The payer intermediary has been unable to generate and deliver the reports for some claims submitted on April 17, 2026 and April 18, 2026.

Action Required: Please resubmit claims if payment has not been received.

Original notice sent April 23, 2026:

A payer intermediary is experiencing issues affecting Professional report generation for some claims submitted since April 17, 2026.

Payer impacted:

• CPID 2712 The Alliance

Optum is working diligently with the payer intermediary to resolve the issue and ensure reports are received.

Action Required: None. Please be aware of delays in the report generation for claims submitted during the time frame above.

If you have any questions, please contact Customer Support and refer to Case Number 10276567.

4/27/2026

---

New Electronic Eligibility Connection Available

Optum is pleased to announce the availability of Real-time Eligibility Inquiry and Response 270/271 for the below payer, effective April 23, 2026:

Payer Name:  AmeriChoice of New Jersey Commercial
Industry Payer ID: 10018
IMN Real Time ID: AMNJC
Exchange Real Time ID: AMNJC
CPID(s): N/A
IEDI Real Time ID: 10018
Payer Enrollment Required: No
Connection Type: X12

Search Options:

Eligibility Subscriber

• Member ID, First Name, Last Name, Date of Birth

4/24/2026

---

Update: Invalid Error Message for CPIDs 5547/4426 Arizona Blue Cross Blue Shield

Update: The payer has advised that the impacted claims will be reprocessed within 1 business day and a new updated status will be sent. This issue is still under review with the payer. Additional notifications will be sent as updates become available.

Original notify sent on: March 27, 2025

Due to a payer processing issue, Professional and Institutional claims for the payer listed below may have received the following invalid error message on the Payer Claim Data Report (SR), Payer Claim Data Report (SE), Payer Report Data File (SF):

• Reject Code: 601
• Message: CLM: MISPLACED SEGMENT DTP (DATE - REPRICER RECEIVED DATE) AT 2-1350 WITHIN LOOP CLM (2300)(CLAIM INFORMATION) AT 2-1300, THIS SEGMENT, LOOP/GROUP MAY NOT BE IN THE CORRECT POSITION FOR LOOP/GROUP

This issue began November 2024 and is still ongoing. The payer is working to resolve the invalid error message in their system. Currently, the payer does not have an ETA on correcting the error, however any affected claims can be resubmitted.

Payers affected:

• 5547 Arizona Blue Cross Blue Shield
• 4426 Arizona Blue Cross Blue Shield

Action Required: Please be aware of the invalid error message.

4/24/2026

---

Calvo's SelectCare Health Plans Electronic Remittance Connection 

Effective immediately, the payer listed below will no longer be available at Optum for remittance processing.

Payer Name: Calvo's SelectCare Health Plans
Remittance CPIDs: 4094, 8835
Industry Standard Payer ID: CALSC

Reason: Payer no longer offers an electronic connection to which Optum can connect. 

Action Required: Please make any necessary system changes.

4/24/2026

---

Report Generation Delay for CPID 5440 Fox Valley Medicine

A payer intermediary is experiencing issues affecting Professional report generation for some claims submitted since April 7, 2026.

Payer impacted: 

• CPID 5440 Fox Valley Medicine

Optum is working diligently with the payer intermediary to resolve the issue and ensure reports are received.

Action Required: None. Please be aware of delays in the report generation for claims submitted during the time frame above.

If you have any questions, please contact Customer Support and refer to Case Number 10278551.

4/24/2026

---

Report Generation Delay for CPID 4248 Community Care Behavioral Health Organization (BHO)

The payer listed below is experiencing issues affecting Professional report generation for some claims submitted on April 10, 2026.

Payer impacted: 

• CPID 4248 Community Care Behavioral Health Organization (BHO)

Optum is working diligently with the payer to resolve the issue and ensure reports are received.

Action Required: None. Please be aware of delays in the report generation for claims submitted during the time frame above.

If you have any questions, please contact Customer Support and refer to Case Number 10278263.

4/24/2026

---

Report Generation Delay for CPID 6868 Ultimate Health Plans

A payer intermediary is experiencing issues affecting Professional report generation for some claims submitted April 7, 2026-April 9, 2026.

Payer impacted: 

• CPID 6868 Ultimate Health Plans

Optum is working diligently with the payer intermediary to resolve the issue and ensure reports are received.

Action Required: None. Please be aware of delays in the report generation for claims submitted during the time frame above.

If you have any questions, please contact Customer Support and refer to Case Number 10252738.

4/24/2026

---

Update: Report Generation Delay for CPID 2803 UPMC Health Plan

Update: The payer has been unable to generate and deliver the reports for some claims submitted April 15, 2026.

Action Required: Please resubmit claims if payment has not been received.

Original notice sent April 22, 2026:
The payer listed below is experiencing issues affecting Professional report generation for some claims submitted April 15, 2026.

Payer impacted: 

• CPID 2803 UPMC Health Plan

Optum is working diligently with the payer to resolve the issue and ensure reports are received.

Action Required: None. Please be aware of delays in the report generation for claims submitted during the time frame above.

If you have any questions, please contact Customer Support and refer to Case Number 10274001.

4/24/2026

---

Electronic Routing Change for Multiple Payers

Effective April 24, 2026, Optum will be changing electronic remittance routing for the following payers:

Payer Name: Employee Benefit Systems
Professional CPID: 5877
Institutional CPID: 3672
Industry Standard Payer ID: 42149
Payer Remittance Enrollment Required: Yes

Payer Name: Longevity Health Plan of Florida
Professional CPID: 8268
Institutional CPID: 3018
Industry Standard Payer ID: LFL01
Payer Remittance Enrollment Required: Yes

Enrollment Requirements:

Remittance:

• Payer enrollment for electronic remittance is required.
  • Providers currently receiving electronic remittance through Optum must complete a new enrollment form.
  • New providers must complete a new enrollment form.

Action Required: Please consider the following to allow transactions to process properly due to the above changes:

• Make any necessary system changes.
• When a payer requires enrollment, forms must be submitted and approved from Enrollment Central.

4/24/2026

---

Electronic Routing Change for Multiple Payers

Effective April 24, 2026, Optum will be changing electronic remittance routing for the following payers:

Payer Name: Employee Benefit Systems
Professional CPID: 5877
Institutional CPID: 3672
Industry Standard Payer ID: 42149
Line of Business Code (LOB): J4X
Payer Remittance Enrollment Required: Yes

Payer Name: Longevity Health Plan of Florida
Professional CPID: 8268
Institutional CPID: 3018
Industry Standard Payer ID: LFL01
Line of Business Code (LOB): N33
Payer Remittance Enrollment Required: Yes

Enrollment Requirements:

Remittance:

• Payer enrollment for electronic remittance is required.
  • Providers currently receiving electronic remittance through Optum must complete a new enrollment form.
  • New providers must complete a new enrollment form.

Action Required: Please make the following changes to accommodate the routing change:

• No Payer Alias changes are required. Payer names and CPIDs are not changing.
• When a payer requires enrollment, forms must be submitted and approved from Enrollment Central.

4/24/2026

---

Report Generation Delay for CPIDs 2824 and 7551 The Health Plan of West Virginia

A payer intermediary is experiencing issues affecting Professional and Institutional report generation for some claims submitted since April 16, 2026.

Payer impacted:

• CPID 2824 The Health Plan of West Virginia
• CPID 7551 The Health Plan of West Virginia

Optum is working diligently with the payer intermediary to resolve the issue and ensure reports are received.

Action Required: None. Please be aware of delays in the report generation for claims submitted during the time frame above.

If you have any questions, please contact Customer Support and refer to Case Number 10277916.

4/24/2026

---

Update – Providence Administrative Services, Inc. (RP070) – Real-Time Eligibility (270/271)

This is an update to previously issued communication COM-009203 regarding Providence Administrative Services, Inc. Real-Time Eligibility.

Processing of 270/271 Real-Time Eligibility transactions has resumed for this payer.

Please ensure that transactions are being submitted to the correct payer when sending Real-Time Eligibility requests for Providence Administrative Services, Inc.

Correct Payer Details:

Payer Name: Providence Administrative Services, Inc.

Payer ID: RP070

Address:

16414 San Pedro Ave

San Antonio, TX 78232

Providers and trading partners may now resume submitting 270/271 transactions for this payer.

For assistance with submitting Real-Time transactions, please contact your Practice Management System Vendor or Optum Customer Care Hub ticket.

Moving forward, for assistance or support requests, please use the following option:

• Customer Care Hub Portal: Submit a ticket through the Customer Care Hub at https://customercare.optum.com/public/home.html
  • Please note: If you are not currently registered, you will need to complete the registration process before submitting a ticket.

Updated Payer Lists may be obtained from your software vendor or Payer List Portal.

4/23/2026

---

Payer Change for CPIDs 4006 and 8728 Unite Health Share Ministries

Effective immediately, claims currently exchanged with the following payer must use different CPIDs.

Payer Name: Unite Health Share Ministries
Professional CPID: 8728
Institutional CPID: 4006
Remittance Available: No
Industry Standard Payer ID: 07689

Claims sent on or after April 27, 2026, must begin using the following:

Payer Name: GlobalCare
Professional CPID: 2720
Institutional CPID: 1937
Remittance Available: Yes
Industry Standard Payer ID: 07689
Claim Fee: N/A

Enrollment Requirements:

Claims:

• Payer enrollment for electronic claims is not required.

Remittance:

• Payer enrollment for electronic remittance is required.
  • Providers currently receiving electronic remittance through Optum for CPIDs 1937, 2720 GlobalCare do not need to complete a new enrollment form.
  • Providers not receiving electronic remittance through Optum for CPIDs 1937, 2720 GlobalCare must complete a new enrollment form.
  • New providers must complete a new enrollment form.

Action Required:

• Please be aware of the changes above and make any necessary changes in your system.
• To access the new enrollment forms, please visit Enrollment Central.

4/23/2026

---

Payer Change for CPIDs 4006 and 8728 Unite Health Share Ministries

Effective immediately, claims currently exchanged with the following payer must use different CPIDs.

Payer Name: Unite Health Share Ministries
Professional CPID: 8728
Professional Edit Master: PE_O007
Institutional CPID: 4006
Institutional Edit Master: HE9O007
Industry Standard Payer ID: 07689
Line of Business Code (LOB): N/A

Claims sent on or after April 27, 2026, must begin using the following:

Payer Name: GlobalCare
Professional CPID: 2720
Professional Edit Master: PE_T007
Institutional CPID: 1937
Institutional Edit Master: HE9T007
Industry Standard Payer ID: 07689
Line of Business Code (LOB): J7E

Enrollment Requirements:

Claims:

• Payer enrollment for electronic claims is not required.

Remittance:

• Payer enrollment for electronic remittance is required.
  • Providers currently receiving electronic remittance through Optum for CPIDs 1937, 2720 GlobalCare do not need to complete a new enrollment form.
  • Providers not receiving electronic remittance through Optum for CPIDs 1937, 2720 GlobalCare must complete a new enrollment form.
  • New providers must complete a new enrollment form.

Action Required: Please make the following updates to accommodate these payer changes:

• Revalidate unreleased claims to edit correctly under new edit master.
• Modify any bridge routines based on edit masters.
• Modify related Payer Alias names to the new CPIDs.

To access the new enrollment forms, please visit Enrollment Central.

4/23/2026

---

Providence Administrative Services, Inc Eligibility Processing Issues

Providence Administrative Services, Inc is currently experiencing processing issues impacting real-time eligibility transactions for Payer ID RP070. As a result, all 270/271 eligibility transactions to this payer have been temporarily paused.

Providers and trading partners are advised to hold all transactions destined for RP070 until further notice. Updates will be communicated as soon as processing has been restored and it is safe to resume submissions.

We appreciate your patience and understanding while this issue is being addressed.

4/23/2026

---

New Electronic Claims Connections Available

Optum has new electronic claims connections available:  

Payer Name: Choice Physicians Network - Live Well
Institutional CPID: 1508
Professional CPID: 1425
Industry Standard Payer ID: CPNLW
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: California
Claims Fee: $0.10 

Action Required:

• Add the payers to your system to begin using the new payer connection. 
• When a payer requires enrollment, forms must be submitted and approved to begin submitting transactions. 

Please note: We are providing you with a list of new electronic connections. Please review and choose payers that are appropriate for your business. 

4/23/2026

---

New Electronic Claims Connections Available

Optum has new electronic claims connections available:  

Payer Name: Choice Physicians Network - Live Well
Institutional CPID: 1508
Professional CPID: 1425
Industry Standard Payer ID: CPNLW
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: California 

Action Required:

• Add the payers to your system to begin using the new payer connection. 
• When a payer requires claims enrollment, forms must be submitted and approved to begin submitting transactions. 

Please note: We are providing you with a list of new electronic connections. Please review and choose payers that are appropriate for your business. 

4/23/2026

---

Report Generation Delay for CPID 2712 The Alliance

A payer intermediary is experiencing issues affecting Professional report generation for some claims submitted since April 17, 2026.

Payer impacted:

• CPID 2712 The Alliance

Optum is working diligently with the payer intermediary to resolve the issue and ensure reports are received.

Action Required: None. Please be aware of delays in the report generation for claims submitted during the time frame above.

If you have any questions, please contact Customer Support and refer to Case Number 10276567.

4/23/2026

---

Report Generation Delay for Multiple CPIDs

A payer intermediary is experiencing issues affecting Professional and Institutional report generation for some claims submitted since April 18, 2026.

Payers impacted:

• CPID 8639 County Medical Services Program
• CPID 7223 County Medical Services Program
• CPID 2409 Emergency Medical Services Fund
• CPID 8856 Hollywood Presbyterian Medical Center
• CPID 2552 Hollywood Presbyterian Medical Center
• CPID 6860 Orange County Health Care Agency
• CPID 2707 Medical Service Initiative Orange County
• CPID 7237 Seoul Medical Group
• CPID 8657 Seoul Medical Group

Optum is working diligently with the payer intermediary to resolve the issue and ensure reports are received.

Action Required: None. Please be aware of delays in the report generation for claims submitted during the time frame above.

If you have any questions, please contact Customer Support and refer to Case Number 10276621.

4/23/2026

---

Multiple Payers Electronic Claims and Remittance Connections No Longer Available

Effective April 30, 2026, the payers listed below will no longer be available at Optum for claims and remittance processing.

Optum received information that, effective Jan. 1, 2026, MDwise no longer serves as a managed care health plan for Indiana Medicaid’s Healthy Indiana Plan and Hoosier Healthwise programs. Members had the opportunity to select a new health plan by Dec. 24, 2025.

Payer Name: MDwise Hoosier Healthwise
Payer IDs: 3519M, 35191
Reason: Payer no longer in business effective April 30, 2026.

Payer Name: MDwise Healthy Indiana Plan
Payer IDs: 3135M, 31354
Reason: Payer no longer in business effective April 30, 2026.

Payers will no longer accept paper claims.

A payer notification was sent to providers announcing this change.

Additional information can be found on their website https://www.mdwise.org/mdwise/mdwise-for-providers

Action Required: Please make any necessary system changes.

4/23/2026

---

Multiple Payers Electronic Claims and Remittance Connections No Longer Available

Effective April 30, 2026, the payers listed below will no longer be available at Optum for claims and remittance processing.

Optum received information that, effective Jan. 1, 2026, MDwise no longer serves as a managed care health plan for Indiana Medicaid’s Healthy Indiana Plan and Hoosier Healthwise programs. Members had the opportunity to select a new health plan by Dec. 24, 2025.

Payer Name: MDwise Hoosier Healthwise
Claims and Remittance CPIDs: 8112, 1085
Line of Business (LOB) Code: H1L
Industry Standard Payer ID: 3519M
Reason: Payer no longer in business effective April 30, 2026.

Payer Name: MDwise Healthy Indiana Plan
Claims and Remittance CPIDs: 8113, 1086
Line of Business (LOB) Code: H1N
Industry Standard Payer ID: 3135M
Reason: Payer no longer in business effective April 30, 2026.

Payers will no longer accept paper claims.

A payer notification was sent to providers announcing this change.

Additional information can be found on their website https://www.mdwise.org/mdwise/mdwise-for-providers

Action Required: Please make any necessary system changes.

4/23/2026

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Multiple Payers Electronic Claims and Remittance Connections No Longer Available

Effective April 30, 2026, the payers listed below will no longer be available at Optum for claims and remittance processing.

Optum received information that, effective Jan. 1, 2026, MDwise no longer serves as a managed care health plan for Indiana Medicaid’s Healthy Indiana Plan and Hoosier Healthwise programs. Members had the opportunity to select a new health plan by Dec. 24, 2025.

Payer Name: MDwise Hoosier Healthwise
Claims and Remittance CPIDs: 8112, 1085
Industry Standard Payer ID: 3519M
Reason: Payer no longer in business effective April 30, 2026.

Payer Name: MDwise Healthy Indiana Plan
Claims and Remittance CPIDs: 8113, 1086
Industry Standard Payer ID: 3135M
Reason: Payer no longer in business effective April 30, 2026.

Payers will no longer accept paper claims.

A payer notification was sent to providers announcing this change.

Additional information can be found on their website https://www.mdwise.org/mdwise/mdwise-for-providers

Action Required: Please make any necessary system changes.

4/23/2026

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New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:  

Payer Name: Capital Health LIFE
Institutional CPID: 9095
Professional CPID: 4126
Industry Standard Payer ID: R3473
Line of Business (LOB) Code: H8D
Payer Enrollment Required: Yes
Remittance Fee: N/A
Payer Location: New Jersey 

Action Required: 

• Add the payers to your system to begin using the new payer connection. 
• Enrollment forms must be submitted and approved to begin receiving electronic remittance through Optum. 

4/23/2026

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Electronic Routing Change for CPIDs 8889 and 5043 Clear Spring Health

Effective April 23, 2026, Optum will be changing electronic remittance routing for the following payer:   

Payer Name: Clear Spring Health
Professional CPID: 8889
Institutional CPID: 5043
Industry Standard Payer ID: 85468
Payer Remittance Enrollment Required: Yes 

Enrollment Requirements: 

Remittance:

• Payer enrollment for electronic remittance is required. 
• Providers currently receiving electronic remittance through Optum must complete a new enrollment form. 
• New providers must complete a new enrollment form. 

Action Required: Please consider the following to allow transactions to process properly due to the above changes: 

• Make any necessary system changes. 
• When a payer requires enrollment, forms must be submitted and approved from Enrollment Central. 

4/23/2026

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Electronic Routing Change for CPIDs 8889 and 5043 Clear Spring Health

Effective April 23, 2026, Optum will be changing electronic remittance routing for the following payer: 

Payer Name: Clear Spring Health
Professional CPID: 8889
Institutional CPID: 5043
Industry Standard Payer ID: 85468
Line of Business Code (LOB): H3S
Payer Remittance Enrollment Required: Yes 

Enrollment Requirements: 

Remittance:

• Payer enrollment for electronic remittance is required. 
• Providers currently receiving electronic remittance through Optum must complete a new enrollment form. 
• New providers must complete a new enrollment form. 

Action Required: Please make the following changes to accommodate the routing change:  

• No Payer Alias changes are required. Payer name and CPIDs are not changing. 
• When a payer requires enrollment, forms must be submitted and approved from Enrollment Central. 

4/23/2026

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Electronic Payer ID and Routing Change for CPIDs 9031 and 3717 High Desert PACE

Effective April 27, 2026, Optum will be changing electronic claims payer ID and routing for the following payer:

Payer Name: High Desert PACE
Professional CPID: 3717
Institutional CPID: 9031
Current Industry Standard Payer ID: R3467
New Industry Standard Payer ID: HDP01
Payer Claim Enrollment Required: No
Secondary Claims Accepted: Yes

Enrollment Requirements:

Claims:

• Payer enrollment for electronic claims is not required.

Report Changes:

You may see some differences in the payer reports you receive.

Providers only need to include the CPID (not Payer ID) in the claim. Optum will manage the Payer ID changes for our customers.

Action Required: Please consider the following to allow transactions to process properly due to the above changes:

• Make any necessary system changes.
• When a payer requires enrollment, forms must be submitted and approved from Enrollment Central.

4/23/2026

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Electronic Payer ID and Routing Change for CPIDs 9031 and 3717 High Desert PACE

Effective April 27, 2026, Optum will be changing electronic claims payer ID and routing for the following payer:

Payer Name: High Desert PACE
Professional CPID: 3717
Current Edit Master: PE_B800
New Edit Master: PE_T007
Institutional CPID: 9031
Current Edit Master: HE9B801
New Edit Master: HE9T007
Current Industry Standard Payer ID: R3467
New Industry Standard Payer ID: HDP01
Payer Claim Enrollment Required: No
Secondary Claims Accepted: Yes

Enrollment Requirements:

Claims:

• Payer enrollment for electronic claims is not required.

Report Changes:

You may see some differences in the payer reports you receive.

Providers only need to include the CPID (not Payer ID) in the claim. Optum will manage the Payer ID changes for our customers.

Action Required: Please make the following changes to accommodate the routing change:

• Revalidate unreleased claims to edit correctly under new edit master.
• Modify any bridge routines based on edit masters.
• No Payer Alias changes are required. Payer name and CPIDs are not changing.
• When a payer requires enrollment, forms must be submitted and approved from Enrollment Central.

4/23/2026

---

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:  

Payer Name: Capital Health LIFE
Institutional CPID: 9095
Professional CPID: 4126
Industry Standard Payer ID: R3473
Payer Enrollment Required: Yes
Remittance Fee: N/A
Payer Location: New Jersey 

Action Required: 

• Add the payers to your system to begin using the new payer connection. 
• Enrollment forms must be submitted and approved to begin receiving electronic remittance through Optum. 

4/23/2026

---

New Electronic Claims Connections Available

Optum has new electronic claims connections available:  

Payer Name: Choice Physicians Network Coachellamed
Institutional CPID: 1588
Professional CPID: 1833
Industry Standard Payer ID: CPNCO
Payer Enrollment Required: No
Secondary Claims Accepted: No
Payer Location: California
Claims Fee: N/A 

Action Required:

• Add the payers to your system to begin using the new payer connection. 
• When a payer requires enrollment, forms must be submitted and approved to begin submitting transactions. 

Please note: We are providing you with a list of new electronic connections. Please review and choose payers that are appropriate for your business. 

4/23/2026

---

Report Generation Delay for multiple CPIDs

A payer intermediary is experiencing issues affecting Professional and Institutional report generation for some claims submitted since April 17, 2026.

Payers impacted:

• CPID 1492 New Mexico Medicaid
• CPID 5562 New Mexico Medicaid
• CPID 1856 UnitedHealthcare New Mexico Medicaid
• CPID 2690 UnitedHealthcare New Mexico Medicaid

Optum is working diligently with the payer intermediary to resolve the issue and ensure reports are received.

Action Required: None. Please be aware of delays in the report generation for claims submitted during the time frame above.

If you have any questions, please contact Customer Support and refer to Case Number 10276268.

4/23/2026

---

Report Generation Delay for CPIDs 6802 and 6695 Report Generation Delay for CPIDs 6802 and 6695

A payer is experiencing issues affecting Professional and Institutional report generation for some claims submitted March 31, 2026.

Payer impacted: 

• CPID 6802 Center for Elders Independence
• CPID 6695 Center for Elders Independence

Optum is working diligently with the payer to resolve the issue and ensure reports are received.

Action Required: None. Please be aware of delays in the report generation for claims submitted during the time frame above.

If you have any questions, please contact Customer Support and refer to Case Number 10273951.

4/22/2026

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BCBS Western New York Eligibility Transactions

Please be advised that Blue Cross Blue Shield of Western New York is now processing Eligibility (270/271) transactions, effective April 20, 2026.

Action Required by customer:
Please update your system to take advantage of this payer transaction. For assistance with submitting Real-Time transactions, please contact your Practice Management System Vendor or Optum Customer Care Hub ticket.

Moving forward, for assistance or support requests, please use the following option:

• Customer Care Hub Portal: Submit a ticket through the Customer Care Hub at https://customercare.optum.com/public/home.html
  • Please note: If you are not currently registered, you will need to complete the registration process before submitting a ticket.

Updated Payer Lists may be obtained from your software vendor or Payer List Portal.

4/22/2026

---

Report Generation Delay for CPID 1258 Global Healthcare Alliance

A payer intermediary is experiencing issues affecting Professional report generation for some claims submitted on April 7, 2026.

Payer impacted: 

• CPID 1258 Global Healthcare Alliance

The payer intermediary has been unable to generate and deliver the reports.

Action Required: None. Please resubmit claims if payment has not been received.

If you have any questions, please contact Customer Support and refer to Case Number 10274320.

4/22/2026

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Edit Master for CPIDs 9736 and 8016 Aligned Community Physicians and CPIDs 9423 and 7040 All United Medical Group IPA

Effective April 22, 2026, Optum will be changing Edit Masters for the following payers:

Payer Name: Aligned Community Physicians
Professional CPID: 9736
Current Edit Master: PE_O007
New Edit Master: PE_T007
Institutional CPID: 8016
Current Edit Master: HE9O007
New Edit Master: HE9T007
Industry Standard Payer ID: ACP17

Payer Name: All United Medical Group IPA
Professional CPID: 9423
Current Edit Master: PE_O007
New Edit Master: PE_T007
Institutional CPID: 7040
Current Edit Master: HE9O007
New Edit Master: HE9T007
Industry Standard Payer ID: AUMG1

Action Required: Please make the following changes to accommodate the routing change:

• Revalidate unreleased claims to edit correctly under new edit master.
• Modify any bridge routines based on the edit master.
• No Payer Alias changes are required. Payer names and CPIDs are not changing.

4/22/2026

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New Electronic Eligibility and Claim Status Connection Available

Optum is pleased to announce the availability of Real-time Eligibility Inquiry and Response 270/271 and Claim Status Inquiry and Response 276/277 for the below payer, effective April 21, 2026:

Payer Name: South Country Health Alliance
Industry Payer ID: 81600
IMN Real Time ID: 81600
Exchange Real Time ID: SOCHA
CPID(s): 1039, 7868
IEDI Real Time ID: 14322, 14323
Payer Enrollment Required: No
Connection Type: X12

Search Options:

Eligibility Subscriber

• Member ID, First Name, Last Name, Date of Birth
• Member ID, Date of Birth

Claim Status Inquiry subscriber

• Member id, first name, last name, date of birth, Total Claim Charge Amount If amount is unknown, send 0.

4/22/2026

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Report Generation Delay for CPID 9057 Sentara PACE

A payer intermediary is experiencing issues affecting Institutional report generation for some claims submitted on April 6, 2026.

Payer impacted: 

• CPID 9057 Sentara PACE

The payer intermediary has been unable to generate and deliver the reports.

Action Required: None. Please resubmit claims if payment has not been received.

If you have any questions, please contact Customer Support and refer to Case Number 10274280.

4/22/2026

---

Report Generation Delay for CPIDs 7030 and 9414 Evry Health

A payer intermediary is experiencing issues affecting Institutional and Professional report generation for some claims submitted since April 6, 2026.

Payer impacted: 

• CPID 7030 Evry Health
• CPID 9414 Evry Health

Optum is working diligently with the payer intermediary to resolve the issue and ensure reports are received.

Action Required: None. Please be aware of delays in the report generation for claims submitted during the time frame above.

If you have any questions, please contact Customer Support and refer to Case Number 10274198.

4/22/2026

---

Report Generation Delay for CPID 6671 HealthSun

A payer intermediary is experiencing issues affecting Institutional report generation for some claims submitted March 25, 2026.

Payer impacted: 

• CPID 6671 HealthSun

The payer intermediary has been unable to generate and deliver the reports.

Action Required: None. Please resubmit claims if payment has not been received.

If you have any questions, please contact Customer Support and refer to Case Number 10274049.

4/22/2026

---

Report Generation Delay for CPID 2803 UPMC Health Plan

The payer listed below is experiencing issues affecting Professional report generation for some claims submitted April 15, 2026.

Payer impacted: 

• CPID 2803 UPMC Health Plan

Optum is working diligently with the payer to resolve the issue and ensure reports are received.

Action Required: None. Please be aware of delays in the report generation for claims submitted during the time frame above.

If you have any questions, please contact Customer Support and refer to Case Number 10274001.

4/22/2026

---

Update - Tricare For Life, East, and West Real-Time Eligibility and Claim Status Errors

April 22, 2026 Update
The payer intermediary confirmed they implemented a change per DHA’s request April 9, 2026 and it did not provide any relief. The payer intermediary is planning to implement a second change that DHA has recommended in the next few weeks.

Update sent April 2, 2026
We want to share an update regarding a temporary issue affecting real‑time transactions submitted through Optum for TRICARE for Life, East, and West.

At this time:

• Real‑time Eligibility (270/271) transactions may return an AAA42 error
• Claim Status (276/277) transactions may return STC error E0:484

These messages are the result of a temporary system issue on the payer’s side that indicate no response is available. There is no issue with your submission or your connection to Optum. The payer intermediary is currently testing a potential fix.

Original Notify sent March 18, 2026:
We want to make you aware of a current issue affecting real-time 270/271 eligibility and 276/277 transactions submitted through Optum for Tricare for Life, East, and West.

Some transactions may return the message: "System Not Responding, please resubmit."

This response is due to a temporary system issue on the payer's side. Your transaction was received correctly, and there is no issue with your submission or your connection to Optum.

Payer Name: Tricare East
Payer ID: 99727
Transaction: Real Time Eligibility and Claim Status

Payer Name: Tricare West
Payer ID: 99726
Transaction: Real Time Eligibility and Claim Status

Payer Name: Tricare for Life
Payer ID: TRLIF
Transaction: Real Time Eligibility and Claim Status

What You Should Know:

• The issue is isolated to real-time eligibility and claim status transactions.
• It is being actively investigated and prioritized by the payer.
• There is no estimated time for resolution (ETA) at this moment.

What You Can Do:

• Please wait a few minutes and resubmit the transaction.
• If needed, consider using alternate eligibility verification methods until the issue is resolved.
• No action is needed on your part to correct or troubleshoot the issue.

We understand the importance of timely eligibility and claim status responses. We continue working closely with the payer to support resolution. We will share updates as they become available.

If you have any questions, please contact Customer Support and refer to Global Incident Number INC-000004096.

4/22/2026

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Eligibility termination for payer ID FCC01 on Revenue Performance Advisor

Real Time Eligibility 270/271 for the payer listed below is no longer available at Optum, on the Revenue Performance Advisor (RPA) system, effective immediately.

Payer Name: First Carolina Care
RPA Payer ID: FCC01

Reason: The runout period has ended. Payer will no longer offer an electronic connection.

Action Required: Providers should review the patient's current insurance ID card for claim filing information. Remove the above Payer ID within your practice management software or contact your software vendor for assistance, as needed.

4/22/2026

---

Eligibility Processing Issue Providence RP070

We would like to give you awareness of a payer processing issue that could potentially impact your business.

Providence is currently experiencing processing issues impacting real-time eligibility transactions for Payer ID RP070. As a result, all 270/271 eligibility transactions to this payer have been temporarily paused.

Providers and trading partners are advised to hold all transactions destined for RP070 until further notice. Updates will be communicated as soon as processing has been restored and it is safe to resume submissions.

We appreciate your patience and understanding while this issue is being addressed.

4/21/2026

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Electronic Eligibility Connection No Longer Available

Effective immediately, Real Time Eligibility 270/271 for the payer listed below will no longer be available at Optum.

Payer Name: Health Alliance Medical Plans of Illinois
Industry Payer ID: 77950
IMN Real Time ID: HALLS
Exchange Real Time ID: HLTAIL
Portal Payer ID: HLTAL1
CPID(s): 2509, 2494
Optum IEDi Real Time ID: 77950
Connection Type: X12 and Portal

Reason: The runout period has ended. Payer no longer offers an electronic connection.

Action Required: None

4/21/2026

---

New Payer Edit for CPID 2138

The payer listed below has informed Optum of a new edit requirement effective immediately. In order to meet the new requirement, we will add the following edit on April 27, 2026:

• PSBR09A015: MISSING/INVALID FILING INDICAT - The Active Subscriber Filing Indicator Code must be Q. Notes: 1. If this requirement does not apply to your billing situation, you can override the edit within the Error Text. 2. Q Automobile Medical LOOP 2000B SBR09

 Edit applies to: 

• CPID 2138 AMERICAN FAMILY INSURANCE

Action Required: Please be aware of updated edit requirements.

4/21/2026

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New Payer Edit for CPID 4907

The payer listed below has informed Optum of a new edit requirement effective immediately. In order to meet the new requirement, we will add the following edit on April 27, 2026:

• ISBR09A017: MISSING/INVALID FILING INDICAT - The Active Subscriber Filing Indicator Code must be Q. Notes: 1. If this requirement does not apply to your billing situation, you can override the edit within the Error Text. 2. Q Automobile Medical LOOP 2000B SBR09

 Edit applies to: 

• CPID 4907 AMERICAN FAMILY INSURANCE

Action Required: Please be aware of updated edit requirements.

4/21/2026

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Report Generation Delay for CPID 1928 Medical Associates Health Plan

The payer listed below is experiencing issues affecting Institutional report generation for some claims submitted on April 10, 2026.

Payer impacted: 

• CPID 1928 Medical Associates Health Plan

Optum is working diligently with the payer to resolve the issue and ensure reports are received.

Action Required: None. Please be aware of delays in the report generation for claims submitted during the time frame above.

If you have any questions, please contact Customer Support and refer to Case Number 10272444.

4/21/2026

---

Report Generation Delay for CPID 7146 Camp Lejeune Family Member Program

The payer listed below is experiencing issues affecting Professional report generation for some claims submitted on April 14, 2026.

Payer impacted: 

• CPID 7146 Camp Lejeune Family Member Program

The payer has been unable to generate and deliver the reports.

Action Required: None. Please resubmit claims if payment has not been received.

If you have any questions, please contact Customer Support and refer to Case Number 10272317

4/21/2026

---

Edit Master for multiple payers
Optum is changing Edit Masters for the following payers, effective April 21, 2026:

Payer Name: Centinela Valley IPA
Professional CPID: 5868
Current Edit Master: PE_O007
New Edit Master: PE_T007
Institutional CPID: 8689
Current Edit Master: HE9O007
New Edit Master: HE9T007
Industry Standard Payer ID: MPM03 

Payer Name: Calvo's SelectCare Health Plans
Professional CPID: 8835
Current Edit Master: PE_O007
New Edit Master: PE_T007
Institutional CPID: 4094
Current Edit Master: HE9O007
New Edit Master: HE9T007
Industry Standard Payer ID: CALSC 

Action Required: Please make the following changes to accommodate the routing change: 

• Revalidate unreleased claims to edit correctly under new edit master.  
• Modify any bridge routines based on the edit master.  
• No Payer Alias changes are required. Payer names and CPIDs are not changing.

4/21/2026

---

Report Generation Delay for CPIDs 7567 and 7499 Sentara Health Plans

A payer intermediary is experiencing issues affecting Institutional and Professional report generation for some claims submitted since April 4, 2026.

Payer impacted: 

• CPID 7567 Sentara Health Plans
• CPID 7499 Sentara Health Plans

Optum is working diligently with the payer intermediary to resolve the issue and ensure reports are received.

Action Required: None. Please be aware of delays in the report generation for claims submitted during the time frame

If you have any questions, please contact Customer Support and refer to Case Number 10272655.

4/21/2026

---

Report Generation Delay for CPID 6987 Veterans Affairs Financial Services Center

The payer listed below is experiencing issues affecting Institutional report generation for some claims submitted March 26, 2026.

Payer impacted: 

• CPID 6987 Veterans Affairs Financial Services Center

The payer has been unable to generate and deliver the reports.

Action Required: None. Please resubmit claims if payment has not been received.

If you have any questions, please contact Customer Support and refer to Case Number 10272386.

4/21/2026

---

Eligibility termination for payer ID 09830 on Revenue Performance Advisor

Real Time Eligibility 270/271 for the payer listed below is no longer available at Optum, on the Revenue Performance Advisor (RPA) system effective immediately.

Payer Name: University Family Care
RPA Payer ID: 09830 

Reason: Payer no longer offers an electronic connection.

Action Required: Providers should review the patient's current insurance ID card for claim filing information. Remove the above Payer ID within your practice management software or contact your software vendor for assistance, as needed.

4/21/2026

---

New Electronic Claims Connections Available

Optum has new electronic claims connections available:

Payer Name: Healthchoice Select
Institutional CPID: 9098
Professional CPID: 4137
Industry Standard Payer ID: 71070
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: Oklahoma
Claims Fee: $0.10

Action Required: 

• Add the payers to your system to begin using the new payer connection.

When a payer requires enrollment, forms must be submitted and approved to begin submitting transactions.

Please note: We are providing you with a list of new electronic connections. Please review and choose payers that are appropriate for your business. 

4/20/2026

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Edit Master for CPID 9737 Affiliated Partners IPA

Effective April 20, 2026, Optum is changing Edit Masters for the following payer:

Payer Name: Affiliated Partners IPA
Professional CPID: 9737
Current Edit Master: PE_O007
New Edit Master: PE_T007
Industry Standard Payer ID: POP09

Action Required: Please make the following changes to accommodate the routing change:

• Revalidate unreleased claims to edit correctly under new edit master.
• Modify any bridge routines based on the edit master.
• No Payer Alias changes are required. Payer name and CPID are not changing.

4/20/2026

---

Edit Master for CPID 6463 Alliance Behavioral Healthcare

Effective April 20, 2026, Optum is changing Edit Masters for the following payer:

Payer Name: Alliance Behavioral Healthcare
Professional CPID: 6463
Current Edit Master: PE_O007
New Edit Master: PE_T007
Industry Standard Payer ID: 23071

Action Required: Please make the following changes to accommodate the routing change:

• Revalidate unreleased claims to edit correctly under new edit master.
• Modify any bridge routines based on the edit master.
• No Payer Alias changes are required. Payer name and CPID are not changing.

4/20/2026

---

Report Generation Delay for CPIDs 2872 and 5979 TRICARE East Region

A payer intermediary is experiencing issues affecting Professional and Institutional report generation for some claims submitted since April 3, 2026.

Payers impacted:

• CPID 2872 TRICARE East Region
• CPID 5979 TRICARE East Region

Optum is working diligently with the payer intermediary to resolve the issue and ensure reports are received.

Action Required: None. Please be aware of delays in the report generation for claims submitted during the time frame above.

If you have any questions, please contact Customer Support and refer to Case Number 10270656.

4/20/2026

---

Update: Report Generation Delay for CPID 2708 StandardHealth with Health Choice (HCS)

Update: The payer intermediary has been unable to generate and deliver the reports for some claims submitted March 16, 2026.

Action Required: Please resubmit claims if payment has not been received.

Original notice sent March 27, 2026:
A payer intermediary is experiencing issues affecting Professional report generation for some claims submitted March 16, 2026.

Payer impacted: 

• CPID 2708 StandardHealth with Health Choice (HCS)

Optum is working diligently with the payer intermediary to resolve the issue and ensure reports are received.

Action Required: None. Please be aware of delays in the report generation for claims submitted during the time frame above.

If you have any questions, please contact Customer Support and refer to Case Number 10239324.

4/20/2026

---

Update: Report Generation Delay for CPID 6868 Ultimate Health Plans

Update: The payer intermediary has been unable to generate and deliver the reports for some claims submitted March 26, 2026.

Action Required: Please resubmit claims if payment has not been received.

Original notice sent April 7, 2026:
A payer intermediary is experiencing issues affecting Professional report generation for some claims submitted March, 26 2026.

Payer impacted: 

• CPID 6868 Ultimate Health Plans

Optum is working diligently with the payer intermediary to resolve the issue and ensure reports are received.

Action Required: None. Please be aware of delays in the report generation for claims submitted during the time frame above.

If you have any questions, please contact Customer Support and refer to Case Number 10252738.

4/20/2026

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Electronic Claims Connection Suspended

Effective immediately, the payer listed below has been suspended at Optum for claim processing and removed from the payer list.

Payer Name: Morris Associates
CPIDs: 3998, 4424
Industry Standard Payer ID: 35092

Reason: Payer unavailable electronically.

Action Required: Please refrain from submitting claims until further notice.

4/20/2026

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Electronic Claims and Remittance Connections No Longer Available

Effective immediately, the payer listed below will no longer be available at Optum for claims or remittance processing. 

Payer Name: Health Share of Oregon (Mental Health)
Payer ID: 77122 

Reason: Payer no longer offers an electronic connection. 

Payer will no longer accept paper claims. 

Action Required: Please make any necessary system changes. 

4/17/2026

---

Resolved 835 Delay for CPIDs 3429, 3550 UnitedHealthcare

Resolved: All missing 835s for UnitedHealthcare CPIDs 3429, 3550 with a payment date of April 10, 2026 have been received and processed. Please allow up to 24 hours for posting to complete. 

Original notify sent April 16, 2026:

We would like to give you awareness of a payer processing issue that could potentially impact your business.

Some 835s for UnitedHealthcare CPIDs 3429, 3550 are delayed at the payer for payment date April 10, 2026. A ticket has been opened with the payer for further research.

• CPID 3429 UnitedHealthcare 
• CPID 3550 UnitedHealthcare

Action Required: No submitter action is currently required. An additional notice will be sent once the 835s are received and posted out to trading partners. If the provider receives EFTs, copies of the 835s can be downloaded online at http://optum.com/optumpay.

If you have any questions, feel free to contact your Customer Support Team and refer to Case Number INC-000004562.

4/17/2026

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Hawaii Medical Assurance Association Electronic Eligibility Connection No Longer Available

Effective immediately, Real Time Eligibility 270/271 for the payer listed below will no longer be available at Optum.

Payer Name: Hawaii Medical Assurance Association
Industry Payer ID: 48330
IMN Real Time ID: 48330
Exchange Real Time ID:HMAASC/ HMAA1
CPIDs: 1902, 2280
Optum iEDI Real Time ID:11125
Connection Type: X12/ Portal

Reason: Payer no longer offers an electronic connection.

Action Required: None

4/17/2026

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Resolved 835 Delay for Payer ID 87726 UnitedHealthcare

Resolved: All missing 835s for UnitedHealthcare payer ID 87726 with a payment date of April 10, 2026 have been received and processed. Please allow up to 24 hours for posting to complete. 

Original notify sent April 16, 2026:

We would like to give you awareness of a payer processing issue that could potentially impact your business.

Some 835s for UnitedHealthcare payer ID 87726 are delayed at the payer for payment date April 10, 2026. A ticket has been opened with the payer for further research.

• Payer ID 87726 UnitedHealthcare

Action Required: No submitter action is currently required. An additional notice will be sent once the 835s are received and posted out to trading partners. If the provider receives EFTs, copies of the 835s can be downloaded online at http://optum.com/optumpay.

If you have any questions, feel free to contact your Customer Support Team and refer to Case Number INC-000004562.

4/17/2026

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Health Share of Oregon (Mental Health) Electronic Claims, Remittance, and Eligibility Connections No Longer Available

Effective immediately, the payer listed below will no longer be available at Optum for claims, remittance, and eligibility processing. 

Payer Name: Health Share of Oregon (Mental Health)
Claims and Remittance CPIDs: 4582, 1250
Line of Business (LOB) Code: H59
RTE Payer ID: ORHSM
Industry Standard Payer ID: 77122 

Reason: Payer no longer offers an electronic connection. 

Payer will no longer accept paper claims. 

Action Required: Please make any necessary system changes. 

Action Required: Note - Real Time transactions are no longer available for Assurance Reimbursement Management submitters when claim connections are terminated. 

4/17/2026

---

Resolved: Delay in Electronic Remittance Advice (ERA) for Payer IDs 99727, 99726 Tricare East and West Region

Resolved: This issue is resolved. All impacted ERAs have been processed.

Original Notification sent April 10, 2026
Due to a payer processing issue, there has been a delay in Professional and Institutional Electronic Remittance Advice (ERA) for the following payers for the check dates of April 1, 2026-April 3, 2026. 

• Payer ID 99727 Tricare East Region
• Payer ID 99726 Tricare West Region

Additional updates will be forwarded as more information becomes available.

Action Required: Please be aware of a delay in the delivery of ERA for check dates above.

If you have any questions, feel free to contact your Customer Support Team and refer to Case Number INC-000004520.

4/17/2026

---

Payer Change for Group Benefit Service

Claims currently exchanged with the following payer must use different CPIDs, effective immediately.

Payer Name: Group Benefit Service
Payer ID: CB951

Claims must begin using the following:

Payer Name: Group Benefit Services
Payer ID: 80241

Payer ID CB951 will be terminated effective May 15, 2026.

Enrollment Requirements:

Claims:

• Payer enrollment for electronic claims is not required.

Action Required:

Please be aware of the changes above and make any necessary changes in your system.

4/17/2026

---

New Electronic Claims and Remittance Connections Available

Optum has new electronic claims and remittance connections available:

Payer Name: Franciscan Health Hammond
Payer ID: FRN01
Payer Claim Enrollment Required: No
Payer Remittance Enrollment Required: Yes
Secondary Claims Accepted: Yes
Payer Location: Indiana

Action Required:

• Add the payers to your system to begin using the new payer connection.
• When a payer requires claims enrollment, forms must be submitted and approved to begin submitting transactions.
• Enrollment forms must be submitted and approved to begin receiving electronic remittance through Optum.

Please note: We are providing you with a list of new electronic connections. Please review and choose payers that are appropriate for your business. 

4/17/2026

---

Update: Delay in Electronic Remittance Advice (ERA) for Payer IDs: 99726, 99727

Update: Several impacted ERAs from check date April 3, 2026 have been processed. We are still working with the payer on the additional dates. Additional notifications will be sent as updates become available.

Original Notification sent April 10:

Due to a payer processing issue, there has been a delay in Professional and Institutional Electronic Remittance Advice (ERA) for the following payers for the check dates of April 1, 2026-April 3, 2026.

• Payer ID 99727 Tricare East Region
• Payer ID 99726 Tricare West Region

Additional updates will be forwarded as more information becomes available.

Action Required: Please be aware of a delay in the delivery of ERA for check dates above.

If you have any questions, feel free to contact your Customer Support Team and refer to Case Number INC-000004520.

4/17/2026

---

Electronic Claims Connections Suspended

The payers listed below have been suspended at Optum for claim processing and removed from the payer list, effective immediately.

Payer Name: AmeraPlan
Payer ID: 38219
Reason: Payer unavailable electronically.

Payer Name: Erisa Administrative Services
Payer ID: 74234, TH110
Reason: Payer unavailable electronically.

Action Required: Please refrain from submitting claims until further notice.

4/17/2026

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New Electronic Claims Connections Available on Revenue Performance Advisor

Institutional claim transactions have recently been added to the Revenue Performance Advisor (RPA) system for the following payers:

14829 – Co-ordinated Benefit Plans
27154 – Arizona Priority Care Plus
29084 – American Collective LP
34242 – Captrue Benefits
87748 – UnitedHealthcare New Mexico Medicaid
87871 – AdminOne
ABLPY – AblePay Health
CVH01 – Central Valley Medical Group (CVMG)
ISCN1 – IntegraNet Health SCAN
LALA1 – Lagniappe Advantage
LV700 – Berkley Entertainment
MLNNM – Molina New Mexico Medicaid
NMPHP – Presbyterian Health Plan New Mexico Medicaid
TRIA1 – PACE of the Triad

Professional claim transactions have recently been added to the Revenue Performance Advisor (RPA) system for the following payers:

14829 – Co-ordinated Benefit Plans
29084 – American Collective LP
34242 – Captrue Benefits
87748 – UnitedHealthcare New Mexico Medicaid
87871 – AdminOne
ABLPY – AblePay Health
CFWB1 – Optum San Diego Public Sector CFWB
CFWMC – Optum San Diego Public Sector CFWB Medi-Cal
CVH01 – Central Valley Medical Group (CVMG)
ISCN1 – IntegraNet Health SCAN
LALA1 – Lagniappe Advantage
LV700 – Berkley Entertainment
MLNNM – Molina New Mexico Medicaid
NMPHP – Presbyterian Health Plan New Mexico Medicaid
TRIA1 – PACE of the Triad

4/17/2026

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New Electronic Remittance (ERA) Connections Available on Revenue Performance Advisor

ERA (Remittance) transactions have recently been added to the Revenue Performance Advisor (RPA) system for the following payers:

CNPY1 – Canopy
VS402 – Vault Administrative Services

ERA enrollment/set up is required for all ERA transactions on Revenue Performance Advisor. You can access the payer enrollment intake form on the Revenue Performance Advisor (RPA) restoration resources page in the User Community.

If you’re in Revenue Performance Advisor, you can also open the Revenue Performance Advisor Resource Center, click the Quick Reference Guides tab, and then click the Billing Provider Enrollment link to find the payer enrollment intake form.

4/17/2026

---

New Real Time Connections Available on Revenue Performance Advisor

Eligibility transactions have recently been added to the Revenue Performance Advisor (RPA) system for the following payers:

52461 – March Vision Care
93975 – CareOregon
BSKAI – SKAI Blue Cross Blue Shield
CNTYF – Country Life Insurance Company
DCA62 – Direct Care Administrators

Claim Status Inquiry transactions have recently been added to the Revenue Performance Advisor (RPA) system for the following payers:

37077 – Colonial Penn Life Insurance Company
37287 – Planned Administrators
52461 – March Vision Care
91136 – Welfare Pension Administration
BSKAI – SKAI Blue Cross Blue Shield
DCA62 – Direct Care Administrators
SB850 – Pennsylvania Medicaid

4/17/2026

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New Payer ID and Electronic Routing Change for CPIDs 1252 and 4583 West Virginia Senior Advantage

Optum is changing the payer ID and electronic claims routing for the following payer, effective April 16, 2026:

Payer Name: West Virginia Senior Advantage
Old Payer ID: WVS01
New Payer ID: 70023
Payer Claim Enrollment Required: No
Secondary Claims Accepted: Yes

Payer ID WVS01 will be terminated effective May 15, 2026.

Enrollment Requirements
Claims:

• Payer enrollment for electronic claims is not required.

Report Changes:
You may see some differences in the payer reports you receive.

Action Required: Please consider the following to allow transactions to process properly due to the above changes:

• Make any necessary system changes.

4/17/2026

---

Payer Consolidations

Effective May 22, 2026, claims currently exchanged with the following payer must use a different payer ID:

Payer Name: Healthcare Highways Health Plan
Payer ID: HCH01
Claim Type: Institutional and Professional

Payer ID HCH01 will be terminated effective May 22, 2026.

Providers must begin using the following ID for electronic claims:
Payer ID: HCHHP

Payer Name: Hollywood Presbyterian Medical Center - Preferred IPA
Payer ID: AMM18, MPM29
Claim Type: Institutional and Professional

Payer IDs AMM18 and MPM29 will be terminated effective May 22, 2026.

Providers must begin using the following ID for electronic claims:
Payer ID: 10910

Payer Name: Indian Health Services
Payer ID: 12X75
Claim Type: Institutional
Payer ID: SX171
Claim Type: Professional

Payer IDs 12X75 and SX171 will be terminated effective May 22, 2026.

Providers must begin using the following ID for electronic claims:
Payer ID: 00290

Payer Name: Primewell Health Services
Payer ID: 72128
Claim Type: Professional

Payer ID 72128 will be terminated effective May 22, 2026.

Providers must begin using the following ID for electronic claims:
Payer ID: 77701

Payer Name: Quartz ASO
Payer IDs: 66705, 46571, 39156
Claim Type: Institutional and Professional

Payer IDs 66705, 46571, and 39156 will be terminated effective May 22, 2026.

Providers must begin using the following ID for electronic claims:
Payer ID: 39180

Payer Name: Sutter Gould Medical Foundation
Payer ID: 77302, IP091
Claim Type: Institutional and Professional

Payer IDs 77302 and IP091 will be terminated effective May 22, 2026.

Providers must begin using the following ID for electronic claims:
Payer ID: SC003

Payer Name: Umpqua Health Alliance
Payer ID: 77502, 77503
Claim Type: Institutional and Professional

Payer IDs 77502 and 77503 will be terminated effective May 22, 2026.

Providers must begin using the following ID for electronic claims:
Payer ID: 77505

Enrollment Requirements:
Claims:

• Payer enrollment for electronic claims is not required.

Action Required:

• Please be aware of the changes above and make any necessary changes in your system.

4/17/2026

---

New Electronic Claims Connections Available

Optum has new electronic claims connections available:

Payer Name: Advanced Medical Doctors of California
Payer ID: AMDC1
Transaction Type: Professional
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: California

Payer Name: Benefit Coordinators Corporation
Payer ID: 25145
Transaction Type: Professional
Payer Enrollment Required: No
Secondary Claims Accepted: No
Payer Location: National

Payer Name: Blue Cross Blue Shield of South Carolina Planned Administrators, Inc. (PAI)
Payer ID: 00886
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: South Carolina

Payer Name: Camp Lejeune Family Member Program
Payer ID: CLFM1
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: North Carolina

Payer Name: Capital Health LIFE
Payer ID: R3473
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: New Jersey 

Payer Name: Desert Valley Medical Group
Payer ID: DVMC1
Transaction Type: Institutional
Payer Enrollment Required: No
Secondary Claims Accepted: No
Payer Location: California

Payer Name: Fidelity Security Life
Payer ID: FSL01
Payer Enrollment Required: No
Secondary Claims Accepted: No
Payer Location: National

Payer Name: Independent Living Systems
Payer ID: 81397
Payer Enrollment Required: No
Secondary Claims Accepted: No
Payer Location: California

Payer Name: IN Physicians Associates IPA
Payer ID: INP12
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: California

Payer Name: IU Health Transplant
Payer ID: 47262
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: Indiana

Action Required: 

• Add the payers to your system to begin using the new payer connection.

Please note: We are providing you with a list of new electronic connections. Please review and choose payers that are appropriate for your business.

4/17/2026

---

Eligibility Search options change

Optum is pleased to announce the availability of Real-time Eligibility Inquiry and Response 270/271 for the below payer. Additionally effective April 15, 2026, please be advised that the Payer search options has changed.

Payer Name: Kansas Medicaid
Industry Payer ID:SKKS0
IMN Real Time ID: SKKS0
Exchange Real Time ID: KSCAID
CPID(s): 1485 (P), 5520 (I)
IEDI Real Time ID: KSMCD
Payer Enrollment Required: No
Connection Type: X12
Fee: $.04

Search Options:
Eligibility Subscriber

• Member ID, First Name, Last Name, Date of Birth
• Member ID

4/17/2026

---

Resolved: Delay in Electronic Remittance Advice (ERA) for multiple CPIDs

Resolved: This issue is resolved. All impacted ERAs have been processed.

Original Notification sent April 10, 2026
Due to a payer processing issue, there has been a delay in Professional and Institutional Electronic Remittance Advice (ERA) for this payer for the check dates of April 1, 2026-April 3, 2026.

• CPID 2872 Tricare East Region
• CPID 5979 Tricare East Region
• CPID 5648 Tricare West Region
• CPID 6286 Tricare West Region

Additional updates will be forwarded as more information becomes available.

Action Required: Please be aware of a delay in the delivery of ERA for check dates above.

If you have any questions, feel free to contact your Customer Support Team and refer to Case Number INC-000004520.

4/17/2026

---

New Electronic Claim Status Connection Available

Optum is pleased to announce the availability of Real-time Claim Status Inquiry and Response 276/277 for the below payer, effective April 15, 2026:

Payer Name: Kansas Medicaid
Industry Payer ID:SKKS0
IMN Real Time ID: SKKS0
Exchange Real Time ID: KSCAID
CPID(s): 1485 (P), 5520 (I)
IEDI Real Time ID: KSMCD
Payer Enrollment Required: No
Connection Type: X12

Search Options:
Claim Status Inquiry subscriber

• Member id, First name, Last name, Date of Birth

Optional additional elements:

• Payer claim number, Total submitted charges

4/17/2026

---

Update: Delay in Electronic Remittance Advice (ERA) for CPIDs 2872, 5979, 5648, 6286

Update: Several impacted ERAs from check date April 3, 2026 have been processed. We are still working with the payer on the additional dates. Additional notifications will be sent as updates become available.

Original Notification sent April 10, 2026
Due to a payer processing issue, there has been a delay in Professional and Institutional Electronic Remittance Advice (ERA) for this payer for the check dates of April 1, 2026-April 3, 2026.

• CPID 2872 Tricare East Region
• CPID 5979 Tricare East Region
• CPID 5648 Tricare West Region
• CPID 6286 Tricare West Region

Additional updates will be forwarded as more information becomes available.

Action Required: Please be aware of a delay in the delivery of ERA for check dates above.

If you have any questions, feel free to contact your Customer Support Team and refer to Case Number INC-000004520.

4/16/2026

---

Health Share of Oregon (Mental Health) Electronic Claims and Remittance Connections No Longer Available

The payer listed below is no longer available at Optum for claims and remittance processing, effective immediately.

Payer Name: Health Share of Oregon (Mental Health)
Claim and Remittance CPIDs: 4582, 1250
Industry Standard Payer ID: 77122
Reason: Payer no longer offers an electronic connection. 

Action Required: Please make any necessary system changes. 

4/16/2026

---

Health Share of Oregon (Mental Health) Electronic Claims, Remittance, and Eligibility Connections No Longer Available

Effective immediately, the payer listed below will no longer be available at Optum for claims, remittance, and eligibility processing. 

Payer Name: Health Share of Oregon (Mental Health)
Claims and Remittance CPIDs: 4582, 1250
Line of Business (LOB) Code: H59
RTE Payer ID: ORHSM
Industry Standard Payer ID: 77122 

Reason: Payer no longer offers an electronic connection. 

Payer will no longer accept paper claims. 

Action Required: Please make any necessary system changes. 

Action Required: Note - Real Time transactions are no longer available for Assurance Reimbursement Management submitters when claim connections are terminated. 

4/16/2026

---

New Electronic Claims Connections Available

Optum has new electronic claims connections available:  

Payer Name: Capital Health LIFE
Institutional CPID: 9095
Professional CPID: 4126
Industry Standard Payer ID: R3473
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: New Jersey
Claims Fee: N/A 

Action Required: 

• Add the payers to your system to begin using the new payer connection. 
• When a payer requires enrollment, forms must be submitted and approved to begin submitting transactions. 

Please note: We are providing you with a list of new electronic connections. Please review and choose payers that are appropriate for your business.

4/16/2026

---

Update: Invalid Error Message for CPIDs 5547/4426 Arizona Blue Cross Blue Shield

Update: The payer has advised that the impacted claims will be reprocessed within 1 business day and a new updated status will be sent. This issue is still under review with the payer. Additional notifications will be sent as updates become available.

Original notify sent on: March 27, 2025

Due to a payer processing issue, Professional and Institutional claims for the payer listed below may have received the following invalid error message on the Payer Claim Data Report (SR), Payer Claim Data Report (SE), Payer Report Data File (SF):

• Reject Code: 601
• Message: CLM: MISPLACED SEGMENT DTP (DATE - REPRICER RECEIVED DATE) AT 2-1350 WITHIN LOOP CLM (2300)(CLAIM INFORMATION) AT 2-1300, THIS SEGMENT, LOOP/GROUP MAY NOT BE IN THE CORRECT POSITION FOR LOOP/GROUP

This issue began November 2024 and is still ongoing. The payer is working to resolve the invalid error message in their system. Currently, the payer does not have an ETA on correcting the error, however any affected claims can be resubmitted.

Payers affected:

• 5547 Arizona Blue Cross Blue Shield
• 4426 Arizona Blue Cross Blue Shield

Action Required: Please be aware of the invalid error message.

4/16/2026

---

Update: Invalid Error Message for CPIDs 5547/4426 Arizona Blue Cross Blue Shield

Update: The payer has advised that the impacted claims will be reprocessed within 1 business day and a new updated status will be sent. This issue is still under review with the payer. Additional notifications will be sent as updates become available.

Original notify sent on: March 27, 2025

Due to a payer processing issue, Professional and Institutional claims for the payer listed below may have received the following invalid error message on the Payer Claim Data Report (SR), Payer Claim Data Report (SE), Payer Report Data File (SF):

• Reject Code: 601
• Message: CLM: MISPLACED SEGMENT DTP (DATE - REPRICER RECEIVED DATE) AT 2-1350 WITHIN LOOP CLM (2300)(CLAIM INFORMATION) AT 2-1300, THIS SEGMENT, LOOP/GROUP MAY NOT BE IN THE CORRECT POSITION FOR LOOP/GROUP

This issue began November 2024 and is still ongoing. The payer is working to resolve the invalid error message in their system. Currently, the payer does not have an ETA on correcting the error, however any affected claims can be resubmitted.

Payers affected:

• 5547 Arizona Blue Cross Blue Shield
• 4426 Arizona Blue Cross Blue Shield

Action Required: Please be aware of the invalid error message.

4/16/2026

---

Real Time Eligibility Connection No Longer Available

Effective immediately, Real Time Eligibility 270/271 for the payer listed below will no longer be available at Optum.

Payer Name: First Carolina Care
Industry Payer ID: FCC01
IMN Real Time ID: FCC01
Exchange Real Time ID: FCACAR
CPID(s): 4077, 8821
Optum IEDi Real Time ID: 56196
Connection Type: X12

Reason: The runout period has ended. Payer will no longer offer an electronic connection.

Action Required: None

4/16/2026

---

Report Generation Delay for CPID 3089 Allstate

A payer intermediary is experiencing issues affecting Institutional report generation for some claims submitted since April 2, 2026.

Payer impacted: 

• CPID 3089 Allstate

Optum is working diligently with the payer intermediary to resolve the issue and ensure reports are received.

Action Required: None. Please be aware of delays in the report generation for claims submitted during the time frame above.

If you have any questions, please contact Customer Support and refer to Case Number 10267371.

4/16/2026

---

Electronic Claims Connection Suspended

The payer listed below has been suspended at Optum for claim processing and removed from the payer list, effective immediately.

Payer Name: CareCore National Wellcare Radiology
Payer ID: 14188
Reason: Payer unavailable electronically.

Action Required: Please refrain from submitting claims until further notice.

4/16/2026

---

Update: Report Generation Delay for CPID 5440 Fox Valley Medicine

Update: The payer intermediary has been unable to generate and deliver the reports for some claims submitted March 12, 2026-March 31, 2026.

Action Required: Please resubmit claims if payment has not been received.

Original notice sent March 26, 2026:
A payer intermediary is experiencing issues affecting Professional report generation for some claims submitted since March 12, 2026.

Payer impacted: 

• CPID 5440 Fox Valley Medicine

Optum is working diligently with the payer intermediary to resolve the issue and ensure reports are received.

Action Required: None. Please be aware of delays in the report generation for claims submitted during the time frame above.

If you have any questions, please contact Customer Support and refer to Case Number 10237818.

4/16/2026

---

Edit Master change for multiple payers

Optum has changed Edit Masters for the following payers, effective April 15, 2026:

Payer Name: Adventist Health Plan
Professional CPID: 8242
Current Edit Master: PE_O007
New Edit Master: PE_T007
Institutional CPID: 2094
Current Edit Master: HE9O007
New Edit Master: HE9T007
Industry Standard Payer ID: MPM37

Payer Name: Adventist White Memorial - Crown City Medical Group
Professional CPID: 7888
Current Edit Master: PE_O007
New Edit Master: PE_T007
Institutional CPID: 1061
Current Edit Master: HE9O007
New Edit Master: HE9T007
Industry Standard Payer ID: MPM33

Action Required: Please make the following changes to accommodate the routing change:

• Revalidate unreleased claims to edit correctly under new edit master.
• Modify any bridge routines based on the edit master.
• No Payer Alias changes are required. Payer names and CPIDs are not changing.

4/16/2026

---

Update: Report Generation Delay for CPID 6671 HealthSun

Update: The payer intermediary has been unable to generate and deliver the reports for some claims submitted from March 6, 2026-March 30, 2026.

Action Required: Please resubmit claims if payment has not been received.

Original notice sent March 19, 2026:
A payer intermediary is experiencing issues affecting Institutional report generation for some claims submitted since March 6, 2026.

Payer impacted: 

• CPID 6671 HealthSun

Optum is working diligently with the payer intermediary to resolve the issue and ensure reports are received.

Action Required: None. Please be aware of delays in the report generation for claims submitted during the time frame above.

If you have any questions, please contact Customer Support and refer to Case Number 09929361.

4/16/2026

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835 Delay for Payer ID 87726 UnitedHealthcare

Some 835s for UnitedHealthcare payer ID 87726 are delayed at the payer for payment date April 10, 2026. A ticket has been opened with the payer for further research.

• Payer ID 87726 UnitedHealthcare

Action Required: No submitter action is currently required. An additional notice will be sent once the 835s are received and posted out to trading partners. If the provider receives EFTs, copies of the 835s can be downloaded online at http://optum.com/optumpay.

If you have any questions, feel free to contact your Customer Support Team and refer to Case Number INC-000004562.

4/16/2026

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835 Delay for CPIDs 3429, 3550 UnitedHealthcare

Some 835s for UnitedHealthcare CPIDs 3429, 3550 are delayed at the payer for payment date April 10, 2026. A ticket has been opened with the payer for further research.

• CPID 3429 UnitedHealthcare 
• CPID 3550 UnitedHealthcare

Action Required: No submitter action is currently required. An additional notice will be sent once the 835s are received and posted out to trading partners. If the provider receives EFTs, copies of the 835s can be downloaded online at http://optum.com/optumpay.

If you have any questions, feel free to contact your Customer Support Team and refer to Case Number INC-000004562.

4/16/2026

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Electronic Routing Change for CPIDs 1114 and 9524 Summit Administration Services

Optum is changing electronic remittance routing for the following payer, effective April 16, 2026:

Payer Name: Summit Administration Services
Professional CPID: 1114
Institutional CPID: 9524
Industry Standard Payer ID: 86083
Line of Business Code (LOB): J7A
Payer Remittance Enrollment Required: Yes 

Enrollment Requirements:
Remittance:

• Payer enrollment for electronic remittance is required. 
• Providers currently receiving electronic remittance through Optum must complete a new enrollment form. 
• New providers must complete a new enrollment form. 

Action Required: Please make the following changes to accommodate the routing change: 

• No Payer Alias changes are required. Payer name and CPIDs are not changing. 
• When a payer requires enrollment, forms must be submitted and approved from Enrollment Central. 

4/16/2026

---

Electronic Routing Change for CPIDs 1114 and 9524 Summit Administration Services

Optum is changing electronic remittance routing for the following payer, effective April 16, 2026:

Payer Name: Summit Administration Services
Professional CPID: 1114
Institutional CPID: 9524
Industry Standard Payer ID: 86083
Payer Remittance Enrollment Required: Yes 

Enrollment Requirements:
Remittance:

• Payer enrollment for electronic remittance is required. 
• Providers currently receiving electronic remittance through Optum must complete a new enrollment form. 
• New providers must complete a new enrollment form. 

Action Required: Please consider the following to allow transactions to process properly due to the above changes: 

• Make any necessary system changes. 
• When a payer requires enrollment, forms must be submitted and approved from Enrollment Central. 

4/16/2026

---

Electronic Eligibility Connection Suspended

The payer listed below is suspended at Optum for eligibility processing and has been removed from the payer list, effective immediately.

Payer Name: First Medical Network
Industry Standard Payer ID: 10916
IMN Real Time ID: 10916
Exchange Real Time ID: FMDNW
Optum IEDI Real Time ID: 10916

Action Required: Please refrain from submitting eligibility transactions until further notice.

4/16/2026

---

Payer Change for CPIDs 1092, 8120 Group Benefit Service

Claims currently exchanged with the following payer must use different CPIDs, effective immediately.

Payer Name: Group Benefit Service
Professional CPID: 8120
Professional Edit Master: PE_T007
Institutional CPID: 1092
Institutional Edit Master: HE9T007
Industry Standard Payer ID: CB951

Claims must begin using the following:

Payer Name: Group Benefit Services
Professional CPID: 7116
Professional Edit Master: PE_T007
Institutional CPID: 7672
Institutional Edit Master: HE9T007
Industry Standard Payer ID: 80241

CPIDs 1092 and 8120 Group Benefit Service will be terminated effective April 29, 2026.

Enrollment Requirements:
Claims:

• Payer enrollment for electronic claims is not required.

Action Required: Please make the following update to accommodate these payer changes:

• Revalidate unreleased claims to edit correctly under new edit master. 

4/15/2026

---

Payer Change for CPIDs 1092, 8120 Group Benefit Service

Claims currently exchanged with the following payer must use different CPIDs, effective immediately.

Payer Name: Group Benefit Service
Professional CPID: 8120
Institutional CPID: 1092
Industry Standard Payer ID: CB951

Claims must begin using the following:
Payer Name: Group Benefit Services
Professional CPID: 7116
Institutional CPID: 7672
Industry Standard Payer ID: 80241
Claim Fee: N/A

CPIDs 1092 and 8120 Group Benefit Service will be terminated effective April 29, 2026.

Enrollment Requirements:
Claims:

• Payer enrollment for electronic claims is not required.

Action Required:
Please be aware of the changes above and make any necessary changes in your system.

4/15/2026

---

Edit Master for CPID 5038, 8886 Astiva Health and 2063, 8203 California IPA

Optum is changing Edit Masters for the following payers, effective April 15, 2026:

Payer Name: Astiva Health
Professional CPID: 8886
Current Edit Master: PE_O007
New Edit Master: PE_T007
Institutional CPID: 5038
Current Edit Master: HE9O007
New Edit Master: HE9T007
Industry Standard Payer ID: 84320 

Payer Name: California IPA
Professional CPID: 8203
Current Edit Master: PE_O007
New Edit Master: PE_T007
Institutional CPID: 2063
Current Edit Master: HE9O007
New Edit Master: HE9T007
Industry Standard Payer ID: CTPL1 

Action Required: Please make the following changes to accommodate the routing change:

• Revalidate unreleased claims to edit correctly under new edit master.  
• Modify any bridge routines based on the edit master.  
• No Payer Alias changes are required. Payer names and CPIDs are not changing. 

4/15/2026

---

Update: Report Generation Delay for CPID 6127 Carelon Behavioral Health, MBHP

Update: The payer intermediary has been unable to generate and deliver the reports for some claims submitted March 14, 2026-March 20, 2026.

Action Required: Please resubmit claims if payment has not been received.

Original notice sent March 16, 2026:
A payer intermediary is experiencing issues affecting Professional report generation for some claims submitted since Feb. 27, 2026.

Payer impacted: 

• CPID 6127 Carelon Behavioral Health, MBHP

Optum is working diligently with the payer intermediary to resolve the issue and ensure reports are received.

Action Required: None. Please be aware of delays in the report generation for claims submitted during the time frame above.

If you have any questions, please contact Customer Support and refer to Case Number 09925144.

4/15/2026

---

Claim Status and Eligibility termination for Bright Healthcare

Real Time Electronic Claim Status Inquiry/Response 276/277; Eligibility Inquiry/Response 270/271 for the payer listed below is no longer available at Optum, effective immediately.

Payer Name: Atrio Bright Healthcare
Industry Payer ID: BRGHT
Exchange Real Time ID: BRIGHT
CPIDs: 9269, 6091
iedi Payer ID: BRGHT
IMN Payer ID: BRGHT
Connection Type: X12

Reason: Payer no longer in business.

Action Required: None.

4/15/2026

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New Real Time Eligibility 270/271 Connection Available

Effective April 10, 2026 Optum is pleased to announce the availability of Real-time Eligibility Inquiry and Response 270/271 for the below payer:

Payer Name: Health Share of Oregon (Mental Health)
Industry Payer ID: 77122
IMN Real Time ID: ORHSM
Exchange Real Time ID: ORHSM
CPID(s): 1250 4582
Optum IEDi Real Time ID: 10823
Payer Enrollment Required: No
Connection Type: X12

Search Options:

Subscriber

• Member ID, First Name, Last Name, Date of Birth

Action Required by customer:

Please update your system to take advantage of this payer transaction. For assistance with submitting Real-Time transactions, please contact your Practice Management System Vendor or Optum Customer Care Hub ticket.

4/15/2026

---

New Real Time Claim Status Inquiry 276/277 Connection Available

Effective April 7, 2026 Optum is pleased to announce the availability of Real-time Claim Status Inquiry 276/277 for the below payer:

Payer Name: Highmark BCBS DE Health Options
Industry Payer ID: 47181
IMN Real Time ID: 47181
Exchange Real Time ID: GHPHHO
CPID(s): 7693, 7148
Optum IEDi Real Time ID: 47181
Payer Enrollment Required: No
Connection Type: X12

Search Options:

Claim Status Inquiry subscriber

1. Member id, first name, last name, date of birth

      Optional additional elements:

   Payer claim number; Total submitted charges

 

Claim Status Inquiry Dependent

1. Member ID, dep first name, dep last name, dep date of birth, subscriber last name

     Optional additional elements:

     Payer claim number, Total submitted charges

Action Required by customer:

Please update your system to take advantage of this payer transaction. For assistance with submitting Real-Time transactions, please contact your Practice Management System Vendor or Optum Customer Care Hub ticket.

4/15/2026

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Report Generation Delay for CPID 5676 Alliance Behavioral Healthcare

A payer intermediary is experiencing issues affecting Institutional report generation for some claims submitted April 7, 2026.

Payer impacted: 

• CPID 5676 Alliance Behavioral Healthcare

The payer intermediary has been unable to generate and deliver the reports for some claims submitted April 7, 2026.

Action Required: Please resubmit claims if payment has not been received.

If you have any questions, please contact Customer Support and refer to Case Number 10263949.

4/15/2026

---

Report Generation Delay for CPID 4570 Blue Cross Community Centennial

A payer intermediary is experiencing issues affecting Institutional report generation for some claims submitted on March 31, 2026.

Payer impacted: 

• CPID 4570 Blue Cross Community Centennial

The payer intermediary has been unable to generate and deliver the reports.

Action Required: None. Please resubmit claims if payment has not been received.

If you have any questions, please contact Customer Support and refer to Case Number 10263030.

4/15/2026

---

New Real Time Eligibility 270/271 Connection Available

Optum is pleased to announce the availability of Real-time Eligibility Inquiry and Response 270/271 for the below payer, effective April 7, 2026:

Payer Name: Highmark BCBS DE Health Options
Industry Payer ID: 47181
IMN Real Time ID: 47181
Exchange Real Time ID: GHPHHO
CPID(s): 7693, 7148
Optum IEDi Real Time ID: 47181
Payer Enrollment Required: No
Connection Type: X12

Search Options:
Subscriber

• Member ID, First Name, Last Name, Date of Birth

Dependent

• Member ID, Dependent First Name, Dependent Last Name, Dependent Date of Birth

Action Required by customer:
Please update your system to take advantage of this payer transaction. For assistance with submitting Real-Time transactions, please contact your Practice Management System Vendor or Optum Customer Care Hub ticket.

4/14/2026

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Resolved: Delay in Electronic Remittance Advice (ERA) for Payer ID's 84146, 80214

Resolved: This issue is resolved. All impacted ERAs have been processed.

Original notify sent April 10, 2026:
Due to a payer processing issue, there has been a delay in Professional and Institutional Electronic Remittance Advice (ERA) for the following payers for check date of April 1, 2026: 

• Payer ID 84146 CHAMPVA
• Payer ID 80214 CHAMPVA Medicare Crossover

Additional updates will be forwarded as more information becomes available.

Action Required: Please be aware of a delay in the delivery of ERA for the check date above.

If you have any questions, feel free to contact your Customer Support Team and refer to Case Number INC-000004529.

4/14/2026

---

Report Generation Delay for multiple CPIDs
A payer intermediary is experiencing issues affecting Professional report generation for some claims submitted April 7, 2026.

Payers impacted:

• CPID 2438 Tufts Health Plan
• CPID 5475 Tufts Health Public Plans

Optum is working diligently with the payer intermediary to resolve the issue and ensure reports are received.

Action Required: None. Please be aware of delays in the report generation for claims submitted during the time frame above.

If you have any questions, please contact Customer Support and refer to Case Number 10263150.

4/14/2026

---

Resolved: Delay in Electronic Remittance Advice (ERA) for CPIDs 3807, 1503

Resolved: This issue is resolved. All impacted ERAs have been processed.

Original notify sent April 10, 2026:
Due to a payer processing issue, there has been a delay in Professional and Institutional Electronic Remittance Advice (ERA) for the following payers for check date of April 1, 2026:

• CPID 3807 CHAMPVA
• CPID 1503 CHAMPVA

Additional updates will be forwarded as more information becomes available.

Action Required: Please be aware of a delay in the delivery of ERA for the check date above.

If you have any questions, feel free to contact your Customer Support Team and refer to Case Number INC-000004529.

4/14/2026

---

New Electronic Claims Connections Available

Optum has new electronic claims connections available:

Payer Name: Independent Living Systems
Institutional CPID: 7957
Professional CPID: 4122
Industry Standard Payer ID: 81397
Payer Enrollment Required: No
Secondary Claims Accepted: No
Payer Location: California
Claims Fee: N/A

Action Required: 

• Add the payers to your system to begin using the new payer connection.
• When a payer requires enrollment, forms must be submitted and approved to begin submitting transactions.

Please note: We are providing you with a list of new electronic connections. Please review and choose payers that are appropriate for your business.  

4/14/2026

---

New Electronic Claims and Remittance Connections Available

Optum has new electronic claims and remittance connections available:

Payer Name: Franciscan Health Hammond
Institutional CPID: 9097
Professional CPID: 4134
Industry Standard Payer ID: FRN01
Line of Business (LOB) Code: E59
Payer Claim Enrollment Required: No
Payer Remittance Enrollment Required: Yes
Secondary Claims Accepted: Yes
Payer Location: Indiana
Remittance Fee: N/A

Action Required:

• Add the payers to your system to begin using the new payer connection.
• When a payer requires claims enrollment, forms must be submitted and approved to begin submitting transactions.
• Enrollment forms must be submitted and approved to begin receiving electronic remittance through Optum.

Please note: We are providing you with a list of new electronic connections. Please review and choose payers that are appropriate for your business. 

4/14/2026

---

New Electronic Claims and Remittance Connections Available

Optum has new electronic claims and remittance connections available:

Payer Name: Franciscan Health Hammond
Institutional CPID: 9097
Professional CPID: 4134
Industry Standard Payer ID: FRN01
Payer Claim Enrollment Required: No
Payer Remittance Enrollment Required: Yes
Secondary Claims Accepted: Yes
Payer Location: Indiana
Claims Fee: N/A
Remittance Fee: N/A

Action Required:

• Add the payers to your system to begin using the new payer connection.
• When a payer requires claims enrollment, forms must be submitted and approved to begin submitting transactions.
• Enrollment forms must be submitted and approved to begin receiving electronic remittance through Optum.

Please note: We are providing you with a list of new electronic connections. Please review and choose payers that are appropriate for your business. 

4/14/2026

---

Report Generation Delay for CPID 9133 Healthy Blue North Carolina

A payer intermediary is experiencing issues affecting Professional report generation for some claims submitted March 27, 2026.

Payer impacted: 

• CPID 9133 Healthy Blue North Carolina

The payer intermediary has been unable to generate and deliver the reports.

Action Required: None. Please resubmit claims if payment has not been received.

If you have any questions, please contact Customer Support and refer to Case Number 10262875.

4/14/2026

---

Report Generation Delay for CPIDs 3506 and 4423 Medical Mutual of Ohio

A payer intermediary is experiencing issues affecting Institutional and Professional report generation for some claims submitted since March 31, 2026.

Payer impacted: 

• CPID 3506 Medical Mutual of Ohio
• CPID 4423 Medical Mutual of Ohio

Optum is working diligently with the payer intermediary to resolve the issue and ensure reports are received.

Action Required: None. Please be aware of delays in the report generation for claims submitted during the time frame above.

If you have any questions, please contact Customer Support and refer to Case Number 10262787.

4/14/2026

---

Report Generation Delay for CPID 6405 Cigna Health Plans

A payer intermediary is experiencing issues affecting Professional report generation for some claims submitted April 11, 2026.

Payer impacted: 

• CPID 6405 Cigna Health Plans

The payer intermediary has been unable to generate and deliver the reports for some claims submitted April 11, 2026.

Action Required: Please resubmit claims if payment has not been received.

If you have any questions, please contact Customer Support and refer to Case Number 10262596.

4/14/2026

---

New Electronic Claims Connections Available

Optum has new electronic claims connections available:

Payer Name: Blue Cross Blue Shield of South Carolina Planned Administrators, Inc. (PAI)
Institutional CPID: 9078
Professional CPID: 3858
Payer-assigned Payer ID: 00886
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: South Carolina
Claims Fee: N/A

Action Required: 

• Add the payers to your system to begin using the new payer connection.
• When a payer requires enrollment, forms must be submitted and approved to begin submitting transactions.

Please note: We are providing you with a list of new electronic connections. Please review and choose payers that are appropriate for your business.

4/14/2026

---

Eligibility termination for Sanford Health Plan Medicare Advantage

Real Time Eligibility 270/271 for the payer listed below is no longer available at Optum, effective immediately.

Payer Name: Sanford Health Plan Medicare Advantage
Industry Payer ID: RP035
Optum iEDI Real Time ID: 14373
Connection Type: X12

Reason: Payer no longer offers an electronic connection.

Action Required: None.

4/14/2026

---

Invalid Error Message for Multiple CPIDs

Due to a payer intermediary processing issue, Professional and Institutional claims for the payer’s listed below may have received the following invalid error message on the Payer Claim Data Report (SR), Payer Claim Data Report (SE) and Payer Report Data File (SF)]:

• Reject Code: S305P
• Message: SUBSCRIBER ID (LOOP 2010BA, NM109) MUST BEGIN WITH A THREE-CHARACTER PREFIX FOLLOWED BY UP TO 14 CHARACTERS WITH NO SPACES. FOR FEDERAL EMPLOYEE PROGRAM(FEP) SUBSCRIBERS, THE SUBSCRIBER ID MUST BEGIN WITH THE LETTER R FOLLOWED BY EIGHT NUMBERS WITH NO SPACES

This issue began April 7, 2026, and was resolved by the payer intermediary April 8, 2026. All impacted claims were reprocessed by the payer intermediary April 8, 2026.

Payers affected:

• CPID 2744 EMBLEMHEALTH PLAN INC MCR
• CPID 4020 ANTHEM MAINE HEALTH
• CPID 8749 ANTHEM MAINE HEALTH
• CPID 5585 MONTANA BCBS
• CPID 7450 MONTANA BCBS
• CPID 1403 OKLAHOMA BCBS
• CPID 1514 OKLAHOMA BCBS
• CPID 1406 TEXAS BCBS
• CPID 5501 TEXAS BCBS
• CPID 5565 NEW MEXICO BCBS
• CPID 7403 NEW MEXICO BCBS
• CPID 1405 IL BCBS
• CPID 5508 IL BCBS
• CPID 4021 HLTHY BLUE DUAL ADV LOUISIANA
• CPID 8750 HLTHY BLUE DUAL ADV LOUISIANA
• CPID 3224 HEALTHY BLUE KANSAS
• CPID 8514 HEALTHY BLUE KANSAS
• CPID 7562 HEALTHY BLUE LOUISIANA
• CPID 7760 HEALTHY BLUE LOUISIANA
• CPID 5019 HEALTHY BLUE MISSOURI
• CPID 8867 HEALTHY BLUE MISSOURI
• CPID 3540 ID BS - REGENCE UB92
• CPID 7426 IDAHO BS-REGENCE
• CPID 2404 OREGON BCBS
• CPID 5516 OREGON BCBS
• CPID 1530 UT BCBS - FEP
• CPID 2788 UTAH BLUE SHIELD-FEP
• CPID 1529 UT BCBS
• CPID 2412 UTAH BLUE SHIELD
• CPID 1997 WA REGENCE BS
• CPID 7451 WASHINGTON BCBS
• CPID 1510 IOWA BC/BS
• CPID 1404 IOWA BC/BS
• CPID 6672 IA BCBS MC
• CPID 6733 IA BCBS MC
• CPID 2490 SOUTH DAKOTA BCBS

Action Required: Please be aware of the invalid error message. 

4/14/2026

---

Report Generation Delay for CPID 5676 Alliance Behavioral Healthcare

A payer intermediary is experiencing issues affecting Institutional report generation for some claims submitted April 6, 2026.

Payer impacted: 

• CPID 5676 Alliance Behavioral Healthcare

The payer intermediary has been unable to generate and deliver the reports for some claims submitted April 6, 2026.

Action Required: Please resubmit claims if payment has not been received.

If you have any questions, please contact Customer Support and refer to Case Number 10262246.

4/14/2026

---

Electronic Claims Connection Suspended

Effective immediately, the payer listed below has been suspended at Optum for claim processing and removed from the payer list.

Payer Name: AmeraPlan
CPIDs: 4298, 4554
Industry Standard Payer ID: 38219
Reason: Payer unavailable electronically.

Action Required: Please refrain from submitting claims until further notice.

4/14/2026

---

Electronic Claims Connection Suspended

Effective immediately, the payer listed below has been suspended at Optum for claim processing and removed from the payer list.

Payer Name: Erisa Administrative Services
CPID: 5879
Industry Standard Payer ID: 74234
Reason: Payer unavailable electronically.

Action Required: Please refrain from submitting claims until further notice.

4/14/2026

---

New Payer ID and Electronic Routing Change for CPIDs 1252 and 4583 West Virginia Senior Advantage

Optum is changing the payer ID and electronic claims routing for the following payer, effective April 13, 2026:

Payer Name: West Virginia Senior Advantage
Professional CPID: 1252
Institutional CPID: 4583
Old Industry Standard Payer ID: WVS01
New Industry Standard Payer ID: 70023
Payer Claim Enrollment Required: No
Secondary Claims Accepted: Yes

Enrollment Requirements
Claims:

• Payer enrollment for electronic claims is not required.

Report Changes:
You may see some differences in the payer reports you receive.

Additional Changes:
Providers only need to include the CPID (not Payer ID) in the claim. Optum will manage the Payer ID changes for our customers.

Action Required: Please consider the following to allow transactions to process properly due to the above changes:

• Make any necessary system changes.
• When a payer requires enrollment, forms must be submitted and approved from Enrollment Central.

4/13/2026

---

New Payer ID and Electronic Routing Change for CPIDs 1252 and 4583 West Virginia Senior Advantage

Effective April 13, 2026, Optum will be changing the payer id and electronic claims routing for the following payer:

Payer Name: West Virginia Senior Advantage
Professional CPID: 1252
Current Edit Master: PE_C051
New Edit Master: PE_T007
Institutional CPID: 4583
Current Edit Master: HE9C051
New Edit Master: HE9T007
Old Industry Standard Payer ID: WVS01
New Industry Standard Payer ID: 70023
Payer Claim Enrollment Required: No
Secondary Claims Accepted: Yes

Enrollment Requirements:

Claims:

• Payer enrollment for electronic claims is not required.

Report Changes:

You may see some differences in the payer reports you receive.

Additional Changes:

Providers only need to include the CPID (not Payer ID) in the claim. Optum will manage the Payer ID changes for our customers.

Action Required: Please make the following changes to accommodate the routing change:

• Revalidate unreleased claims to edit correctly under new edit master.
• Modify any bridge routines based on edit masters.
• No Payer Alias changes are required. Payer name(s) and CPID(s) are not changing.
• When a payer requires enrollment, forms must be submitted and approved from Enrollment Central.

4/13/2026

---

New Electronic Claims Connections Available

Optum has new electronic claims connections available:

Payer Name: Desert Valley Medical Group
Institutional CPID: 3565
Industry Standard Payer ID: DVMC1
Payer Enrollment Required: No
Secondary Claims Accepted: No
Payer Location: California

Action Required: 

• Add the payers to your system to begin using the new payer connection.
• When a payer requires enrollment, forms must be submitted and approved to begin submitting transactions.

Please note: We are providing you with a list of new electronic connections. Please review and choose payers that are appropriate for your business.

4/13/2026

---

Intelligent EDI Clearinghouse 277CA Response Transaction Enhancements

Intelligent EDI Clearinghouse (IEDI CH)

277CA Response Transaction Enhancements

Effective Date: Friday, April 24, 2026

Implementation Date: Evening of Thursday, April 23, 2026

Overview

On the evening of Thursday, April 23, 2026, the Intelligent EDI Clearinghouse (IEDI CH) will implement enhancements to the 277CA Claim Acknowledgement (277CA) response transaction. These updates are designed to provide greater specificity and granularity in claim-level responses by improving the use of Claim Category, Status, and Entity Codes, particularly for rejected claims.

Optum continues to focus on improving the transparency and usability of 277CA responses to support more efficient issue identification and resolution.

Summary of Enhancements

The following enhancements will be applied to the 277CA response transaction:

• More Specific Status and Entity Codes
• When possible, IEDI CH will move away from the generalized Status Code 21 and instead return more specific Status and Entity Code combinations that better represent the underlying reason for the rejection.
• Updated Category Code for X12 Syntax Validation Failures
• Claims that fail X12 syntax validation will now return a Category Code of A7, replacing the previously used A3 category.
• STC12 at the Claim Level
• The STC12 data element will be populated at the claim level for both accepted and rejected claims, supporting the codified values returned within the STC segment.

Effective Processing Date

All claims processed on Friday, April 24, 2026, and forward will reflect these enhancements.

Action Required

Trading partners and vendors should take the following action:

• Review and validate your 277CA parsing logic to ensure support for the full range of 277CA Category, Status, and Entity Codes, including the updated usage described above.

No additional enrollment or configuration changes are required.

4/13/2026

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Electronic Routing Change for CPIDs 7599 and 7780 Allina Health and Aetna Insurance Company

Optum is changing electronic remittance routing for the following payer, effective April 13, 2026:

Payer Name: Allina Health and Aetna Insurance Company
Professional CPID: 7780
Institutional CPID: 7599
Industry Standard Payer ID: 54398
Payer Remittance Enrollment Required: Yes

Enrollment Requirements
Remittance:

• Payer enrollment for electronic remittance is required.
  • Providers currently receiving electronic remittance through Optum must complete a new enrollment form.
  • New providers must complete a new enrollment form.

Action Required: Please consider the following to allow transactions to process properly due to the above changes:

• Make any necessary system changes.
• When a payer requires enrollment, forms must be submitted and approved from Enrollment Central.

4/13/2026

---

Electronic Routing Change for CPIDs 7599 and 7780 Allina Health and Aetna Insurance Company

Optum is changing electronic remittance routing for the following payer, effective April 13, 2026:

Payer Name: Allina Health and Aetna Insurance Company
Professional CPID: 7780
Institutional CPID: 7599
Industry Standard Payer ID: 54398
Line of Business Code (LOB): K4W
Payer Remittance Enrollment Required: Yes

Enrollment Requirements
Remittance:

• Payer enrollment for electronic remittance is required.
  • Providers currently receiving electronic remittance through Optum must complete a new enrollment form.
  • New providers must complete a new enrollment form.

Action Required: Please make the following changes to accommodate the routing change:

• No Payer Alias changes are required. Payer name and CPIDs are not changing.
• When a payer requires enrollment, forms must be submitted and approved from Enrollment Central.

4/13/2026

---

Report Generation Delay for CPID 2163 Delaware Medicare

A payer intermediary is experiencing issues affecting Professional report generation for some claims submitted April 6, 2026.

Payer impacted: 

• CPID 2163 Delaware Medicare

The payer intermediary has been unable to generate and deliver the reports for some claims submitted April 6, 2026.

Action Required: Please resubmit claims if payment has not been received.

If you have any questions, please contact Customer Support and refer to Case Number 10260994.

4/13/2026

---

New Electronic Eligibility and Claim Status Connection Available

Optum is pleased to announce the availability of Real-Time transactions Eligibility Inquiry and Response 270/271 and Claim Status Inquiry and Response 276/277 for the below payer, effective April 13, 2026.

Payer Name: Blue Cross Blue Shield of Minnesota Health Care Programs
Industry Payer ID: 00726
IMN Real Time ID: 00726
Exchange Real Time ID: MNHCP
CPID(s): 1064, 7892
Optum iEDI Real Time ID: 00562 (Eligibility) 12259 (Claim Status)
Payer Enrollment Required: No

Search Options:
Eligibility Subscriber

• Member ID, First Name, Last Name, Date of Birth
• Member ID, Date of Birth

Claim Status Inquiry subscriber

• Member ID, First Name, Last Name, Date of Birth
  • Optional additional elements: Payer Claim Number, Total Submitted Charges

Action Required by customer:
Please update your system to take advantage of this Payer’s transactions. For assistance with submitting Real-Time transactions, please contact your Practice Management System Vendor or Optum Customer Care Hub ticket.

4/13/2026

---

Report Generation Delay for CPID 2570 CareSource of Georgia

A payer intermediary is experiencing issues affecting Institutional report generation for some claims submitted March 30, 2026.

Payer impacted: 

• CPID 2570 CareSource of Georgia

The payer intermediary has been unable to generate and deliver the reports.

Action Required: None. Please resubmit claims if payment has not been received.

If you have any questions, please contact Customer Support and refer to Case Number 10260658.

4/13/2026

---

Update: Report Generation Delay for CPID 4246 Capital Health Plan

Update: The payer intermediary has been unable to generate and deliver the reports for some claims submitted March 13, 2026.

Action Required: Please resubmit claims if payment has not been received.

Original notice sent March 27, 2026:
A payer intermediary is experiencing issues affecting Professional report generation for some claims submitted March 13, 2026.

Payer impacted: 

• CPID 4246 Capital Health Plan

Optum is working diligently with the payer intermediary to resolve the issue and ensure reports are received.

Action Required: None. Please be aware of delays in the report generation for claims submitted during the time frame above.

If you have any questions, please contact Customer Support and refer to Case Number 10239232.

4/13/2026

---

Edit Master for CPID 2596 Accountable Healthcare IPA and CPID 9437, 7055 Adventist Health Physicians Network

Optum is changing Edit Masters for the following payers, effective April 13, 2026:

Payer Name: Accountable Healthcare IPA
Institutional CPID: 2596
Current Edit Master: HE9O007
New Edit Master: HE9T007
Industry Standard Payer ID: AHIPA

Payer Name: Adventist Health Physicians Network
Professional CPID: 9437
Current Edit Master: PE_O007
New Edit Master: PE_T007\
Institutional CPID: 7055
Current Edit Master: HE9O007
New Edit Master: HE9T007
Industry Standard Payer ID: MPM51

Action Required: Please make the following changes to accommodate the routing change:

• Revalidate unreleased claims to edit correctly under new edit master.
• Modify any bridge routines based on the edit master.
• No Payer Alias changes are required. Payer names and CPIDs are not changing.

4/13/2026

---

New Electronic Eligibility Connection Available

Optum is pleased to announce the availability of Real-time Eligibility Inquiry and Response 270/271 for the below payer, effective April 9, 2025:

Payer Name: WeShare
IMN Real Time ID: WESHR
iEDI Real Time ID: WESHR
Exchange Real Time ID: WESHR
CPID(s): 9077 (I), 3857 (P)
Payer Enrollment Required: No
Connection Type: X12

Search Options:

Subscriber

• Member ID, First Name, Last Name, Date of Birth
• Member ID, Last Name, Date of Birth
• Member ID, First name, Last Name

Action Required by customer:

Please update your system to take advantage of this payer transaction. For assistance with submitting Real-Time transactions, please contact your Practice Management System Vendor or Optum Customer Care Hub ticket.

4/13/2026

---

Delay in Electronic Remittance Advice (ERA) for Payer IDs: 99726, 99727

Due to a payer processing issue, there has been a delay in Professional and Institutional Electronic Remittance Advice (ERA) for the following payers for the check dates of April 1, 2026-April 3, 2026.

• Payer ID 99727 Tricare East Region
• Payer ID 99726 Tricare West Region

Additional updates will be forwarded as more information becomes available.

Action Required: Please be aware of a delay in the delivery of ERA for check dates above.

If you have any questions, feel free to contact your Customer Support Team and refer to Case Number INC-000004520.

4/10/2026

---

Delay in Electronic Remittance Advice (ERA) for CPIDs 3807, 1503

Due to a payer processing issue, there has been a delay in Professional and Institutional Electronic Remittance Advice (ERA) for the following payers for check date of April 1, 2026:

• CPID 3807 CHAMPVA
• CPID 1503 CHAMPVA

Additional updates will be forwarded as more information becomes available.

Action Required: Please be aware of a delay in the delivery of ERA for the check date above.

If you have any questions, feel free to contact your Customer Support Team and refer to Case Number INC-000004529.

4/10/2026

---

Delay in Electronic Remittance Advice (ERA) for Payer ID's 84146, 80214

Due to a payer processing issue, there has been a delay in Professional and Institutional Electronic Remittance Advice (ERA) for the following payers for check date of April 1, 2026:

• Payer ID 84146 CHAMPVA
• Payer ID 80214 CHAMPVA Medicare Crossover

Additional updates will be forwarded as more information becomes available.

Action Required: Please be aware of a delay in the delivery of ERA for the check date above.

If you have any questions, feel free to contact your Customer Support Team and refer to Case Number INC-000004529.

4/10/2026

---

Resolved: VA payer 835 delay

Resolved: This issue has been resolved. All impacted ERAs have been processed.

Original notify sent March 19, 2026:
The VA payer is reporting a delay in processing and delivery of 835 files for check date March 4, 2026 for 84146, 80214, 84147. They have not provided an ETA at this time but are working on the issue.

Please note that research for missing 835s will be held if they are for this check date until the payer has provided the resolution.

If you have any questions, feel free to contact your Customer Support Team and refer to Case Number INC-000004346.

4/10/2026

---

Resolved: Delay in Electronic Remittance Advice (ERA) for CPIDs 3807, 1503

Resolved: This issue has been resolved. All impacted ERAs have been processed.

Original notify sent March 26, 2026:
Due to a payer processing issue, there has been a delay in Professional and Institutional Electronic Remittance Advice (ERA) for the following payers for check date of March 4, 2026:

• CPID 3807 CHAMPVA
• CPID 1503 CHAMPVA

Additional updates will be forwarded as more information becomes available.

Action Required: Please be aware of a delay in the delivery of ERA for the check date above.

If you have any questions, feel free to contact your Customer Support Team and refer to Case Number INC-000004346.

4/10/2026

---

Delay in Electronic Remittance Advice (ERA) for CPIDs 2872,5979,5648,6286 Tricare East Region, Tricare West Region

Due to a payer processing issue, there has been a delay in Professional and Institutional Electronic Remittance Advice (ERA) for the following payers for the check dates of April 1, 2026-April 3, 2026.

• CPID 2872 Tricare East Region
• CPID 5979 Tricare East Region
• CPID 5648 Tricare West Region
• CPID 6286 Tricare West Region

Additional updates will be forwarded as more information becomes available.

Action Required: Please be aware of a delay in the delivery of ERA for check dates above.

If you have any questions, feel free to contact your Customer Support Team and refer to Case Number INC-000004520.

4/10/2026

---

Report Generation Delay for multiple CPIDs

A payer intermediary is experiencing issues affecting Institutional and Professional report generation for some claims submitted since April 2, 2026.

Payers impacted: 

• CPID 8047 Central Valley Medical Providers
• CPID 9765 Central Valley Medical Providers
• CPID 2081 Community Care IPA
• CPID 8226 Community Care IPA

Optum is working diligently with the payer intermediary to resolve the issue and ensure reports are received.

Action Required: None. Please be aware of delays in the report generation for claims submitted during the time frame above.

If you have any questions, please contact Customer Support and refer to Case Number 10258508.

4/10/2026

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Report Generation Delay for CPID 2795 Cigna HealthSpring Tennessee/Alabama

A payer intermediary is experiencing issues affecting Professional report generation for some claims submitted on April 6, 2026.

Payer impacted:

• CPID 2795 Cigna HealthSpring Tennessee/Alabama

The payer intermediary has been unable to generate and deliver the reports for some claims submitted on April 6, 2026.

Action Required: Please resubmit claims if payment has not been received.

If you have any questions, please contact Customer Support and refer to Case Number 10258413.

4/10/2026

---

Electronic Claims Connection Suspended

Effective immediately, the payer listed below has been suspended at Optum for claim processing and removed from the payer list.

Payer Name: Rush Prudential Health Plans (HMO Only)
CPIDs: 4144, 7949
Industry Standard Payer ID: 36389
Reason: Payer unavailable electronically.

Action Required: Please refrain from submitting claims until further notice.

4/10/2026

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Edit Master for CPIDs 3095 and 8719 Access Medical Group

Effective April 10, 2026, Optum will be changing Edit Masters for the following payer:

Payer Name: Access Medical Group
Professional CPID: 8719
Current Edit Master: PE_O007
New Edit Master:  PE_T007
Institutional CPID: 3095
Current Edit Master: HE9O007
New Edit Master:  HE9T007
Industry Standard Payer ID: AMG02

Action Required: Please make the following changes to accommodate the routing change:

• Revalidate unreleased claims to edit correctly under new edit master. 
• Modify any bridge routines based on the edit master. 
• No Payer Alias changes are required. Payer name and CPIDs are not changing.

4/9/2026

---

Update: Invalid Error Message for CPIDs 5547/4426 Arizona Blue Cross Blue Shield

Update: This issue is still under review with the payer. Additional notifications will be sent as updates become available.

Original notify sent on: March 27, 2025

Due to a payer processing issue, Professional and Institutional claims for the payer listed below may have received the following invalid error message on the Payer Claim Data Report (SR), Payer Claim Data Report (SE), Payer Report Data File (SF):

• Reject Code: 601
• Message: CLM: MISPLACED SEGMENT DTP (DATE - REPRICER RECEIVED DATE) AT 2-1350 WITHIN LOOP CLM (2300)(CLAIM INFORMATION) AT 2-1300, THIS SEGMENT, LOOP/GROUP MAY NOT BE IN THE CORRECT POSITION FOR LOOP/GROUP

This issue began November 2024 and is still ongoing. The payer is working to resolve the invalid error message in their system. Currently, the payer does not have an ETA on correcting the error, however any affected claims can be resubmitted.

Payers affected:

• 5547 Arizona Blue Cross Blue Shield
• 4426 Arizona Blue Cross Blue Shield

Action Required: Please be aware of the invalid error message.

4/9/2026

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University Family Care/University Physician Care Advantage and University Family Care Electronic Claim Status and Eligibility Connections No Longer Available

Effective immediately, Real Time Eligibility 270/271 and Claim Status Inquiry 276/277 for the payer listed below will no longer be available at Optum.

Payer Name: University Family Care/University Physician Care Advantage and University Family Care
Industry Payer ID: 09830
IMN Real Time ID: 09830
Exchange Real Time ID: UNVFC
CPIDs: 3648, 2727
Connection Type: X12

Reason: Payer no longer offers an electronic connection.

Action Required: None

4/9/2026

---

Electronic Routing Change for CPIDs 7893 and 1065 Superior Select Health Plan

Effective April 10, 2026, Optum will be changing electronic claims routing for the following payer:

Payer Name: Superior Select Health Plan
Professional CPID: 7893
Current Edit Master: PE_T007
Institutional CPID: 1065
Current Edit Master: HE9T007
Industry Standard Payer ID: 61184
Payer Claim Enrollment Required: No
Secondary Claims Accepted: No

Enrollment Requirements: 

Claims:

• Payer enrollment for electronic claims is not required.

Action Required: Please make the following changes to accommodate the routing change: 

• Edit Masters are not changing, no modification to the bridge routines needed.

4/9/2026

---

Electronic Routing Change for CPIDs 7893 and 1065 Superior Select Health Plan

Effective April 10, 2026, Optum will be changing electronic claims routing for the following payer:

Payer Name: Superior Select Health Plan
Professional CPID: 7893
Institutional CPID: 1065
Industry Standard Payer ID: 61184
Payer Claim Enrollment Required: No
Secondary Claims Accepted: No

Enrollment Requirements: 

Claims:

• Payer enrollment for electronic claims is not required.

Action Required: Please consider the following to allow transactions to process properly due to the above changes:

• Make any necessary system changes.

4/9/2026

---

Electronic Routing Change for CPIDs 8132 and 2000 Valor Health Plan

Effective April 10, 2026, Optum will be changing electronic claims routing for the following payer:

Payer Name: Valor Health Plan
Professional CPID: 8132
Current Edit Master: PE_T007
Institutional CPID: 2000
Current Edit Master: HE9T007
Industry Standard Payer ID: 43259
Payer Claim Enrollment Required: No
Secondary Claims Accepted: No

Enrollment Requirements: 

Claims:

• Payer enrollment for electronic claims is not required.

Action Required: Please make the following changes to accommodate the routing change: 

• Edit Masters are not changing, no modification to the bridge routines needed.
• No Payer Alias changes are required. Payer name and CPIDs are not changing.

4/9/2026

---

Electronic Routing Change for CPIDs 8132 and 2000 Valor Health Plan

Effective April 10, 2026, Optum will be changing electronic claims routing for the following payer:

Payer Name: Valor Health Plan
Professional CPID: 8132
Institutional CPID: 2000
Industry Standard Payer ID: 43259
Payer Claim Enrollment Required: No
Secondary Claims Accepted: No

Enrollment Requirements: 

Claims:

• Payer enrollment for electronic claims is not required.

Action Required: Please consider the following to allow transactions to process properly due to the above changes:

• Make any necessary system changes

4/9/2026

---

Western Health Advantage by Ayin Electronic Claims and Remittance Connections No Longer Available

The payer listed below is no longer available at Optum for claims and remittance processing, effective immediately.

Payer Name: Western Health Advantage by Ayin
Claims and Remittance CPIDs: 9740, 8022
Industry Standard Payer ID: 77225
Reason: Payer no longer offers an electronic connection.  

Action Required: Please make any necessary system changes. 

4/9/2026

---

Western Health Advantage by Ayin Electronic Claims and Remittance Connections No Longer Available

The payer listed below is no longer available at Optum for claims and remittance processing, effective immediately.

Payer Name: Western Health Advantage by Ayin
Claims and Remittance CPIDs: 9740, 8022
Line of Business (LOB) Code: E16
Industry Standard Payer ID: 77225
Reason: Payer no longer offers an electronic connection.  

Payer no longer accepts paper claims. 

Action Required: Please make any necessary system changes. 

4/9/2026

---

Electronic Routing Change for CPIDs 7295 and 9617 Trillium Community Health Plan

Optum is changing electronic remittance routing for the following payer, effective April 9, 2026:

Payer Name: Trillium Community Health Plan
Professional CPID: 7295
Institutional CPID: 9617
Industry Standard Payer ID: 68069
Payer Remittance Enrollment Required: Yes 

Enrollment Requirements
Remittance:

• Payer enrollment for electronic remittance is required. 
• Providers currently receiving electronic remittance through Optum must complete a new enrollment form. 
• New providers must complete a new enrollment form. 

Action Required: Please consider the following to allow transactions to process properly due to the above changes: 

• Make any necessary system changes. 
• When a payer requires enrollment, forms must be submitted and approved from Enrollment Central. 

4/9/2026

---

Electronic Routing Change for CPIDs 7295 and 9617 Trillium Community Health Plan

Optum is changing electronic remittance routing for the following payer, effective April 9, 2026:

Payer Name: Trillium Community Health Plan
Professional CPID: 7295
Institutional CPID: 9617
Industry Standard Payer ID: 68069
Line of Business Code (LOB): J83
Payer Remittance Enrollment Required: Yes 

Enrollment Requirements
Remittance:

• Payer enrollment for electronic remittance is required. 
• Providers currently receiving electronic remittance through Optum must complete a new enrollment form. 
• New providers must complete a new enrollment form. 

Action Required: Please make the following changes to accommodate the routing change:

• No Payer Alias changes are required. Payer name and CPIDs are not changing. 
• When a payer requires enrollment, forms must be submitted and approved from Enrollment Central. 

4/9/2026

---

New Electronic Claims Connections Available

Optum has new electronic claims connections available:

Payer Name: Unity Vision
Professional CPID: 3853
Industry Standard Payer ID: UVCAR
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: Wisconsin

Action Required: 

• Add the payers to your system to begin using the new payer connection.
• When a payer requires enrollment, forms must be submitted and approved to begin submitting transactions.

Please note: We are providing you with a list of new electronic connections. Please review and choose payers that are appropriate for your business. 

4/9/2026

---

Report Generation Delay for CPID 2690 UnitedHealthcare New Mexico Medicaid

A payer intermediary is experiencing issues affecting Institutional report generation for some claims submitted April 2, 2026.

Payer impacted:  

• CPID 2690 UnitedHealthcare New Mexico Medicaid

The payer intermediary has been unable to generate and deliver the reports for some claims submitted April 2, 2026.

Action Required: Please resubmit claims if payment has not been received.

If you have any questions, please contact Customer Support and refer to Case Number 10256346.

4/9/2026

---

Report Generation Delay for CPID 6405 Cigna Health Plans

A payer intermediary is experiencing issues affecting Professional report generation for some claims submitted April 7, 2026.

Payer impacted:  

• CPID 6405 Cigna Health Plans

The payer intermediary has been unable to generate and deliver the reports for some claims submitted April 7, 2026.

Action Required: Please resubmit claims if payment has not been received.

If you have any questions, please contact Customer Support and refer to Case Number 10256332.

4/9/2026

---

Edit Master for Multiple payers

Optum is changing Edit Masters for the following payers, effective April 9, 2026:

Payer Name: Access IPA
Professional CPID: 9489
Current Edit Master: PE_O007
New Edit Master: PE_T007
Institutional CPID: 7084
Current Edit Master: HE9O007
New Edit Master: HE9T007
Industry Standard Payer ID: ACC01 

Payer Name: Advanced Medical Doctors of California
Professional CPID: 1739
Current Edit Master: PE_O007
New Edit Master: PE_T007
Institutional CPID: 1905
Current Edit Master: HE9O007
New Edit Master: HE9T007
Industry Standard Payer ID: AMDC1 

Payer Name: Adventist Health Hanford AHP
Institutional CPID: 2099
Current Edit Master: HE9O007
New Edit Master: HE9T007
Industry Standard Payer ID: MPM36 

Action Required: Please make the following changes to accommodate the routing change:  

• Revalidate unreleased claims to edit correctly under new edit master.  
• Modify any bridge routines based on the edit master.  
• No Payer Alias changes are required. Payer name and CPIDs are not changing. 

4/9/2026

---

New Electronic Claim Status Connection

Optum is pleased to announce the New Real-Time transactions for the payer specified below, effective March 31, 2026.

Real-Time Transaction Types:
Real-time Claim Status Inquiry 276/277

Payer Name: Arkansas Medicaid
Industry Payer ID: 12023
IMN Real Time ID: SKAR0
Exchange Real Time ID: ARCAID
CPID(s): 5597, 1489
Optum iEDI Real Time ID: ARMCD
Payer Enrollment Required: No

Search Options:

Claim Status Inquiry subscriber

• Member ID, First Name, Last Name, Date of Birth

Optional additional elements:

• Payer Claim Number
• Total Submitted Charges

Action Required by customer:

Please update your system to take advantage of this Payer’s transactions. For assistance with submitting Real-Time transactions, please contact your Practice Management System Vendor or Optum Customer Care Hub ticket.

4/9/2026

---

MMM of Florida Electronic Claims and Remittance Connections No Longer Available

The payer listed below will no longer be available at Optum for claims or remittance processing, effective immediately.

Payer Name: MMM of Florida
Payer ID: MMMFL
Reason: Payer no longer offers an electronic connection to which Optum can connect. 

Action Required: Make any necessary system changes.

4/9/2026

---

Payer Change for Payer ID 09824

Effective immediately, claims that are currently submitted using the payer ID listed below for New Mexico Medicaid Managed Care Organization (MCO) must be submitted using a new payer ID.

Payer Name: Molina Healthcare of New Mexico
Remittance Available: Yes
Payer ID: 09824

Claims must be submitted using the following:

Payer Name: Molina Healthcare of New Mexico Medicaid
Secondary Claims Accepted: Yes
Remittance Available: No
Payer ID: MLNNM
Claim Fee: N/A

Enrollment Requirements:

Claims:

• Payer enrollment for electronic claims is not required.

Action Required:

• Please be aware of the changes above and make any necessary changes in your system.
• This only affects claims submitted for New Mexico Medicaid Managed Care Organization (MCO).

4/9/2026

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Payer Consolidation for Altura MSO

Effective May 8, 2026, claims currently exchanged with the following payer must use a different payer ID:

Payer Name: LaSalle Medical Associates
Payer ID: NMM02
Claim Type: Professional

Payer Name: Altura MSO
Payer ID: ALTAM
Claim Type: Institutional and Professional

Payer IDs NMM02 and ALTAM will be terminated effective May 8, 2026.

Providers must begin using the following ID for electronic claims:

Payer Name: Altura MSO
Payer ID: 95712

Enrollment Requirements:

Claims:

• Payer enrollment for electronic claims is not required.

Action Required:

• Please be aware of the changes above and make any necessary changes in your system.

4/9/2026

---

Claims Reactivation for Payer ID 51028

Update: Optum will reactivate and reroute electronic claims routing for the payer listed below, effective April 8, 2026.

Payer Name: 21st Century Insurance and Financial Services
Payer-assigned Payer ID: 51028
Secondary Claims Accepted: Yes

Enrollment Requirements:

Claims:

• Payer enrollment for electronic claims is not required.

Action Required: Please consider the following to allow transactions to process properly due to the above changes:

• Make any necessary system changes.

Original notice sent March 11, 2026: 

Effective immediately, the payer listed below has been suspended at Optum for claim processing and removed from the payer list.

Payer Name: 21ST CENTURY INSURANCE AND FINANCIAL SERVICES
Payer ID: 51028
Reason: Payer unavailable electronically.

Action Required: Please refrain from submitting claims until further notice.

4/9/2026

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Electronic Claims Connection Suspended

Effective immediately, the payer listed below has been suspended at Optum for claim processing and removed from the payer list.

Payer Name: Lifepath Hospice
Payer ID: 76870
Reason: Payer unavailable electronically.

Action Required: Please refrain from submitting claims until further notice.

4/9/2026

Resolved: Error Message for Multiple Payers

Resolved: This issue is now resolved. Additional payers have been added to the affected payer list.

Action Required: All impacted claims need to be resubmitted for processing.

Payers Affected:

• CPID 3432 UnitedHealthcare Community Plan / Arizona
• CPID 1585 UnitedHealthcare Community Plan / Arizona
• CPID 6485 UnitedHealthcare / Oxford Health Plans
• CPID 6549 UnitedHealthcare / Oxford Health Plans
• CPID 4515 Golden Rule Insurance
• CPID 6483 Golden Rule Insurance
• CPID 1941 UnitedHealthcare / All Savers Insurance
• CPID 7481 UnitedHealthcare / All Savers Insurance
• CPID 2806 UnitedHealthcare Community Plan of New Jersey Medicaid
• CPID 7510 UnitedHealthcare Community Plan of New Jersey Medicaid
• CPID 1227 UnitedHealthcare Community Plan of Missouri
• CPID 4527 UnitedHealthcare Community Plan of Missouri
• CPID 3550 UnitedHealthcare
• CPID 3429 UnitedHealthcare
• CPID 4523 UnitedHealthcare Community Plan of Tennessee
• CPID 6442 UnitedHealthcare Community Plan of Tennessee
• CPID 2690 UnitedHealthcare New Mexico Medicaid
• CPID 1856 UnitedHealthcare New Mexico Medicaid
• CPID 7074 UnitedHealthcare Ohio Medicaid
• CPID 9465 UnitedHealthcare Ohio Medicaid
• CPID 1431 Medica Health Plan
• CPID 8598 Medica Health Plan
• CPID 1886 UnitedHealthcare Community Plan of Michigan
• CPID 8577 UnitedHealthcare Community Plan of Michigan
• CPID 2740 UnitedHealthcare West - Pacificare of California
• CPID 2741 UnitedHealthcare West - Pacificare of California
• CPID 5468 UnitedHealthcare West - Pacificare of California
• CPID 8956 UnitedHealthcare West - Pacificare of California
• CPID 6895 UnitedHealthcare West / UnitedHealthcare of CA, OK, OR, TX, WA and PacifiCare of AZ, CO, NV
• CPID 5646 UnitedHealthcare Community Plan of Kansas
• CPID 6283 UnitedHealthcare Community Plan of Kansas
• CPID 2240 Preferred Care Partners
• CPID 3929 Preferred Care Partners
• CPID 4243 Medica HealthCare Plan of Florida
• CPID 7641 Medica HealthCare Plan of Florida

Original Notification sent April 8, 2026:

Due to a payer processing issue, Professional and Institutional claims for the payers listed below may have received the following error message on the Payer Claim Data Report (SR), Payer Claim Data Report (SE), or Payer Report Data File (SF) reports:

• Reject Code: A3:33
• Message: ACK,RETURND AS UNPRCESSBLE CLM- CLM,ENCNTER BEEN REJECTD AND NOT ENTERD INTO ADJUDICATION SYS.:SUBSCRIBER AND SUBSCRIBER ID NOT FOUND.
• Message: MEMBER PICK REJECT

This issue began April 7, 2026, and is still ongoing. The payer is working to resolve the invalid error message in their system. Currently, the payer does not have an ETA on correcting the error.

Payers affected:

• CPID 3429 United Healthcare
• CPID 3550 United Healthcare

Action Required: Please be aware of the error message.

4/8/2026

---

Electronic Claims Connection Reactivating and Rerouting

UPDATE:

Effective April 9, 2026, Optum will be reactivated and changing electronic claims routing for the following payer:

Payer Name: GlobalCare
Professional CPID: 2720
Current Edit Master: PE_N000
New Edit Master: PE_T007
Institutional CPID: 1937
Edit Master: HE9T007
Industry Standard Payer ID: 07689
Payer Claim Enrollment Required: No
Secondary Claims Accepted: Yes

Enrollment Requirements:

Claims:

• Payer enrollment for electronic claims is not required.

Report Changes:

You may see some differences in the payer reports you receive.

Action Required: Please make the following changes to accommodate the routing change:

• Revalidate unreleased claims to edit correctly under new edit master.
• Modify any bridge routines based on edit masters.
• No Payer Alias changes are required. Payer name and CPIDs are not changing.

 Original Notification sent 3/17/2026

Effective immediately, the payer listed below has been suspended at Optum for claim processing and removed from the payer list.

Payer Name: GlobalCare
CPIDs: 1937, 2720
Payer ID: 07689
Reason: Payer unavailable electronically.

Action Required: Please refrain from submitting claims until further notice.

4/8/2026

---

Electronic Claims Connection Reactivating and Rerouting

UPDATE:

Effective April 9, 2026, Optum will be reactivated and changing electronic claims routing for the following payer:

Payer Name: GlobalCare
Professional CPID: 2720
Current Edit Master: PE_N000
New Edit Master: PE_T007
Institutional CPID: 1937
Edit Master: HE9T007
Industry Standard Payer ID: 07689
Payer Claim Enrollment Required: No
Secondary Claims Accepted: Yes

Enrollment Requirements:

Claims:

• Payer enrollment for electronic claims is not required.

Report Changes:

You may see some differences in the payer reports you receive.

Action Required: Please make the following changes to accommodate the routing change:

• Revalidate unreleased claims to edit correctly under new edit master.
• Modify any bridge routines based on edit masters.
• No Payer Alias changes are required. Payer name and CPIDs are not changing.

Original Notification sent 3/17/2026

Effective immediately, the payer listed below has been suspended at Optum for claim processing and removed from the payer list.

Payer Name: GlobalCare
CPIDs: 1937, 2720
Payer ID: 07689
Reason: Payer unavailable electronically.

Action Required: Please refrain from submitting claims until further notice.

4/8/2026

---

Resolved: Error Message for Payer ID 87726, United Healthcare

Resolved: This issue is now resolved. Additional payers have been added to the affected payer list.

Action Required: All impacted claims need to be resubmitted for processing.

Payers affected Payer IDs:

• 03432
• 06111
• 37602
• 77082
• 81400
• 86047
• 86050
• 87726
• 87748
• 88337
• 94265
• 95123
• 95467
• 95958
• 95959
• 96107
• 96385
• 96789
• 65088
• 78857
• PH111

Original Notification sent on April 8, 2026:

Due to a payer processing issue, Professional and Institutional claims for the payers listed below may have received the following error message:

• Reject Code: A3:33
• Message: ACK,RETURND AS UNPRCESSBLE CLM- CLM,ENCNTER BEEN REJECTD AND NOT ENTERD INTO ADJUDICATION SYS.:SUBSCRIBER AND SUBSCRIBER ID NOT FOUND.
• Message: MEMBER PICK REJECT

This issue began April 7, 2026, and is still ongoing. The payer is working to resolve the invalid error message in their system. Currently, the payer does not have an ETA on correcting the error.

Payers affected Payer IDs:

Payer United Healthcare

03432
06111
37602
77082
81400
86047
86050
87726
87748
88337
94265
95123
95467
95958
95959
96107
96385
96789
65088
78857
PH111

Action Required: Please be aware of the error message.

If you have any questions, feel free to contact your Customer Support Team and refer to Case Number INC-000004504.

4/8/2026

---

Electronic Claims Connection Suspended

Effective immediately, the payer listed below has been suspended at Optum for claim processing and removed from the payer list.

Payer Name: Lifepath Hospice
CPIDs: 5642, 6273
Industry Standard Payer ID: 76870
Reason: Payer unavailable electronically.

Action Required: Please refrain from submitting claims until further notice.

4/8/2026

---

New Electronic Claims Connections Available

Optum has new electronic claims connections available: 

Payer Name: 21st Century Insurance and Financial Services
Institutional CPID: 9094
Payer-assigned Payer ID: 51028
Payer Enrollment Required:  No
Secondary Claims Accepted: Yes
Payer Location: Delaware
Claims Fee: N/A

Action Required: 

• Add the payers to your system to begin using the new payer connection.

4/8/2026

---

Electronic Claims Connection Suspended

The payer listed below has been suspended at Optum for claim processing and removed from the payer list, effective immediately.

Payer Name: Health Help Networks
CPID(s): 6476
Industry Standard Payer ID: 59087
Reason: Payer unavailable electronically.

Action Required: Please refrain from submitting claims until further notice.

4/8/2026

---

Resolved: Error Message for Multiple Payers

Resolved: This issue is now resolved. Additional payers have been added to the affected payer list.

Action Required: All impacted claims need to be resubmitted for processing.

Payers Affected:

• CPID 3432 UnitedHealthcare Community Plan / Arizona
• CPID 1585 UnitedHealthcare Community Plan / Arizona
• CPID 6485 UnitedHealthcare / Oxford Health Plans
• CPID 6549 UnitedHealthcare / Oxford Health Plans
• CPID 4515 Golden Rule Insurance
• CPID 6483 Golden Rule Insurance
• CPID 1941 UnitedHealthcare / All Savers Insurance
• CPID 7481 UnitedHealthcare / All Savers Insurance
• CPID 2806 UnitedHealthcare Community Plan of New Jersey Medicaid
• CPID 7510 UnitedHealthcare Community Plan of New Jersey Medicaid
• CPID 1227 UnitedHealthcare Community Plan of Missouri
• CPID 4527 UnitedHealthcare Community Plan of Missouri
• CPID 3550 UnitedHealthcare
• CPID 3429 UnitedHealthcare
• CPID 4523 UnitedHealthcare Community Plan of Tennessee
• CPID 6442 UnitedHealthcare Community Plan of Tennessee
• CPID 2690 UnitedHealthcare New Mexico Medicaid
• CPID 1856 UnitedHealthcare New Mexico Medicaid
• CPID 7074 UnitedHealthcare Ohio Medicaid
• CPID 9465 UnitedHealthcare Ohio Medicaid
• CPID 1431 Medica Health Plan
• CPID 8598 Medica Health Plan
• CPID 1886 UnitedHealthcare Community Plan of Michigan
• CPID 8577 UnitedHealthcare Community Plan of Michigan
• CPID 2740 UnitedHealthcare West - Pacificare of California
• CPID 2741 UnitedHealthcare West - Pacificare of California
• CPID 5468 UnitedHealthcare West - Pacificare of California
• CPID 8956 UnitedHealthcare West - Pacificare of California
• CPID 6895 UnitedHealthcare West / UnitedHealthcare of CA, OK, OR, TX, WA and PacifiCare of AZ, CO, NV
• CPID 5646 UnitedHealthcare Community Plan of Kansas
• CPID 6283 UnitedHealthcare Community Plan of Kansas
• CPID 2240 Preferred Care Partners
• CPID 3929 Preferred Care Partners
• CPID 4243 Medica HealthCare Plan of Florida
• CPID 7641 Medica HealthCare Plan of Florida

Original Notification sent April 8, 2026:
Due to a payer processing issue, Professional and Institutional claims for the payers listed below may have received the following error message on the Payer Claim Data Report (SR), Payer Claim Data Report (SE), or Payer Report Data File (SF) reports:

• Reject Code: A3:33
• Message: ACK,RETURND AS UNPRCESSBLE CLM- CLM,ENCNTER BEEN REJECTD AND NOT ENTERD INTO ADJUDICATION SYS.:SUBSCRIBER AND SUBSCRIBER ID NOT FOUND.
• Message: MEMBER PICK REJECT

This issue began April 7, 2026, and is still ongoing. The payer is working to resolve the invalid error message in their system. Currently, the payer does not have an ETA on correcting the error.

Payers affected:

• CPID 3429 United Healthcare
• CPID 3550 United Healthcare

Action Required: Please be aware of the error message.

4/8/2026

---

Electronic Claims Connection Reactivating and Rerouting

UPDATE: Effective April 9, 2026, Optum will be reactivating and changing electronic claims routing for the following payer:

Payer Name: GlobalCare
Professional CPID: 2720
Institutional CPID: 1937
Industry Standard Payer ID: 07689
Payer Claim Enrollment Required: No
Secondary Claims Accepted: Yes

Enrollment Requirements
Claims:

• Payer enrollment for electronic claims is not required.

Report Changes:
You may see some differences in the payer reports you receive.

Action Required: Please consider the following to allow transactions to process properly due to the above changes:

• Make any necessary system changes.

Original Notification sent March 17, 2026
Effective immediately, the payer listed below has been suspended at Optum for claim processing and removed from the payer list.

Payer Name: GlobalCare
CPIDs: 1937, 2720
Payer ID: 07689
Reason: Payer unavailable electronically.

Action Required: Please refrain from submitting claims until further notice.

4/8/2026

---

Error Message for CPIDs 3429 & 3550, United Healthcare

Due to a payer processing issue, Professional and Institutional claims for the payers listed below may have received the following error message on the Payer Claim Data Report (SR), Payer Claim Data Report (SE), or Payer Report Data File (SF) reports:

• Reject Code: A3:33
• Message: ACK,RETURND AS UNPRCESSBLE CLM- CLM,ENCNTER BEEN REJECTD AND NOT ENTERD INTO ADJUDICATION SYS.:SUBSCRIBER AND SUBSCRIBER ID NOT FOUND.
• Message: MEMBER PICK REJECT

This issue began April 7, 2026, and is still ongoing. The payer is working to resolve the invalid error message in their system. Currently, the payer does not have an ETA on correcting the error.

Payers affected:

• CPID 3429 United Healthcare
• CPID 3550 United Healthcare

Action Required: Please be aware of the error message.

4/8/2026

---

Report Generation Delay for CPID 2160 Community Care Plan (Commercial)

A payer intermediary is experiencing issues affecting Professional report generation for some claims submitted March 25, 2026.

Payer impacted: 

• CPID 2160 Community Care Plan (Commercial)

The payer intermediary has been unable to generate and deliver the reports.

Action Required: None. Please resubmit claims if payment has not been received.

If you have any questions, please contact Customer Support and refer to Case Number 10254406. 

4/8/2026

---

Eligibility termination for payer ID ORHSM

Real Time Eligibility 270/271 for the payer listed below is no longer available at Optum, on the Revenue Performance Advisor (RPA) system effective immediately.

Payer Name: Health Share of Oregon (Mental Health) and Health Share of Oregon
RPA Payer ID: ORHSM 

Reason: Payer no longer offers an electronic connection.

Action Required: Providers should review the patient's current insurance ID card for claim filing information. Remove the above Payer ID within your practice management software or contact your software vendor for assistance, as needed.

4/8/2026

---

Payer Change for CPIDs 3848, 8914 Molina Healthcare of New Mexico

Effective immediately, claims that are currently submitted using the CPIDs listed below for New Mexico Medicaid Managed Care Organization (MCO) must be submitted using new CPIDs.

Payer Name: Molina Healthcare of New Mexico
Professional CPID: 3848
Institutional CPID: 8914
Remittance Available: Yes
Payer-assigned Payer ID: 09824

Claims must be submitted using the following:
Payer Name: Molina Healthcare of New Mexico Medicaid
Professional CPID: 1872
Institutional CPID: 3602
Secondary Claims Accepted: Yes
Remittance Available: No
Payer-assigned Payer ID: MLNNM
Claim Fee: N/A

Enrollment Requirements:
Claims:

• Payer enrollment for electronic claims is not required.

Action Required:

• Please be aware of the changes above and make any necessary changes in your system.
• This only affects claims submitted for New Mexico Medicaid Managed Care Organization (MCO).
• To access the new enrollment forms, please visit Enrollment Central.

4/8/2026

---

Payer Change for CPIDs 3848, 8914 Molina Healthcare of New Mexico

Effective immediately, claims that are currently submitted using the CPIDs listed below for New Mexico Medicaid Managed Care Organization (MCO) must be submitted using new CPIDs.

Payer Name: Molina Healthcare of New Mexico
Professional CPID: 3848
Professional Edit Master: PE_C051
Institutional CPID: 8914
Institutional Edit Master: HE9C051
Payer-assigned Payer ID: 09824
Line of Business Code (LOB): U21

Claims must be submitted using the following:
Payer Name: Molina Healthcare of New Mexico Medicaid
Professional CPID: 1872
Professional Edit Master: PE_C051
Institutional CPID: 3602
Institutional Edit Master: HE9C051
Secondary Claims Accepted: Yes
Payer-assigned Payer ID: MLNNM
Line of Business Code (LOB): N/A

Enrollment Requirements:
Claims:

• Payer enrollment for electronic claims is not required.

Action Required: Please make the following updates to accommodate these payer changes:

• This only affects claims submitted for New Mexico Medicaid Managed Care Organization (MCO).
• Revalidate unreleased claims to edit correctly under new edit master.
• Modify any bridge routines based on edit masters.
• Modify related Payer Alias names to the new CPIDs.
• To access the new enrollment forms, please visit Enrollment Central.

 

4/8/2026

---

Report Generation Delay for CPID 2203 Mississippi Medicare

A payer intermediary is experiencing issues affecting Professional report generation for some claims submitted March 31, 2026.

Payer impacted:

• CPID 2203 Mississippi Medicare

The payer intermediary has been unable to generate and deliver the reports for some claims submitted March 31, 2026.

Action Required: Please resubmit claims if payment has not been received.

If you have any questions, please contact Customer Support and refer to Case Number 10254152.

4/8/2026

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Electronic Eligibility Connection Suspended

Effective immediately, the payer listed below has been suspended at Optum for eligibility processing and removed from the payer list.

Payer Name: C & O Employees' Hospital Association
Industry Standard Payer ID: 23708
IMN Real Time ID: 23708
Exchange Real Time ID: WOCOM
Optum IEDI Real Time ID: n/a

Action Required: Please refrain from submitting eligibility transactions until further notice.

4/8/2026

---

CMS/HETS Announcement

Centers for Medicare & Medicaid Services (CMS) has recently announced an initiative whereby HETS 270/271 suppliers / providers are required to submit attestation via these websites and use the code: VQAS

1. Durable Medical Equipment Medicare Administrative Contractor (DME MAC) (operated by National Government Services as CEDI) form
2. National Government Services Jurisdiction J6 and Jurisdiction JK form
3. FCSO form
4. Novitas Form
5. Noridian Form
6. Palmetto GBA

JJ Part A

JJ Part B

JM Part A

JM Part B

JM HH&H

7. CGS

Part A

Part B

HH&H

8. WPS

If more information is needed you can reference the “Enrollment Information for Providers” section on the CMS website.

https://www.cms.gov/data-research/cms-information-technology/hipaa-eligibility-transaction-system-hets/hets-edi-how-enroll

These attestations must be completed by May 11, 2026 to avoid any disruptions to eligibility processing.

This information can also be found on the enrollment form that is available on the website https://business.optum.com/en/support/enrollment-forms.html

4/8/2026

---

CMS/HETS Announcement

Centers for Medicare & Medicaid Services (CMS) has recently announced an initiative whereby HETS 270/271 suppliers / providers are required to submit attestation via these websites and use the code: VQAS

1. Durable Medical Equipment Medicare Administrative Contractor (DME MAC) (operated by National Government Services as CEDI) form
2. National Government Services Jurisdiction J6 and Jurisdiction JK form
3. FCSO form
4. Novitas Form
5. Noridian Form
6. Palmetto GBA

JJ Part A

JJ Part B

JM Part A

JM Part B

JM HH&H

7. CGS

Part A

Part B

HH&H

8. WPS

If more information is needed you can reference the “Enrollment Information for Providers” section on the CMS website.

https://www.cms.gov/data-research/cms-information-technology/hipaa-eligibility-transaction-system-hets/hets-edi-how-enroll

These attestations must be completed by May 11, 2026 to avoid any disruptions to eligibility processing.

This information can also be found on the enrollment form that is available within Enrollment Central.

4/8/2026

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Western Health Advantage by Ayin Electronic Eligibility Connection No Longer Available

Effective immediately, Real Time Eligibility 270/271 for the payer listed below will no longer be available at Optum.

Payer Name: Western Health Advantage by Ayin
Industry Payer ID: 77225
IMN Real Time ID: 77225
Exchange Real Time ID: WHAYIN
CPIDs: 8022, 9740
Optum iEDI Real Time ID: 77225
Connection Type: X12

Reason: Payer no longer offers an electronic connection.

Action Required: None

4/7/2026

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Report Generation Delay for CPID 6284 Trillium Health Resources

The payer listed below is experiencing issues affecting Professional report generation for some claims submitted from March 26, 2026 through April 2, 2026.

Payer impacted:

• CPID 6284 Trillium Health Resources

The payer has been unable to generate and deliver the reports.

Action Required: None. Please resubmit claims if payment has not been received.

If you have any questions, please contact Customer Support and refer to Case Number 10252540.

4/7/2026

---

MMM of Florida Electronic Claims and Remittance Connections No Longer Available

The payer listed below is no longer available at Optum for claims or remittance processing, effective immediately.

Payer Name: MMM of Florida
Claims and Remittance CPIDs: 8118, 1090
Line of Business (LOB) Code: H6L
Industry Payer ID: MMMFL
Reason: Payer no longer offers an electronic connection to which Optum can connect.

Payer will no longer accept paper claims.

Action Required: Make any necessary system changes.

4/7/2026

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MMM of Florida Electronic Claims and Remittance Connections No Longer Available

The payer listed below is no longer available at Optum for claims or remittance processing, effective immediately.

Payer Name: MMM of Florida
Claim and Remittance CPIDs: 8118, 1090
Industry Payer ID: MMMFL
Reason: Payer no longer offers an electronic connection to which Optum can connect. 

Action Required: Make any necessary system changes.

4/7/2026

---

Claims Reactivation for CPID 2170 21st Century Insurance and Financial Services

Update: Optum will reactivate and reroute electronic claims routing for the payer listed below, effective April 8, 2026.

Payer Name: 21st Century Insurance and Financial Services
Professional CPID: 2170
Payer-assigned Payer ID: 51028
Secondary Claims Accepted: Yes

Enrollment Requirements:
Claims:

• Payer enrollment for electronic claims is not required.

Action Required: Please consider the following to allow transactions to process properly due to the above changes:

• Make any necessary system changes.

Original notice sent March 11, 2026: 
Effective immediately, the payer listed below has been suspended at Optum for claim processing and removed from the payer list.

Payer Name: 21ST CENTURY INSURANCE AND FINANCIAL SERVICES
CPID(s): 2170
Payer ID: 51028
Reason: Payer unavailable electronically.

Action Required: Please refrain from submitting claims until further notice.

4/7/2026

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Claims Reactivation for CPID 2170 21st Century Insurance and Financial Services

Update:  

Effective April 8, 2026, Optum will reactivate and reroute electronic claims routing for the payer listed below.

Payer Name: 21st Century Insurance and Financial Services
Professional CPID: 2170
Current Edit Master: PE_E049
New Edit Master: PE_B800
Payer-assigned Payer ID: 51028
Secondary Claims Accepted: Yes

Enrollment Requirements: 

Claims:

• Payer enrollment for electronic claims is not required.

Action Required: Please consider the following to allow transactions to process properly due to the above changes:

• Make any necessary system changes.

Original notice sent March 11, 2026:  

Effective immediately, the payer listed below has been suspended at Optum for claim processing and removed from the payer list.

Payer Name: 21ST CENTURY INSURANCE AND FINANCIAL SERVICES
CPID(s): 2170
Payer ID: 51028
Reason: Payer unavailable electronically.

Action Required: Please refrain from submitting claims until further notice.

4/7/2026

---

Report Generation Delay for CPID 5710 Woman's Integrated Network Healthcare

A payer intermediary is experiencing issues affecting Professional report generation for some claims submitted since March 26, 2026.

Payer impacted:

• CPID 5710 Woman's Integrated Network Healthcare

Optum is working diligently with the payer intermediary to resolve the issue and ensure reports are received.

Action Required: None. Please be aware of delays in the report generation for claims submitted during the time frame above.

If you have any questions, please contact Customer Support and refer to Case Number 10252644.

4/7/2026

---

Report Generation Delay for CPID 6868 Ultimate Health Plans

A payer intermediary is experiencing issues affecting Professional report generation for some claims submitted March, 26 2026.

Payer impacted:

• CPID 6868 Ultimate Health Plans

Optum is working diligently with the payer intermediary to resolve the issue and ensure reports are received.

Action Required: None. Please be aware of delays in the report generation for claims submitted during the time frame above.

If you have any questions, please contact Customer Support and refer to Case Number 10252738.

4/7/2026

---

Report Generation Delay for CPID 2795 Cigna HealthSpring Tennessee/Alabama

A payer intermediary is experiencing issues affecting Professional report generation for some claims submitted April 1, 2026.

Payer impacted: 

• CPID 2795 Cigna HealthSpring Tennessee/Alabama

The payer intermediary has been unable to generate and deliver the reports for some claims submitted April 1, 2026.

Action Required: Please resubmit claims if payment has not been received.

If you have any questions, please contact Customer Support and refer to Case Number 10252415.

4/7/2026

---

Health Share of Oregon (Mental Health) and Health Share of Oregon Electronic Eligibility Connection No Longer Available

Real Time Eligibility 270/271 for the payer listed below is no longer available at Optum, effective immediately.

Payer Name: Health Share of Oregon (Mental Health) and Health Share of Oregon
Industry Payer ID: 77122
IMN Real Time ID: ORHSM
Exchange Real Time ID: ORHSM, HLTHS1
CPIDs: 4582, 1250
Optum iEDI Real Time ID: 10823
Connection Type: X12 and Portal

Reason: Payer no longer offers an electronic connection.

Action Required: None.

4/7/2026

---

999 Payer Batch Rejections for CPID 1844 Wellcare Health Plans

Professional claims transmitted to the payer listed below from Optum on April 6, 2026 were not processed by the payer due to a 999 Batch Rejection. 

• CPID 1844 Wellcare Health Plans

A resolution has been implemented and the claims were retransmitted to the payer on April 7, 2026.

Action Required: None.

If you have any questions, please contact Customer Support and refer to Case Number 10252340.

4/7/2026

---

999 Payer Batch Rejections for CPID 1844 Wellcare Health Plans

Professional claims transmitted to the payer listed below from Optum on April 4, 2026 were not processed by the payer due to a 999 Batch Rejection. 

• CPID 1844 Wellcare Health Plans

A resolution has been implemented and the claims were retransmitted to the payer on April 6, 2026.

Action Required: None.

If you have any questions, please contact Customer Support and refer to Case Number 10252301.

4/7/2026

---

Electronic Claim Status Connection Suspended

Effective immediately, the payer listed below has been suspended at Optum for claim status processing and removed from the payer list.

Payer Name: Blue Cross Blue Shield of Vermont
Industry Standard Payer ID: BCBSVT
IMN Real Time ID: SB915
Exchange Real Time ID: VTBCBS
Optum IEDI Real Time ID: n/a

Action Required: Please refrain from submitting claim status transactions until further notice.

4/7/2026

---

Delay in Electronic Remittance Advice (ERA) for CPID 2824, 7551 The Health Plan of West Virginia

Due to a payer processing issue, there has been a delay in both Professional and Institutional Electronic Remittance Advice (ERA) for the following payer for file dates of November 19, 2025 – Present.

Payer impacted:

• CPID 2824 The Health Plan of West Virginia
• CPID 7551 The Health Plan of West Virginia

Additional updates will be forwarded as more information becomes available.

If you have any questions, feel free to contact your Customer Support Team and refer to Case Number INC-000003991.

Action Required: Please be aware of a delay in the delivery of ERA for the check dates above.

4/6/2026

---

Delay in Electronic Remittance Advice (ERA) for Payer ID 95677 The Health Plan of West Virginia

Due to a payer processing issue, there has been a delay in both Professional and Institutional Electronic Remittance Advice (ERA) for the following payer for file dates of November 19, 2025 – Present.

Payer impacted:

• Payer ID 95677 The Health Plan of West Virginia

Additional updates will be forwarded as more information becomes available.

If you have any questions, feel free to contact your Customer Support Team and refer to Case Number INC-000003991.

Action Required: Please be aware of a delay in the delivery of ERA for the check dates above.

4/6/2026

---

Electronic Routing Change for CPIDs 9477 and 7076 WelbeHealth

Effective April 07, 2026, Optum will be changing electronic remittance routing for the following payer:   

Payer Name: WelbeHealth
Professional CPID: 9477
Institutional CPID: 7076
Industry Standard Payer ID: WBHCA
Payer Remittance Enrollment Required: Yes 

Enrollment Requirements: 

Remittance:

• Payer enrollment for electronic remittance is required. 
• Providers currently receiving electronic remittance through Optum must complete a new enrollment form. 
• New providers must complete a new enrollment form. 

Action Required: Please consider the following to allow transactions to process properly due to the above changes: 

• Make any necessary system changes. 
• When a payer requires enrollment, forms must be submitted and approved from Enrollment Central. 

4/6/2026

---

Electronic Routing Change for CPIDs 9477 and 7076 WelbeHealth

Effective April 07, 2026, Optum will be changing electronic remittance routing for the following payer: 

Payer Name: WelbeHealth
Professional CPID: 9477
Institutional CPID: 7076
Industry Standard Payer ID: WBHCA
Line of Business Code (LOB): E49
Payer Remittance Enrollment Required: Yes 

Enrollment Requirements: 

Remittance:

• Payer enrollment for electronic remittance is required. 
• Providers currently receiving electronic remittance through Optum must complete a new enrollment form. 
• New providers must complete a new enrollment form. 

Action Required: Please make the following changes to accommodate the routing change:  

• No Payer Alias changes are required. Payer name and CPIDs are not changing. 
• When a payer requires enrollment, forms must be submitted and approved from Enrollment Central. 

4/6/2026

---

Report Generation Delay for CPIDs 4900 and 1883 Presbyterian Health Plan New Mexico Medicaid

A payer intermediary is experiencing issues affecting Institutional and Professional report generation for some claims submitted since March 23, 2026.

Payer impacted: 

• CPID 4900 Presbyterian Health Plan New Mexico Medicaid
• CPID 1883 Presbyterian Health Plan New Mexico Medicaid

Optum is working diligently with the payer intermediary to resolve the issue and ensure reports are received.

Action Required: None. Please be aware of delays in the report generation for claims submitted during the time frame above.

If you have any questions, please contact Customer Support and refer to Case Number 10251671.

4/6/2026

---

New Electronic Eligibility Connection Available

Optum is pleased to announce the availability of Real-time Eligibility Inquiry and Response 270/271 for the below payer, effective April 2nd 2026:

Payer Name: Director Guild
Industry Payer ID: 10077
IMN Real Time ID: DIRGD
Exchange Real Time ID: DIRGD
CPID(s):   N/A
Payer Enrollment Required: No
Connection Type: X12

Action Required by customer:

Please update your system to take advantage of this payer transaction. For assistance with submitting Real-Time transactions, please contact your Practice Management System Vendor or Optum Customer Care Hub ticket.

4/6/2026

---

Update: Report Generation Delay for CPID 7489 Blue Cross Blue Shield of Wyoming

Update: The payer intermediary has been unable to generate and deliver the reports for some claims submitted on March 5, 2026.

Action Required: Please resubmit claims if payment has not been received.

Original notice sent March 19, 2026:

A payer intermediary is experiencing issues affecting Professional report generation for some claims submitted on March 5, 2026.

Payer impacted: 

• CPID 7489 Blue Cross Blue Shield of Wyoming

Optum is working diligently with the payer intermediary to resolve the issue and ensure reports are received.

Action Required: None. Please be aware of delays in the report generation for claims submitted during the time frame above.

If you have any questions, please contact Customer Support and refer to Case Number 09929225.

4/6/2026

---

Update: Report Generation Delay for CPID 7489 Blue Cross Blue Shield of Wyoming

Update: The payer intermediary has been unable to generate and deliver the reports for some claims submitted on March 5, 2026.

Action Required: Please resubmit claims if payment has not been received.

Original notice sent March 19, 2026:

A payer intermediary is experiencing issues affecting Professional report generation for some claims submitted on March 5, 2026.

Payer impacted: 

• CPID 7489 Blue Cross Blue Shield of Wyoming

Optum is working diligently with the payer intermediary to resolve the issue and ensure reports are received.

Action Required: None. Please be aware of delays in the report generation for claims submitted during the time frame above.

If you have any questions, please contact Customer Support and refer to Case Number 09929225.

4/6/2026

---

New Electronic Claim Status Connection Available

Optum is pleased to announce the availability of Real-time Claim Status Inquiry and Response 276/277 for the below payer, effective April 3rd 2026:

Payer Name: GlobalHealth
Industry Payer ID: GHOKC
IMN Real Time ID: GLOBH
Exchange Real Time ID: GLOBHC
CPID(s):   5814, 3629
IEDI Real Time ID: GLOBH
Payer Enrollment Required: No
Connection Type: X12

Action Required by customer:

Please update your system to take advantage of this payer transaction. For assistance with submitting Real-Time transactions, please contact your Practice Management System Vendor or Optum Customer Care Hub ticket.

4/6/2026

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Neighborhood Health Partnership - Eligibility Inquiry and Response 270/271

Effective April 3rd, 2026, Optum is pleased to announce the availability of Real-time 270/271 transactions for the below payer:

Neighborhood Health Partnership
IMN ID: 10151
IEDI Optum: 10151
Exchange: NBHPS

Please update your system to take advantage of this payer transaction. For assistance with submitting Real-Time transactions, please contact your Practice Management System Vendor or Optum Customer Care Hub ticket.

• Customer Care Hub Portal: Submit a ticket through the Customer Care Hub at https://customercare.optum.com/public/home.html
  • Please note: If you are not currently registered, you will need to complete the registration process before submitting a ticket.

Updated Payer Lists may be obtained from your software vendor or Payer List Portal

4/6/2026

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Report Generation Delay for CPIDs 9053 and 3787 AvMed (Encounters)

A payer intermediary is experiencing issues affecting Institutional and Professional report generation for some claims submitted since March 23, 2026.

Payer impacted: 

• CPID 9053 AvMed (Encounters)
• CPID 3787 AvMed (Encounters)

Optum is working diligently with the payer intermediary to resolve the issue and ensure reports are received.

Action Required: None. Please be aware of delays in the report generation for claims submitted during the time frame above.

If you have any questions, please contact Customer Support and refer to Case Number 10251373.

4/6/2026

---

New Claim Status Connection Available

Optum is pleased to announce the availability of Real-Time transactions Claim Status Inquiry and Response 276/277 for the below payer, effective April 6, 2026.

Payer Name: Asuris Northwest Regence
Industry Payer ID: 93221
MN Real Time ID: 93221
Exchange Real Time ID: ASURNH
CPID(s): 4881, 5942
Optum IEDi Real Time ID: 10529
Payer Enrollment Required: No
Connection Type:  X12 5010

Search Options:
Claim Status Inquiry subscriber

• Member ID, First Name, Last Name, Date of Birth
• Optional additional elements: Payer Claim Number, Total Submitted Charges

Claim Status Inquiry Dependent

• Member ID, Dependent First Name, Dependent Last Name, Dependent Date of Birth, Subscriber Last Name
• Optional additional elements: Payer Claim Number, Total Submitted Charges

Action Required by customer:
Please update your system to take advantage of this Payer’s transactions. For assistance with submitting Real-Time transactions, please contact your Practice Management System Vendor or Optum Customer Care Hub ticket.

4/6/2026

---

999 Payer Batch Rejections for CPID 1782 North American Medical Management (NAMM - N. CA)

Professional claims transmitted to the payer listed below from Optum April 6, 2026 were not processed by the payer due to a 999 Batch Rejection.

Payer impacted:

• CPID 1782 North American Medical Management (NAMM - N. CA)

A resolution has been implemented, and the claims were retransmitted to the payer April 6, 2026.

Action Required: None.

If you have any questions, please contact Customer Support and refer to Case Number 10250936.

4/6/2026

---

Report Generation Delay for CPID 1449 Colorado Medicare

A payer intermediary is experiencing issues affecting Professional report generation for some claims submitted April 3, 2026.

Payer impacted:

• CPID 1449 Colorado Medicare

The payer intermediary has been unable to generate and deliver the reports for some claims submitted April 3, 2026.

Action Required: Please resubmit claims if payment has not been received.

If you have any questions, please contact Customer Support and refer to Case Number 10250758.

4/6/2026

---

999 Payer Batch Rejections for CPID 1844 Wellcare Health Plans

Professional claims transmitted to the payer listed below from Optum April 3, 2026 were not processed by the payer due to a 999 Batch Rejection. 

• CPID 1844 Wellcare Health Plans

A resolution has been implemented and the claims were retransmitted to the payer April 3, 2026.

Action Required: None.

If you have any questions, please contact Customer Support and refer to Case Number 10249459.

4/3/2026

---

PAR Status change for Claim payers

The PAR status will change for the following list of claim payers:

Payer Name: Optum San Diego Public Sector Behavioral Health
Payer ID: OSDPS
Transaction(s): Professional Claims
New Par Status: G
Effective Date: April 1, 2026

Payer Name: Optum San Diego Public Sector CFWB
Payer ID: CFWB1
Transaction(s): Professional Claims
New Par Status: G
Effective Date: April 1, 2026

Payer Name: Optum San Diego Public Sector CFWB Medi-Cal
Payer ID: CFWMC
Transaction(s): Professional Claims
New Par Status: G
Effective Date: April 1, 2026

Payer Name: Optum San Diego Public Sector County
Payer ID: CNTY1
Transaction(s): Prof/Inst Claims
New Par Status: G
Effective Date: April 1, 2026

Payer Name: Dignity Health Medical Foundation for Mercy Medical Group or Woodland Clinic Medical Group
Payer ID: PROH1
Transaction(s): Prof/Inst Claims
New Par Status: P
Effective Date: April 1, 2026

Payer Name: Dignity Health Medical Group - Inland Empire
Payer ID: PROH4
Transaction(s): Prof/Inst Claims
New Par Status: P
Effective Date: April 1, 2026

Payer Name: Dignity Health Sacramento Hospital
Payer ID: HOSH1
Transaction(s): Prof/Inst Claims
New Par Status: P
Effective Date: April 1, 2026

Payer Name: Devoted Health
Payer ID: DEVOT
Transaction(s): Prof/Inst Claims
New Par Status: T
Effective Date: May 1, 2026

Payer Name: Health Choice Pathway
Payer ID: 62180
Transaction(s): Dental Claims
New Par Status: N
Effective Date: May 1, 2026

Action Required: Please be aware of the PAR status changes.

4/3/2026

---

PAR Status change for Real-Time payers

Effective May 1, 2026, the PAR Status will change for the following list of real-time payers:

Payer Name: CareFirst Administrators/ NCAS
Payer ID: 12273
Transaction(s): Eligibility
New Par Status: N

Payer Name: Christian Brothers Services
Payer ID: 38308
Transaction(s): Claim Status
New Par Status: N

Payer Name: Christus Health Plan Health Insurance Exchange
Payer ID: CHPTX
Transaction(s): Eligibility, Claim Status
New Par Status: N

Payer Name: Health Choice Pathway
Payer ID: 62180
Transaction(s): Eligibility, Claim Status
New Par Status: N

Payer Name: Hometown Health
Payer ID: 10335
Transaction(s): Eligibility, Claim Status
New Par Status: N

Payer Name: Novasys Health Network
Payer ID: 68069
Transaction(s): Eligibility, Claim Status
New Par Status: N

Payer Name: Planned Administrators (Non Preferred Blue Providers)
Payer ID: 37287
Transaction(s): Eligibility, Claim Status
New Par Status: N

Payer Name: Primewell Health Services
Payer ID: VHPLA
Transaction(s): Eligibility
New Par Status: N

Action Required: Please be aware of the PAR status changes.

4/3/2026

---

Report Generation Delay for CPID 5909 Carelon Behavioral Health

A payer intermediary is experiencing issues affecting Institutional report generation for some claims submitted March 20, 2026.

Payer impacted: 

• CPID 5909 Carelon Behavioral Health

The payer intermediary has been unable to generate and deliver the reports.

Action Required: None. Please resubmit claims if payment has not been received.

If you have any questions, please contact Customer Support and refer to Case Number 10248707.

4/3/2026

---

PAR Status Change for Claim Payers

The PAR Status is changing for the following claim payers:

Devoted Health
Industry ID: DEVOT
Exchange CPIDs: 2061, 8196
New Par Status: Transitional
Effective Date: 5/1/26

Dignity Health Medical Foundation for Mercy Medical Group or Woodland Clinic Medical Group
Industry ID: PROH1
Exchange CPIDs: 8555, 7796
New Par Status: Par
Effective Date: 4/1/26

Dignity Health Medical Group - Inland Empire
Industry ID: DHFIE
Exchange CPIDs: 9677, 7729
New Par Status: Par
Effective Date: 4/1/26

Dignity Health Sacramento Hospital
Industry ID: HOSH1
Exchange CPIDs: 2084, 8232
New Par Status: Par
Effective Date: 4/1/26

Optum San Diego Public Sector Behavioral Health
Industry ID: OSDPS
Exchange CPIDs: 9756
New Par Status: Gateway
Effective Date: 4/1/26

Optum San Diego Public Sector CFWB
Industry ID: CFWB1
Exchange CPIDs: 3872
New Par Status: Gateway
Effective Date: 4/1/26

Optum San Diego Public Sector CFWB Medi-Cal
Industry ID: CFWMC
Exchange CPIDs: 3873
New Par Status: Gateway
Effective Date: 4/1/26

Optum San Diego Public Sector County
Industry ID: CNTY1
Exchange CPIDs: 9070, 3491
New Par Status: Gateway
Effective Date: 4/1/26

Action Required: Please be aware of the PAR Status changes.

4/3/2026

---

PAR Status Change for Real Time Payers

Effective 5/1/2026, the PAR Status is changing for the following real-time payers:

Allied Benefit Systems, Inc
IMN ID: 37308
Transaction(s): Eligibility
New Par Status: Non Par

CareFirst Administrators/ NCAS
IMN ID: CFSAD
Transaction(s): Eligibility
New Par Status: Non Par

Christian Brothers Services
IMN ID: 38308
Transaction(s): Eligibility, Claim Status
New Par Status: Non Par

Christus Health Plan Health Insurance Exchange
IMN ID: CHPTX
Transaction(s): Eligibility, Claim Status
New Par Status: Non Par

Health Choice Pathway
IMN ID: HCGEN
Transaction(s): Eligibility, Claim Status
New Par Status: Non Par

Hometown Health Plan
IMN ID: HMETH
Transaction(s): Eligibility
New Par Status: Non Par

Novasys Health Network
IMN ID: 68069
Transaction(s): Eligibility, Claim Status
New Par Status: Non Par

Planned Administrators (Non Preferred Blue Providers)
IMN ID: 37287
Transaction(s): Eligibility, Claim Status
New Par Status: Non Par

Primewell Health Services
IMN ID: 77701
Transaction(s): Eligibility, Claim Status
New Par Status: Non Par

Action Required: Please be aware of the upcoming PAR Status changes.

4/3/2026

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New Electronic Claims Connections Available on RPA

Institutional claim transactions have recently been added to the Revenue Performance Advisor (RPA) system for the following payers:

28148 – Manhattan Life Insurance and Annuity Company
28680 – PHCS Multiplan - Group Resources
29094 – SGRX Health
37315 – Prism Univera
88831 – Highmark Health Options Duals West Virginia
CNTY1 – Optum San Diego Public Sector County
COHOS – Optum San Diego County Funded Hospital
COSNF – Optum San Diego Skilled Nursing Facilities
CPMG1 – Children's Physicians Medical Group
BSKAI – SKAI Blue Cross Blue Shield
EIPA8 – Esperanza IPA
HINGE – Hinge Health
NMM11 – Bay Area Care Partners
NV101 – NationsVision
RHN01 – Rincon Health Network
TLC01 – TLC Advantage in Sioux Falls
TRES1 – Tres Health Inc.
VCH01 – ViCare Health
WYBAX – WyoBlue Advantage

Professional claim transactions have recently been added to the Revenue Performance Advisor (RPA) system for the following payers:

28148 – Manhattan Life Insurance and Annuity Company
28680 – PHCS Multiplan - Group Resources
29094 – SGRX Health
74303 – National Vision Administrators
88831 – Highmark Health Options Duals West Virginia
BSKAI – SKAI Blue Cross Blue Shield
EIPA8 – Esperanza IPA
HINGE – Hinge Health
NMM11 – Bay Area Care Partners
NV101 – NationsVision
RHN01 – Rincon Health Network
TLC01 – TLC Advantage in Sioux Falls
TRES1 – Tres Health Inc.
VCH01 – ViCare Health
WYBAX – WyoBlue Advantage

4/3/2026

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New Electronic Remittance (ERA) Connections Available on RPA

ERA (Remittance) transactions have recently been added to the Revenue Performance Advisor system for the following payers:

Payer ID – Payer name

14829 – Co-ordinated Benefit Plans
37257 – EBSO, Inc.
84131 – Denver Health Medical Plan Inc. - Medicare Choice
84135 – Denver Health Medical Plan
CB987 – Black Hawk
PA901 – American Health Advantage of Pennsylvania

ERA enrollment/set up is required for all ERA transactions on Revenue Performance Advisor. You can access the payer enrollment intake form on the Revenue Performance Advisor (RPA) restoration resources page in the User Community.

If you’re in Revenue Performance Advisor, you can also open the Revenue Performance Advisor Resource Center, click the Quick Reference Guides tab, and then click the Billing Provider Enrollment link to find the payer enrollment intake form.

4/3/2026

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999 Payer Batch Rejections for CPID 1782 North American Medical Management (NAMM - N. CA)

Professional claims transmitted to the payer listed below from Optum on April 2, 2026 were not processed by the payer due to a 999 Batch Rejection.

Payer impacted:

• CPID 1782 North American Medical Management (NAMM - N. CA)

A resolution has been implemented, and the claims were retransmitted to the payer on April 2, 2026.

Action Required: None.

If you have any questions, please contact Customer Support and refer to Case Number 10247844.

4/2/2026

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Report Generation Delay for CPID 1486 Utah Medicaid

The payer listed below is experiencing issues affecting Professional report generation for some claims submitted on March 24, 2026.

Payer impacted:

• CPID 1486 Utah Medicaid

Optum is working diligently with the payer to resolve the issue and ensure reports are received.

Action Required: None. Please be aware of delays in the report generation for claims submitted during the time frame above.

If you have any questions, please contact Customer Support and refer to Case Number 10247826

4/2/2026

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New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: Vault Administrative Services
Institutional CPID: 5085
Professional CPID: 9132
Industry Standard Payer ID: VS402
Line of Business (LOB) Code: E58
Payer Enrollment Required: Yes
Remittance Fee: N/A
Payer Location: National

Action Required:

• Add the payers to your system to begin using the new payer connection.
• Enrollment forms must be submitted and approved to begin receiving electronic remittance through Optum.

4/2/2026

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Update: Report Generation Delay for CPIDs 5428 and 2593 QualChoice of Arkansas

Update: The payer intermediary has been unable to generate and deliver the reports for some claims submitted from March 2, 2026 through March 24, 2026.

Payer impacted: 

• CPID 2593 QualChoice of Arkansas
• CPID 5428 QualChoice of Arkansas

Action Required: Please resubmit claims if payment has not been received.

Original notice sent March 10, 2026:

A payer intermediary is experiencing issues affecting Institutional report generation for some claims submitted since Feb. 24, 2026.

Payer impacted: 

• CPID 2593 QualChoice of Arkansas

Optum is working diligently with the payer intermediary to resolve the issue and ensure reports are received.

Action Required: None. Please be aware of delays in the report generation for claims submitted during the time frame above.

If you have any questions, please contact Customer Support and refer to Case Number 09918368.

4/2/2026

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Update: Electronic Remittance Connection Available

UPDATE: Please review this updated notification:

Optum has new electronic remittance connections available:

Payer Name: UnitedHealthcare New Mexico Medicaid
Institutional CPID: 2690
Professional CPID: 1856
Industry Standard Payer ID: 87748
Remittance Payer ID: 04567
Line of Business (LOB) Code: U39
Payer Enrollment Required: Yes
Remittance Fee: N/A
Payer Location: National

Electronic Remittance Advice (ERA) Enrollment Required

Providers must be enrolled to receive electronic remittance advice (ERA).

Providers currently receiving ERA through Optum for CPID 6893 (UnitedHealthcare Community Plan, Payer ID 04567) may choose one of the following options:

• No action required
  • If no new enrollment form is submitted, remittance for CPIDs 2690 and 1856 (UnitedHealthcare New Mexico Medicaid) will continue to be returned under CPID 6893.
• Submit a new enrollment form
  • If a new enrollment form is submitted, remittance will be returned directly under CPIDs 2690 and 1856 (UnitedHealthcare New Mexico Medicaid).
  • New providers must complete a new enrollment form

Action Required:

• Add the payers to your system to begin using the new payer connection.
• Enrollment forms must be submitted and approved to begin receiving electronic remittance through Optum.

Original notification sent April 1, 2026
Effective immediately, Optum has electronic remittance available for CPIDs 1856, 2690 UnitedHealthcare New Mexico Medicaid under CPID 6893 UnitedHealthcare Community Plan. Providers will need to enroll for the following CPID to obtain this remittance:

Payer Name: UnitedHealthcare Community Plan of CA, DC, DE, FL, GA, HI, IN, KY, LA, MA, MD, NC, NM, NY, OH, OK, PA, RI, TX, VA, WA
CPID: 6893
Industry Standard Payer ID: 04567
Line of Business (LOB) Code: U39
Payer Enrollment Required: Yes
Remittance Fee: N/A
Payer Location: National

Enrollment Requirements
Remittance:

• Payer enrollment for electronic remittance is required.
  • Providers currently receiving electronic remittance through Optum for CPID 6893 UnitedHealthcare Community Plan do not need to complete a new enrollment form.
  • Providers not receiving electronic remittance through Optum for CPID 6893 UnitedHealthcare Community Plan must complete a new enrollment form.
  • New providers must complete a new enrollment form.

Action Required:

• Add the payers to your system to begin using the new payer connection.
• Enrollment forms must be submitted and approved to begin receiving electronic remittance through Optum.

4/2/2026

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Update: Electronic Remittance Connection Available

UPDATE: Please review this updated notification:

Optum has new electronic remittance connections available:

Payer Name: UnitedHealthcare New Mexico Medicaid
Institutional CPID: 2690
Professional CPID: 1856
Industry Standard Payer ID: 87748
Remittance Payer ID: 04567
Payer Enrollment Required: Yes
Remittance Fee: N/A
Payer Location: National

Electronic Remittance Advice (ERA) Enrollment Required

Providers must be enrolled to receive electronic remittance advice (ERA).

Providers currently receiving ERA through Optum for CPID 6893 (UnitedHealthcare Community Plan, Payer ID 04567) may choose one of the following options:

• No action required
  • If no new enrollment form is submitted, remittance for CPIDs 2690 and 1856 (UnitedHealthcare New Mexico Medicaid) will continue to be returned under CPID 6893.
• Submit a new enrollment form
  • If a new enrollment form is submitted, remittance will be returned directly under CPIDs 2690 and 1856 (UnitedHealthcare New Mexico Medicaid).
  • New providers must complete a new enrollment form

Action Required:

• Add the payers to your system to begin using the new payer connection.
• Enrollment forms must be submitted and approved to begin receiving electronic remittance through Optum.

Original notification sent April 1, 2026
Effective immediately, Optum has electronic remittance available for CPIDs 1856, 2690 UnitedHealthcare New Mexico Medicaid under CPID 6893 UnitedHealthcare Community Plan. Providers will need to enroll for the following CPID to obtain this remittance:

Payer Name: UnitedHealthcare Community Plan of CA, DC, DE, FL, GA, HI, IN, KY, LA, MA, MD, NC, NM, NY, OH, OK, PA, RI, TX, VA, WA
CPID: 6893
Industry Standard Payer ID: 04567
Payer Enrollment Required: Yes
Remittance Fee: N/A
Payer Location: National

Enrollment Requirements
Remittance:

• Payer enrollment for electronic remittance is required.
  • Providers currently receiving electronic remittance through Optum for CPID 6893 UnitedHealthcare Community Plan do not need to complete a new enrollment form.
  • Providers not receiving electronic remittance through Optum for CPID 6893 UnitedHealthcare Community Plan must complete a new enrollment form.
  • New providers must complete a new enrollment form.

Action Required:

• Add the payers to your system to begin using the new payer connection.
• Enrollment forms must be submitted and approved to begin receiving electronic remittance through Optum.

4/2/2026

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New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: Vault Administrative Services
Institutional CPID: 5085
Professional CPID: 9132
Industry Standard Payer ID: VS402
Line of Business (LOB) Code: E58
Payer Enrollment Required: Yes
Remittance Fee: N/A
Payer Location: National

Action Required:

• Add the payers to your system to begin using the new payer connection.
• Enrollment forms must be submitted and approved to begin receiving electronic remittance through Optum.

4/2/2026

---

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: Vault Administrative Services
Institutional CPID: 5085
Professional CPID: 9132
Industry Standard Payer ID: VS402
Payer Enrollment Required: Yes
Remittance Fee: N/A
Payer Location: National

Action Required:

• Add the payers to your system to begin using the new payer connection.
• Enrollment forms must be submitted and approved to begin receiving electronic remittance through Optum.

4/2/2026

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999 Payer Batch Rejections for CPID 1844 Wellcare Health Plans

Professional claims transmitted to the payer listed below from Optum April 2, 2026 were not processed by the payer due to a 999 Batch Rejection. 

• CPID 1844 Wellcare Health Plans

A resolution has been implemented and the claims were retransmitted to the payer April 2, 2026.

Action Required: None.

If you have any questions, please contact Customer Support and refer to Case Number 10247476.

4/2/2026

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Update - Tricare For Life, East, and West Real-Time Eligibility and Claim Status Errors

Update: We want to share an update regarding a temporary issue affecting real‑time transactions submitted through Optum for TRICARE for Life, East, and West.

At this time:

• Real‑time Eligibility (270/271) transactions may return an AAA42 error
• Claim Status (276/277) transactions may return STC error E0:484

These messages are the result of a temporary system issue on the payer’s side that indicate no response is available. There is no issue with your submission or your connection to Optum. The payer intermediary is currently testing a potential fix.

Original Notify sent March 18, 2026:
We want to make you aware of a current issue affecting real-time 270/271 eligibility and 276/277 transactions submitted through Optum for Tricare for Life, East, and West.

Some transactions may return the message: "System Not Responding, please resubmit."

This response is due to a temporary system issue on the payer's side. Your transaction was received correctly, and there is no issue with your submission or your connection to Optum.

Payer Name: Tricare East
Payer ID: 99727
Transaction: Real Time Eligibility and Claim Status

Payer Name: Tricare West
Payer ID: 99726
Transaction: Real Time Eligibility and Claim Status

Payer Name: Tricare for Life
Payer ID: TRLIF
Transaction: Real Time Eligibility and Claim Status

What You Should Know:

• The issue is isolated to real-time eligibility and claim status transactions.
• It is being actively investigated and prioritized by the payer.
• There is no estimated time for resolution (ETA) at this moment.

What You Can Do:

• Please wait a few minutes and resubmit the transaction.
• If needed, consider using alternate eligibility verification methods until the issue is resolved.
• No action is needed on your part to correct or troubleshoot the issue.

We understand the importance of timely eligibility and claim status responses. We continue working closely with the payer to support resolution. We will share updates as they become available.

If you have any questions, please contact Customer Support and refer to Global Incident Number INC-000004096.

Thank you for your continued partnership and patience.

4/2/2026

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Report Generation Delay for CPID 3244 Southwest Service Life

The payer listed below is experiencing issues affecting Professional report generation for some claims submitted since March 25, 2026.

Payer impacted:

• CPID 3244 Southwest Service Life

Optum is working diligently with the payer intermediary to resolve the issue and ensure reports are received.

Action Required: None. Please be aware of delays in the report generation for claims submitted during the time frame above.

If you have any questions, please contact Customer Support and refer to Case Number 10247339.

4/2/2026

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Update: Invalid Error Message for CPIDs 5547/4426 Arizona Blue Cross Blue Shield

Update: This issue is still under review with the payer. Additional notifications will be sent as updates become available.

Original notify sent March 27, 2025
Due to a payer processing issue, Professional and Institutional claims for the payer listed below may have received the following invalid error message on the Payer Claim Data Report (SR), Payer Claim Data Report (SE), Payer Report Data File (SF):

• Reject Code: 601
• Message: CLM: MISPLACED SEGMENT DTP (DATE - REPRICER RECEIVED DATE) AT 2-1350 WITHIN LOOP CLM (2300)(CLAIM INFORMATION) AT 2-1300, THIS SEGMENT, LOOP/GROUP MAY NOT BE IN THE CORRECT POSITION FOR LOOP/GROUP

This issue began November 2024 and is still ongoing. The payer is working to resolve the invalid error message in their system. Currently, the payer does not have an ETA on correcting the error, however any affected claims can be resubmitted.

Payers affected:

• 5547 Arizona Blue Cross Blue Shield
• 4426 Arizona Blue Cross Blue Shield

Action Required: Please be aware of the invalid error message.

4/2/2026

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Electronic Remittance Connection Available

Optum has electronic remittance available for UnitedHealthcare New Mexico Medicaid under payer ID 04567 UnitedHealthcare Community Plan, effective immediately. Providers will need to enroll for the following payer ID to obtain this remittance:

Payer Name: UnitedHealthcare Community Plan of CA, DC, DE, FL, GA, HI, IN, KY, LA, MA, MD, NC, NM, NY, OH, OK, PA, RI, TX, VA, WA
Payer ID: 04567
Payer Enrollment Required: Yes
Payer Location: National

Enrollment Requirements
Remittance:

• Payer enrollment for electronic remittance is required.
  • Providers currently receiving electronic remittance through Optum for payer ID 04567 UnitedHealthcare Community Plan do not need to complete a new enrollment form.
  • Providers not receiving electronic remittance through Optum for payer ID 04567 UnitedHealthcare Community Plan must complete a new enrollment form.
  • New providers must complete a new enrollment form.

Action Required:

• Add the payers to your system to begin using the new payer connection.
• Enrollment forms must be submitted and approved to begin receiving electronic remittance through Optum.

4/2/2026

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Lockard and Williams Electronic Claims and Remittance Connections No Longer Available

The payer listed below is no longer available at Optum for claims and remittance processing, effective March 31, 2026.

Payer Name: Lockard and Williams
Payer ID: CB752
Reason: Payer no longer in business.

Payer no longer accepts paper claims.

Action Required: None.

4/2/2026

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Optum Alert: Report Generation Delay for CPID 6405 Cigna Health Plans

A payer intermediary is experiencing issues affecting Professional report generation for some claims submitted on March 31, 2026.

Payer impacted:

• CPID 6405 Cigna Health Plans

The payer intermediary has been unable to generate and deliver the reports for some claims submitted on March 31, 2026.

Action Required: Please resubmit claims if payment has not been received.

If you have any questions, please contact Customer Support and refer to Case Number 10246899.

4/2/2026

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DC Medicaid - Real-time Eligibility Inquiry 270/271

This is a correction to a previous notification. Optum is pleased to announce the availability of Real-time Eligibility Inquiry and Response 270/271 for the below payer, effective March 26, 2026:

Payer Name: DISTRICT OF COLUMBIA MEDICAID

There is NO enrollment required at the payer.

Action Required by customer:

Please update your system to take advantage of this payer transaction and update your records. For assistance with submitting Real-Time transactions, please contact your Practice Management System Vendor or Optum Customer Care Hub ticket https://customercare.changehealthcare.com/public/home.html

Updated Payer Lists may be obtained from your software vendor or Payer List Portal

4/1/2026

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Electronic Remittance Connection Available

Effective immediately, Optum has electronic remittance available for CPIDs 1856, 2690 UnitedHealthcare New Mexico Medicaid under CPID 6893 UnitedHealthcare Community Plan. Providers will need to enroll for the following CPID to obtain this remittance:

Payer Name: UnitedHealthcare Community Plan of CA, DC, DE, FL, GA, HI, IN, KY, LA, MA, MD, NC, NM, NY, OH, OK, PA, RI, TX, VA, WA
CPID: 6893
Industry Standard Payer ID: 04567
Line of Business (LOB) Code: U39
Payer Enrollment Required: Yes
Remittance Fee: N/A
Payer Location: National

Enrollment Requirements:

Remittance:

• Payer enrollment for electronic remittance is required.
  • Providers currently receiving electronic remittance through Optum for CPID 6893 UnitedHealthcare Community Plan do not need to complete a new enrollment form.
  • Providers not receiving electronic remittance through Optum for CPID 6893 UnitedHealthcare Community Plan must complete a new enrollment form.
  • New providers must complete a new enrollment form.

 Action Required:

• Add the payers to your system to begin using the new payer connection.
• Enrollment forms must be submitted and approved to begin receiving electronic remittance through Optum.

4/1/2026

---

Electronic Remittance Connection Available

Effective immediately, Optum has electronic remittance available for CPIDs 1856, 2690 UnitedHealthcare New Mexico Medicaid under CPID 6893 UnitedHealthcare Community Plan. Providers will need to enroll for the following CPID to obtain this remittance:

Payer Name: UnitedHealthcare Community Plan of CA, DC, DE, FL, GA, HI, IN, KY, LA, MA, MD, NC, NM, NY, OH, OK, PA, RI, TX, VA, WA
CPID: 6893
Industry Standard Payer ID: 04567
Payer Enrollment Required: Yes
Remittance Fee: N/A
Payer Location: National

Enrollment Requirements:

Remittance:

• Payer enrollment for electronic remittance is required.
  • Providers currently receiving electronic remittance through Optum for CPID 6893 UnitedHealthcare Community Plan do not need to complete a new enrollment form.
  • Providers not receiving electronic remittance through Optum for CPID 6893 UnitedHealthcare Community Plan must complete a new enrollment form.
  • New providers must complete a new enrollment form.

Action Required:

• Add the payers to your system to begin using the new payer connection.
• Enrollment forms must be submitted and approved to begin receiving electronic remittance through Optum.

4/1/2026

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999 Payer Batch Rejections for CPID 1844 Wellcare Health Plans

Professional claims transmitted to the payer listed below from Optum April 1, 2026 were not processed by the payer due to a 999 Batch Rejection. 

• CPID 1844 Wellcare Health Plans

A resolution has been implemented and the claims were retransmitted to the payer April 1, 2026.

Action Required: None.

If you have any questions, please contact Customer Support and refer to Case Number 10245569.

4/1/2026

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Electronic Claims Connection Suspended

The payer listed below has been suspended at Optum for claim processing and removed from the payer list, effective immediately.

Payer Name: CareCore National Wellcare Radiology
CPID: 4870
Industry Standard Payer ID: 14188
Reason: Payer unavailable electronically.

Action Required: Please refrain from submitting claims until further notice.

4/1/2026

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Schaller Anderson Majestacare Virginia Electronic Eligibility Connection No Longer Available

Effective immediately, Real Time Eligibility 270/271 for the payer listed below will no longer be available at Optum.

Payer Name: Schaller Anderson Majestacare Virginia
Optum iEDI Real Time ID: MACVA
Connection Type: X12

Reason: Payer no longer offers an electronic connection.

Action Required: None

4/1/2026

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Report Generation Delay for CPID 4967 Blue Cross Blue Shield of Vermont

A payer intermediary is experiencing issues affecting Institutional report generation for some claims submitted March 18, 2026.

Payer impacted: 

• CPID 4967 Blue Cross Blue Shield of Vermont

The payer intermediary has been unable to generate and deliver the reports.

Action Required: None. Please resubmit claims if payment has not been received.

If you have any questions, please contact Customer Support and refer to Case Number 10245042.

4/1/2026

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Atrio Health Plans Electronic Eligibility Connection No Longer Available

Real Time Portal Eligibility 270/271 for the payer listed below is no longer available at Optum, effective immediately.

Payer Name: Atrio Health Plans
Industry Payer ID: ATRIO
Exchange Real Time ID: ATRIO2
CPIDs: 5934, 4799
Connection Type: Portal

4/1/2026

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Report Generation Delay for CPIDs 1492 and 5562 New Mexico Medicaid

A payer is experiencing issues affecting Professional and Institutional report generation for some claims submitted since March 26, 2026.

Payer impacted:

• CPID 1492 New Mexico Medicaid
• CPID 5562 New Mexico Medicaid

Optum is working diligently with the payer to resolve the issue and ensure reports are received.

Action Required: None. Please be aware of delays in the report generation for claims submitted during the time frame above.

If you have any questions, please contact Customer Support and refer to Case Number 10235872.

4/1/2026

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New Payer Edit for CPID 6027

The payer listed below has informed Optum of a new edit requirement effective immediately. In order to meet the new requirement, we will add the following edit on April 7, 2026:

• IPRV03A011: MISSING ATT PROV TAXONOMY CODE - When the Attending Provider NPI is present, the Attending Provider Taxonomy Code is required. Exception: When the CPID is 1534 or 3902 and Medicare is the primary payer, this requirement does not apply. Note: If this requirement does not apply to your billing situation, you can override the edit within the Error Text. LOOP 2310A PRV03

 Edit applies to: 

• CPID 6027 CAROLINA COMPLETE HEALTH CARE

Action Required: Please be aware of updated edit requirements.