August 2026

August Payer Processing Issues

Summary

When Optum discovers issues or interruptions to transaction processing, the details* will appear below.

If you're looking for a specific payer or specific transaction type, please use Ctrl + F on Windows or ⌘ + F on Mac to find that term within the page.

*These updates can also be found within Optum Customer Care Hub under Payer Processing Issues: https://customercare.optum.com/public/home.html

VIEW ALL PAYER LISTS →

Electronic Routing Change for CPIDs Community Health Choice and Community Health Choice – HIM

Effective August 31, 2026, Optum will change electronic claims routing for the following payers:

Payer Name: Community Health Choice
Professional CPID: 3773
Edit Master: PE_N000
Institutional CPID: 2538
Edit Master: HE9N000
Industry Standard Payer ID: 48145
Payer Claim Enrollment Required: No
Secondary Claims Accepted: Yes
Claim Par Status: Transitional

Payer Name: Community Health Choice - HIM
Professional CPID: 6791
Edit Master: PE_N000
Institutional CPID: 6687
Edit Master: HE9N000
Industry Standard Payer ID: 60495
Payer Claim Enrollment Required: No
Secondary Claims Accepted: Yes
Claim Par Status: Transitional

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:

Edit Masters are not changing, no modification to the bridge routines needed.
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.

8/31/2026

Report Generation Delay for CPIDs 8028 and 4270 Resurrection Physicians Provider Group

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

Payer impacted:

CPID 8028 Resurrection Physicians Provider Group
CPID 4270 Resurrection Physicians Provider 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 10937582.

8/31/2026

New Electronic Claims Connections Available

Optum has new electronic claims connections available:

Payer Name: LaSalle Health Plan
Institutional CPID: 1945
Professional CPID: 2212
Industry Standard Payer ID: LHP01
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: California
Claims Fee: N/A
Par Status: Par

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.

8/31/2026

Kansas Health Advantage 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 August 28, 2026:

Payer Name:  KANSAS HEALTH ADVANTAGE
Industry Payer ID:  71066
IMN Real Time ID:  71066
Exchange Real Time ID:  KHADV
Optum IEDI Real Time ID:  14396
Payer Enrollment Required:  NO
Connection Type: X12

Search Options:
Eligibility 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.

8/28/2026

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:

LSC01 – Lutheran Services Carolina
R3492 – Mount Sinai Eldercare

ERA enrollment/set up is required for all ERA transactions on RPA. 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 RPA, you can also open the RPA Resource Center, click the Quick Reference Guides tab, and then click the Billing Provider Enrollment link to find the payer enrollment intake form.

8/28/2026

New Electronic Claims Connections Available

Optum has new electronic claims connections available:

Payer Name: Cherry Blossom PACE
Payer ID: CBP01
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: Virginia
Par Status: Transitional

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.

8/28/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: Vetriq
Payer ID: VTRIQ
Payer Enrollment Required: Yes
Remittance Par Status: Transitional
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.

8/28/2026

Electronic Claims Connection Suspended

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

Payer Name: TCC Basic Plus
Payer ID: 41204
Reason: Payer unavailable electronically.

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

8/28/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: Vetriq
Professional CPID: 2153
Industry Standard Payer ID: VTRIQ
Payer Enrollment Required: Yes
Remittance Par Status: Transitional
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.

8/28/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: Vetriq
Professional CPID: 2153
Industry Standard Payer ID: VTRIQ
Line of Business (LOB) Code: H62
Payer Enrollment Required: Yes
Remittance Par Status: Transitional
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.

8/28/2026

Report Generation Delay for CPIDs 2296 and 8972 MetroPlus Health Plan

A payer intermediary is experiencing issues affecting Professional and Institutional report generation for some claims submitted since Aug. 19, 2026.

Payer impacted:

CPID 2296 MetroPlus Health Plan
CPID 8972 MetroPlus 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 10933529.

8/28/2026

Report Generation Delay for CPID 6695 Center for Elders Independence

A payer is experiencing issues affecting Institutional report generation for some claims submitted Aug. 8, 2026.

Payer impacted:

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 10935222.

8/28/2026

Electronic Claims Connection Suspended

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

Payer Name: TCC Basic Plus
CPID(s): 1203, 3541
Industry Standard Payer ID: 41204
Reason: Payer unavailable electronically.

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

8/28/2026

Dean Health Plan by Medica Electronic Eligibility Connection No Longer Available

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

Payer Name: Dean Health Plan by Medica
Industry Payer ID: 39113
IMN Real Time ID: 39113
Exchange Real Time ID: DEANHP, DEANH1
CPIDs: 3581, 1497
Optum iEDI Real Time ID: DEANH
Connection Type: X12 and Portal

Reason: Payer no longer offers an electronic connection.

8/28/2026

Payer Consolidation-Blue Cross Blue Shield of Wyoming

Effective October 2, 2026, claims currently exchanged with the following payer must use a different payer ID:

Payer Name: Blue Cross Blue Shield of Wyoming
Payer ID: 53767, WYBLS
Claim Type: Professional

Payer IDs 53767, WYBLS will be terminated effective October 2, 2026.

Providers must begin using the following ID for electronic claims for Blue Cross Blue Shield of Wyoming:

Institutional Payer ID: 12B30
Professional Payer ID: SB960

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.

8/28/2026

Payer Consolidation- Excellus Blue Cross Blue Shield of Rochester New York

Effective October 2, 2026, claims currently exchanged with the following payer must use a different payer ID:

Payer Name: Excellus Blue Cross Blue Shield of Rochester New York
Payer ID: 00804, N6BLS
Claim Type: Professional

Payer IDs 00804, N6BLS will be terminated effective October 2, 2026.

Providers must begin using the following ID for electronic claims for Excellus Blue Cross Blue Shield of Rochester New York:

Institutional Payer ID: SB804
Professional Payer ID: SB804, N7BLS

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.

8/28/2026

Payer Consolidation-Meritain Health

Effective October 2, 2026, claims currently exchanged with the following payer must use a different payer ID:

Payer Name: Meritain Health
Payer ID: 02057, 64157, 64158
Claim Type: Professional
Payer ID: 64157, 64158
Claim Type: Institutional

Payer IDs 02057, 64157, 64158 will be terminated effective October 2, 2026.

Providers must begin using the following ID for electronic claims for Meritain Health:

Payer ID: 41124

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.

8/28/2026

Payer Consolidation- Blue Cross Blue Shield of Florida

Effective October 2, 2026, claims currently exchanged with the following payer must use a different payer ID:

Payer Name: Blue Cross Blue Shield of Florida
Payer ID: FLHLT, SX030, 00590
Claim Type: Professional
Payer ID: 00590
Claim Type: Institutional

Payer IDs FLHLT, SX030, 00590 will be terminated effective October 2, 2026.

Providers must begin using the following ID for electronic claims for Blue Cross Blue Shield of Florida:

Institutional Payer ID: 12B34
Professional Payer ID: FLBLS, SB590

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.

8/28/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: Lutheran Services Carolinas
Payer ID: LSC01
Payer Enrollment Required: Yes
Remittance Par Status: Non Par
Payer Location: North Carolina, South Carolina

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.

8/28/2026

MPM Prospect Electronic Claims Connection No Longer Available

Effective immediately, the payer listed below is no longer available at Optum for claims processing.

Payer Name: MPM Prospect
Payer ID: MPM16
Reason: Payer no longer in business.

Payer no longer accepts paper claims.

Action Required: Please make any necessary system changes.

8/28/2026

Payer Change and New Electronic Claims Connections Available for LaSalle Medical Associates

Optum will have new electronic claims connections available effective August 31, 2026, for:

Payer Name: LaSalle Medical Associates
Payer ID: LSMA2
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: California
Par Status: Par

Providers currently sending LaSalle Medical Associates claims using Payer ID 95712 Alturo MSO must make changes to send LaSalle Medical Associates claims using:

Payer ID: LSMA2

Failure to update payer routing August 31, 2026, may result in claim processing delays or rejections for this payer.

Action Required:

Add the payer 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.

8/28/2026

Resolved: Delay in Electronic Remittance Advice (ERA) for Payer ID BS001 Blue Shield of California

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

Original notify sent August 24, 2026:
Due to a payer processing issue, there has been a delay in Professional and Institutional Electronic Remittance Advice (ERA) for the following payer for check date of August 17, 2026:

Payer affected:

Payer ID BS001 Blue Shield of California

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 date above.

If you have any questions, feel free to contact your Customer Support Team and refer to global incident INC-000005450.

8/28/2026

Report Generation Delay for CPID 5428 QualChoice of Arkansas

A payer intermediary is experiencing issues affecting Professional report generation for some claims submitted since Aug. 15, 2026.

Payer impacted:

CPID 5428 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 10934737.

8/28/2026

Electronic Routing Change for CPIDs 2552 and 1774 Hollywood Presbyterian Medical Center Preferred

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

Payer Name: Hollywood Presbyterian Medical Center Preferred
Professional CPID: 1774
Institutional CPID: 2552
Old Industry Standard Payer ID: 10910
New Industry Standard Payer ID: MPM76
Secondary Claims Accepted: Yes
Claim Par Status: Par
Claim Fee: N/A

Note: Claims for Hollywood Presbyterian Preferred Health Net members should be submitted via paper to Advanced Medical Management at 5000 Airport Plaza Dr., Suite 150, Long Beach, CA 90815. Health Net claims submitted electronically to payer id MPM76 will reject effective August 27, 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 make the following changes to accommodate the routing change:

Make any necessary system changes.

Please sign in to the Learning Community and then go to the following URL to access product information and release notes: https://learn.optum.com/

8/28/2026

Electronic Routing Change for CPIDs 2552 and 1774 Hollywood Presbyterian Medical Center Preferred

Effective August 27, 2026, Optum changed electronic claims routing for the following payer:

Payer Name: Hollywood Presbyterian Medical Center Preferred
Professional CPID: 1774
Current Edit Master: PE_T007
Institutional CPID: 2552
Current Edit Master: HE9T007
Old Industry Standard Payer ID: 10910
New Industry Standard Payer ID: MPM76
Secondary Claims Accepted: Yes
Claim Par Status: Par

Note: Claims for Hollywood Presbyterian Preferred Health Net members should be submitted via paper to Advanced Medical Management at 5000 Airport Plaza Dr., Suite 150, Long Beach, CA 90815. Health Net claims submitted electronically to payer id MPM76 will reject effective August 27, 2026.

Enrollment Requirements:
Claims:

Payer enrollment for electronic claims is not required.

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.

Please sign in to the Learning Community and then go to the following URL to access product information and release notes: https://learn.optum.com/

8/28/2026

Resolved: Delay in Electronic Remittance Advice (ERA) for CPIDs 1409, 6569 Payer Name Blue Shield of California

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

CPID 1409 Blue Shield of California
CPID 6569 Blue Shield of California

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 global incident INC-000005450.

8/28/2026

New Electronic Claims Connections Available

Optum has new electronic claims connections available:

Payer Name: Cherry Blossom PACE
Institutional CPID: 2500
Professional CPID: 2252
Industry Standard Payer ID: CBP01
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: Virginia
Claims Fee: N/A
Par Status: Transitional

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.

8/28/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: Lutheran Services Carolinas
Professional CPID: 1826
Institutional CPID: 3605
Industry Standard Payer ID: LSC01
Line of Business (LOB) Code: E85
Payer Enrollment Required: Yes
Remittance Par Status: Non Par
Remittance Fee: N/A
Payer Location: North Carolina, South Carolina

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.

8/27/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: Lutheran Services Carolinas
Professional CPID: 1826
Institutional CPID: 3605
Industry Standard Payer ID: LSC01
Payer Enrollment Required: Yes
Remittance Par Status: Non Par
Remittance Fee: N/A
Payer Location: North Carolina, South Carolina

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.

8/27/2026

Issue with 275 Attachment Transaction Processing for Select UnitedHealthcare Payer IDs

UnitedHealthcare is currently investigating an issue affecting the processing of a subset of EDI 275 attachment transactions. Due to an internal system issue, some submitted attachments may not have processed as intended.

Our teams are actively assessing the scope and impact of this issue and are working diligently to implement a resolution.

A subset of EDI 275 attachment transactions may not have been processed successfully due to an internal system issue currently under investigation.

Payers affected are:

Payer ID 87726 UnitedHealthcare
Payer ID 03432 UnitedHealthcare Community Plan / Arizona
Payer ID 96385 UnitedHealthcare Community Plan of Kansas
Payer ID 95467 UnitedHealthcare Community Plan of Michigan
Payer ID 86050 UnitedHealthcare Community Plan of Missouri
Payer ID 86047 UnitedHealthcare Community Plan of New Jersey Medicaid
Payer ID 95378 UnitedHealthcare Community Plan of Tennessee
Payer ID 06111 UnitedHealthcare / Oxford Health Plans
Payer ID 87748 UnitedHealthcare New Mexico Medicaid

UnitedHealthcare Action
Our teams are actively assessing the impact and working toward resolution.

Submitter Action
At this time, no action is required from trading partners or submitters.

Additional updates and guidance will be provided as more information becomes available.

We appreciate your patience and continued partnership as we work to resolve this matter.

8/27/2026

Report Generation Delay for CPID 5676 Alliance Behavioral Healthcare

A payer intermediary is experiencing issues affecting Institutional report generation for some claims submitted Aug. 18, 2026.

Payer impacted:

CPID 5676 Alliance Behavioral Healthcare

The payer intermediary has been unable to generate and deliver the reports for some claims submitted Aug. 18, 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 10771753.

8/26/2026

Payer Change and New Electronic Claims Connections Available for LaSalle Medical Associates

Optum will have new electronic claims connections available effective August 31, 2026, for:

Payer Name: LaSalle Medical Associates
Institutional CPID: 1626
Professional CPID: 1862
Industry Standard Payer ID: LSMA2
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: California
Claims Fee: N/A
Par Status: Par

Providers currently sending LaSalle Medical Associates claims using Payer ID 95712 and CPIDs 8152, 2017 Alturo MSO must make changes to send LaSalle Medical Associates claims using:

Payer ID: LSMA2
Professional CPID: 1862
Institutional CPID: 1626

Failure to update payer routing August 31, 2026, may result in claim processing delays or rejections for this payer.

Action Required:

Add the payer 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.

8/26/2026

Kaiser Enrollment Link Availability

We would like to make you aware of an issue affecting the Kaiser enrollment instructions currently provided within our enrollment workflow.

At this time, the instructions direct users to a Kaiser website link to complete enrollment. We have identified that the referenced link is not currently available on the payer's website.

Our team has contacted Kaiser to confirm they are aware of the issue and to obtain additional information regarding resolution efforts. Kaiser is currently reviewing the matter and working toward a fix.

At this time, no estimated timeframe for resolution has been provided. We will continue to monitor the situation and share updates as they become available.

This affects the following payers:

KAISER FOUNDATION HEALTH PLAN of the NORTHWEST - CPIDS-1544,2266
KAISER FOUNDATION HEALTH PLAN of S CA REGION - CPIDS-1703,4576
KAISER FOUNDATION HEALTH PLAN of GEORGIA - CPIDS-1846,8546
KAISER FOUNDATION HEALTH PLAN of COLORADO - CPIDS-1931,2439
KAISER FOUNDATION HEALTH PLAN MID-ATLANTIC STATES - CPIDS-2819,7506
KAISER FOUNDATION HEALTH PLAN of N CA REGION - CPIDS-3781,2582
KAISER FOUNDATION HEALTH PLAN of HAWAII - CPIDS-5925,6772

We apologize for any inconvenience this may cause and appreciate your patience while the payer works to restore access to the enrollment link.

8/26/2026

Report Generation Delay for CPID 7420 Blue Cross Blue Shield of Rhode Island

A payer intermediary is experiencing issues affecting professional report generation for some claims submitted Aug. 17, 2026.

Payer impacted:

CPID 7420 Blue Cross Blue Shield of Rhode Island

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 10648527.

8/26/2026

Report Generation Delay for CPID 2526 CareSource of Ohio

A payer intermediary is experiencing issues affecting Institutional report generation for some claims submitted Aug. 12, 2026.

Payer impacted:

CPID 2526 CareSource of Ohio

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 10648392.

8/26/2026

Electronic Routing Change for CPIDs 2855 and 6514 Health Net of California

Effective August 26, 2026, Optum will change electronic remittance routing for the following payer:

Payer Name: Health Net of California
Professional CPID: 2855
Institutional CPID: 6514
Industry Standard Payer ID: 95567
Line of Business Code (LOB): H20
Payer Remittance Enrollment Required: Yes
Remittance Par Status: Non Par
Remittance Fee: N/A

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.

8/26/2026

Electronic Routing Change for CPIDs 2855 and 6514 Health Net of California

Effective August 26, 2026, Optum will change electronic remittance routing for the following payer:

Payer Name: Health Net of California
Professional CPID: 2855
Institutional CPID: 6514
Industry Standard Payer ID: 95567
Payer Remittance Enrollment Required: Yes
Remittance Par Status: Non Par
Remittance Fee: N/A

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.

8/26/2026

Update: Report Generation Delay for CPIDs 9500 and 3803 Kern Health

Update: The payer intermediary has been unable to generate and deliver the reports for some claims submitted Aug. 10, 2026-Aug. 17, 2026.

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

Original notice sent Aug. 18, 2026:
The payer listed below is experiencing issues affecting Institutional and Professional report generation for some claims submitted since Aug. 10, 2026.

Payer impacted:

CPID 9500 Kern Health Systems
CPID 3803 Kern Health Systems

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 10424929.

8/25/2026

Update: Payer Change for CPIDs 7171 and 8612 Neighborhood Health Plan of Rhode Island - Integrity (MMP)

Update: Optum has received confirmation that claims for CPIDs 7171 and 8612, Neighborhood Health Plan of Rhode Island - Integrity (MMP), will continue to be accepted through December 31, 2026.

Optum will reactivate the claim connections on August 26, 2026. Providers may resume submitting claims beginning August 26, 2026.

Action Required: Resubmit any claims that were rejected on or after July 31, 2026.

Update notification sent July 23, 2026:
Claims sent to CPIDs 7171 and 8612 Neighborhood Health Plan of Rhode Island - Integrity (MMP), Payer ID 96240 are not being processed. Claims must be sent using CPIDs 2487 and 3645 Neighborhood Health Plan of Rhode Island, Payer ID 05047.

CPIDs 7171 and 8612 Neighborhood Health Plan of Rhode Island - Integrity (MMP) will be terminated effective July 30, 2026.

Original notification sent July 16, 2026:
Optum has received information from the payer that all Neighborhood lines of business will now share the same Payer ID effective January 1, 2026. The Payer ID for all lines of business will be 05047.

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

Payer Name: Neighborhood Health Plan of Rhode Island - Integrity (MMP)
Professional CPID: 7171
Institutional CPID: 8612
Industry Standard Payer ID: 96240

Claims sent to CPIDs 7171 and 8612 Neighborhood Health Plan of Rhode Island - Integrity (MMP), Payer ID 96240 are not being processed. Claims must be resent using CPIDs 2487 and 3645 Neighborhood Health Plan of Rhode Island, Payer ID 05047.

CPIDs 7171 and 8612 Neighborhood Health Plan of Rhode Island - Integrity (MMP) will be terminated effective July 30, 2026.

Providers must transition to the following payer for electronic claims and remittance:

Payer Name: Neighborhood Health Plan of Rhode Island
Professional CPID: 2487
Institutional CPID: 3645
Industry Standard Payer ID: 05047
Claim Par Status: Par
Claim Fee: N/A
Remittance Par Status: Non Par
Remittance 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 2487, 3645 Neighborhood Health Plan of Rhode Island, do not need to complete a new enrollment form.
Providers not receiving electronic remittance through Optum for CPIDs 2487, 3645 Neighborhood Health Plan of Rhode Island, must complete a new enrollment form.
New providers must complete a new enrollment form.

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

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.

8/25/2026

Optum will reactivate the claim connections August 26, 2026. Providers may resume submitting claims beginning August 26, 2026.

Action Required: Resubmit any claims that were rejected on or after July 31, 2026.

CPIDs 7171 and 8612 Neighborhood Health Plan of Rhode Island - Integrity (MMP) will be terminated effective July 30, 2026.

Original notification sent July 16, 2026:
Optum has received information from the payer indicating that all Neighborhood lines of business will share the same Payer ID effective January 1, 2026. The Payer ID for all lines of business will be 05047.

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

Payer Name: Neighborhood Health Plan of Rhode Island - Integrity (MMP)
Professional CPID: 7171
Professional Edit Master: PE_T007
Institutional CPID: 8612
Institutional Edit Master: HE9T007
Industry Standard Payer ID: 96240
Line of Business Code (LOB): J2L

Claims sent to CPIDs 7171 and 8612 Neighborhood Health Plan of Rhode Island - Integrity (MMP), Payer ID 96240 are not being processed. Claims must be sent using CPIDs 2487 and 3645 Neighborhood Health Plan of Rhode Island, Payer ID 05047.

CPIDs 7171 and 8612 Neighborhood Health Plan of Rhode Island - Integrity (MMP) will be terminated effective July 30, 2026.

Providers need to transition to the following payer for electronic claims and remittance:

Payer Name: Neighborhood Health Plan of Rhode Island
Professional CPID: 2487
Professional Edit Master: PE_T007
Institutional CPID: 3645
Institutional Edit Master: HE9T007
Industry Standard Payer ID: 05047
Line of Business Code (LOB): U1G
Claim Par Status: Par
Claim Fee: N/A
Remittance Par Status: Non Par
Remittance 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 2487, 3645 Neighborhood Health Plan of Rhode Island, do not need to complete a new enrollment form.
Providers not receiving electronic remittance through Optum for CPIDs 2487, 3645 Neighborhood Health Plan of Rhode Island, must complete a new enrollment form.
New providers must complete a new enrollment form.

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

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

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.

8/25/2026

MPM Prospect Electronic Claims Connection No Longer Available

Effective immediately, the payer listed below is no longer available at Optum for claims processing.

Payer Name: MPM Prospect
Claims CPIDs: 8693, 6728
Industry Standard Payer ID: MPM16
Reason: Payer no longer in business.

Payer no longer accepts paper claims.

Action Required: Please make any necessary system changes.

8/25/2026

Delay in Electronic Remittance Advice (ERA) for CPIDs 3568 and 3447

There has been a delay in Institutional and Professional Electronic Remittance Advice (ERA) for the following payer for check dates since Aug. 14, 2026.

Payer impacted:

CPID 3568 CenCal Health
CPID 3447 CenCal Health

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

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

If you have any questions, please contact Customer Support and refer to Case Number 10646170.

8/25/2026

Report Generation Delay for Blue Cross Blue Shield of Minnesota Hlth Care Prog Non Emergent Transportation

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

Payer impacted:

CPID 8723 Blue Cross Blue Shield of Minnesota Hlth Care Prog Non Emergent Transportation DOS after March 31, 2020

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 10646020.

8/25/2026

Report Generation Delay for CPID 1673 Public Employee Health Plan (PEHP)

A payer intermediary is experiencing issues affecting Institutional report generation for some claims submitted Aug. 14, 2026.

Payer impacted:

CPID 1673 Public Employee Health Plan (PEHP)

The payer intermediary has been unable to generate and deliver the reports for some claims submitted Aug. 14, 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 10645671.

8/25/2026

Report Generation Delay for CPID 2491 Self Insured Services Company

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

Payer impacted:

CPID 2491 Self Insured Services Company (SISCO)

The payer intermediary has been unable to generate and deliver the reports for some claims submitted Aug. 17, 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 10645607.

8/25/2026

Delay in Electronic Remittance Advice (ERA) for Payer ID BS001 Blue Shield of California

Due to a payer processing issue, there has been a delay in Professional and Institutional Electronic Remittance Advice (ERA) for the following payer for check date of August 17, 2026:

Payer affected:

Payer ID BS001 Blue Shield of California

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 date above.

If you have any questions, feel free to contact your Customer Support Team and refer to global incident INC-000005450.

8/24/2026

Delay in Electronic Remittance Advice (ERA) for CPIDs 1409, 6569 Blue Shield of California

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 August 17, 2026:

CPID 1409 Blue Shield of California
CPID 6569 Blue Shield of California

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 date above.

8/24/2026

Report Generation Delay for multiple CPIDs

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

Payers impacted:

CPID 2455 Arkansas Medicare
CPID 2459 District of Columbia Metropolitan Area (DCMA) Medicare
CPID 2201 Maryland Medicare
CPID 7402 Maryland Medicare
CPID 5554 Maryland Medicare
CPID 1465 New Jersey Medicare
CPID 1458 Oklahoma Medicare
CPID 2457 Pennsylvania Medicare
CPID 2457 Pennsylvania Medicare
CPID 1440 Texas Medicare

The payer intermediary has been unable to generate and deliver the reports for some claims submitted Aug.18 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 10613425.

8/24/2026

Electronic Routing Change for Consociate

Effective immediately, Optum is changing electronic remittance routing for the following payer:

Payer Name: Consociate
Payer ID: 37135
Payer Remittance Enrollment Required: Yes
New Remittance Par Status: Non Par

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 IEDI.

8/24/2026

Report Generation Delay for CPID 6671 HealthSun

A payer intermediary is experiencing issues affecting Institutional report generation for some claims submitted since Aug. 10, 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 10612191.

8/24/2026

Electronic Routing Change for CPIDs 9765 and 8047 Central Valley Medical Providers

Effective August 25, 2026, Optum will change electronic remittance routing for the following payer:

Payer Name: Central Valley Medical Providers
Professional CPID: 9765
Institutional CPID:8047
Industry Standard Payer ID: MPM59
Payer Remittance Enrollment Required: Yes
Remittance Par Status: Transitional
Remittance Fee: N/A

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:

When a payer requires enrollment, forms must be submitted and approved from Enrollment Central.

8/21/2026

Electronic Routing Change for CPIDs 9765 and 8047 Central Valley Medical Providers

Effective August 25, 2026, Optum will change electronic remittance routing for the following payer:

Payer Name: Central Valley Medical Providers
Professional CPID: 9765
Institutional CPID:8047
Industry Standard Payer ID: MPM59
Line of Business Code (LOB): K1F
Payer Remittance Enrollment Required: Yes
Remittance Par Status: Transitional
Remittance Fee: N/A

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:

When a payer requires enrollment, forms must be submitted and approved from Enrollment Central.

8/21/2026

Electronic Routing Change for CPIDs 7557 and 3742 Consociate

Effective immediately, Optum is changing electronic remittance routing for the following payer:

Payer Name: Consociate
Professional CPID: 3742
Institutional CPID: 7557
Industry Standard Payer ID: 37135
Line of Business Code (LOB): U9E
Payer Remittance Enrollment Required: Yes
Remittance Par Status: Non Par
Remittance Fee: N/A

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.

8/21/2026

Payer Processing Issue for CPID 5550 District of Columbia Medicaid

Due to a payer processing issue, some Institutional claims transmitted to the payer listed below Aug. 18, 2026 were not processed by the payer.

Payer impacted:

CPID 5550 District of Columbia Medicaid

A resolution has been implemented and the claims were retransmitted to the payer Aug. 21, 2026.

This delay affected claims released to Optum Aug. 17, 2026, 9 p.m.-Aug. 18, 2026, 9 p.m. CT.

Action Required: Be aware of the processing issue above.

If you have any questions, please contact Customer Support and refer to Case Number 10431441.

8/21/2026

New Electronic Claims and Remittance Connections Available

Optum has new electronic claims and remittance connections available:

Payer Name: Mount Sinai Eldercare
Payer ID: R3492
Payer Claim Enrollment Required: No
Payer Remittance Enrollment Required: Yes
Secondary Claims Accepted: No
Payer Location: Florida
Claim Par Status: Transitional
Remittance Par Status: Non Par

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.

8/21/2026

New Electronic Claims Connections Available

Optum has new electronic claims connections available:

Payer Name: Vitruvian Care
Payer ID: VUIPA
Payer Enrollment Required: No
Secondary Claims Accepted: No
Payer Location: California
Par Status: Non Par

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.

8/21/2026

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 August 13, 2026:

Payer Name: Harmony
IMN Real Time ID: HARM1
iEDI Real Time ID: HARM1
Exchange Real Time ID: HARM
CPID(s): 8505, 3218
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

Dependent

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

8/21/2026

Report Generation Delay for CPID 8972 MetroPlus Health Plan

A payer intermediary is experiencing issues affecting Institutional report generation for some claims submitted Aug. 18, 2026.

Payer impacted:

CPID 8972 MetroPlus Health Plan

The payer has been unable to generate and deliver the reports for some claims submitted Aug. 18, 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 10431205.

8/21/2026

Claim Status Response Issue

Due to an internal processing issue, claim status transactions for Hennepin Health are potentially receiving an invalid response indicating the claim can not be found.

Payer name: Hennepin Health
IMN Real Time ID: 60058
Exchange Real Time ID: METHPL
Inst CPID: 1566
Prof CPID: 2787
Optum IEDI Real Time ID: 60058

The claim status being received is listed below:

A4 Acknowledgement/Not Found-The claim/encounter can not be found in the adjudication system.
35 Claim/encounter not found.

Efforts are ongoing to correct this issue and updates will be provided as they are available.

Action required: Hennepin provider services should be contacted for claim status details while this issue is being addressed by contacting 612-596-1036 or 800-647-0550.

8/20/2026

Update: Report Generation Delay for CPID 5013 Aetna Better Health of Illinois – Medicaid

Update: The payer intermediary has been unable to generate and deliver the reports for some claims submitted Aug. 7, 2026 and Aug. 8, 2026.

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

Original notice sent Aug. 18, 2026:
A payer intermediary is experiencing issues affecting Institutional report generation for some claims submitted since Aug. 7, 2026.

Payer impacted:

CPID 5013 Aetna Better Health of Illinois – 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 10424973.

8/20/2026

New Electronic Claims and Remittance Connections Available

Optum has new electronic claims and remittance connections available:

Payer Name: Mount Sinai Eldercare
Professional CPID: 2227
Institutional CPID: 1951
Industry Standard Payer ID: R3492
Line of Business (LOB) Code: E84
Payer Claim Enrollment Required: No
Payer Remittance Enrollment Required: Yes
Secondary Claims Accepted: No
Payer Location: Florida
Claim Par Status: Transitional
Remittance Par Status: Non Par
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.

8/20/2026

Payer Change for CPID 3285 Desert Medical Group

Effective immediately, claims currently exchanged with the following payer must use a different CPID:

Payer Name: Desert Medical Group
Professional CPID: 3285
Industry Standard Payer ID: DESRT

CPID 3285 Desert Medical Group will be terminated effective Sept. 3, 2026.

Providers may transition to the following payer for electronic claims now, but must be fully transitioned by Sept. 2, 2026:

Payer Name: Desert Medical Group
Professional CPID: 8854
Remittance Available: Yes
Industry Standard Payer ID: DESRT
Claim Par Status: Non Par
Claim Fee: N/A
Remittance Par Status: Transitional
Remittance 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 CPID 8854, Desert Medical Group do not need to complete a new enrollment form.
- Providers not receiving electronic remittance through Optum for CPID 8854, Desert Medical Group 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.

8/20/2026

Payer Change for CPID 3285 Desert Medical Group

Effective immediately, claims currently exchanged with the following payer must use a different CPID:

Payer Name: Desert Medical Group
Professional CPID: 3285
Professional Edit Master: PE_T007
Industry Standard Payer ID: DESRT

CPID 3285 Desert Medical Group will be terminated effective Sept. 3, 2026.

Providers may transition to the following payer for electronic claims now, but must be fully transitioned by Sept. 2, 2026:

Payer Name: Desert Medical Group
Professional CPID: 8854
Professional Edit Master: PE_C051
Industry Standard Payer ID: DESRT
Line of Business Code (LOB): K69
Claim Par Status: Non Par
Claim Fee: N/A
Remittance Par Status: Transitional
Remittance 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 CPID 8854, Desert Medical Group do not need to complete a new enrollment form.
- Providers not receiving electronic remittance through Optum for CPID 8854, Desert Medical Group 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.

8/20/2026

Electronic Claims Connection Suspended

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

Payer Name: Mutual Health Services
Payer ID: 34192
Reason: Payer unavailable electronically.

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

8/19/2026

Report Generation Delay for multiple CPIDs

A payer intermediary is experiencing issues affecting Professional report generation for some claims submitted Aug. 13, 2026.

Payers impacted:

CPID 6135 Avesis TPA
CPID 3818 Boston Medical Center HealthNet Plan
CPID 4285 Denver Health Medical Plan
CPID 9404 El Camino Health
CPID 8263 Enterprise Group Planning
CPID 9196 Global Medical Management (GMMI)
CPID 8713 Healthcare Highways Health Plan
CPID 1709 Horizon NJ Health
CPID 9222 Massachusetts Behavioral Health Partnership
CPID 2475 Monarch IPA
CPID 9197 New York Medical Indemnity Fund
CPID 8776 Staff Benefits Management & Administrators (SBMA)
CPID 8261 UCS Insight Benefit Administrators
CPID 3881 ViCare 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 10424732.

8/19/2026

Electronic Claims Connection Suspended

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

Payer Name: Mutual Health Services
CPIDs: 2290 2935
Industry Standard Payer ID: 34192
Reason: Payer unavailable electronically.

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

8/19/2026

Enrollment Form Change

The following payer has changed their Remittance enrollment form:

Payer ID: MSBLS - Blue Cross Blue Shield of Mississippi
Payer ID: 12B82 - Blue Cross Blue Shield of Mississippi State Employees

Providers already approved to submit and receive transactions through Optum do not need to complete a new enrollment form.

To access the new enrollment form, please visit IEDI.

Action Required: None for existing providers. New providers should begin using the new enrollment form immediately. 

8/19/2026

Report Generation Delay for CPIDs 4680 and 4227 Optimum HealthCare

A payer intermediary is experiencing issues affecting Professional and Institutional report generation for some claims submitted since Aug. 11, 2026.

Payer impacted:

CPID 4680 Optimum HealthCare Services
CPID 4227 Optimum HealthCare Services

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 10426630.

8/19/2026

Report Generation Delay for CPIDs 9419 and 7035 NeueHealth

A payer intermediary is experiencing issues affecting Professional and Institutional report generation for some claims submitted since Aug. 11, 2026.

Payer impacted:

CPID 9419 NeueHealth
CPID 7035 NeueHealth

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 10426597.

8/19/2026

Report Generation Delay for CPIDs 3232 and 2930 Health Choice Arizo

A payer intermediary is experiencing issues affecting Professional and Institutional report generation for some claims submitted since Aug. 11, 2026.

Payer impacted:

CPID 3232 Health Choice Arizona
CPID 2930 Health Choice Arizona

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 10426620.

8/19/2026

New Electronic Claims Connections Available

Optum has new electronic claims connections available:

Payer Name: Anabaptist Brotherhood
Payer ID: ANB25
Payer Enrollment Required: No
Secondary Claims Accepted: No
Payer Location: National
Par Status: Transitional

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.

8/19/2026

New Electronic Claims Connections Available

Optum has new electronic claims connections available:

Payer Name: Vitruvian Care
Institutional CPID: 1958
Professional CPID: 2242
Industry Standard Payer ID: VUIPA
Payer Enrollment Required: No
Secondary Claims Accepted: No
Payer Location: California
Par Status: Non Par

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.

8/19/2026

New Electronic Claims Connections Available

Optum has new electronic claims connections available:

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.

8/19/2026

Report Generation Delay for CPID 2415 Blue Cross Blue Shield of Mississippi

A payer intermediary is experiencing issues affecting Professional report generation for some claims submitted since Aug. 12, 2026.

Payer impacted:

CPID 2415 Blue Cross Blue Shield of Mississippi

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 10425000

8/18/2026

New Payer Name and Payer ID Change

Effective immediately, please be aware of the following new payer name and Payer ID change:

Previous Payer Name: UnitedHealthcare Community Plan Tenncare
New Payer Name: United Healthcare Community Plan of Tennessee
Professional CPID: 6442
Institutional CPID: 4523
Current Industry Standard Payer ID: 87726
New Industry Standard Payer ID: 95378

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

8/18/2026

New Payer Name and Payer ID Change

Effective immediately, please be aware of the following new payer name and Payer ID change:

Previous Payer Name: UnitedHealthcare Community Plan Tenncare
New Payer Name: United Healthcare Community Plan of Tennessee
Professional CPID: 6442
Professional Edit Master: PE_U012
Institutional CPID: 4523
Institutional Edit Master: HE9U012
Current Industry Standard Payer ID: 87726
New Industry Standard Payer ID: 95378
Remit Line of Business (LOB) Code: U39

Your existing Payer Alias entries will continue to work as they do currently; the new payer name is being provided for your reference. Be aware all future communications for these CPIDs will reference the new payer name only.

Action Required:

You may choose to update the Payer Alias in your system to accommodate the new payer name.

8/18/2026

New Payer Name and Payer ID Change

Effective immediately, please be aware of the following payer name change:

Previous Payer Name: Desert Oasis Healthcare
New Payer Name: Desert Medical Group
Professional CPID: 8854
Professional Edit Master: PE_C051
Institutional CPID: 8045
Institutional Edit Master: HE9C051
Current Industry Standard Payer ID: 44006
New Industry Standard Payer ID: DESRT
Remit Line of Business (LOB) Code: K69

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:

You may choose to update the Payer Alias in your system to accommodate the new payer name.

8/18/2026

New Payer Name and Payer ID Change

Effective immediately, please be aware of the following payer name change:

Previous Payer Name: Desert Oasis Healthcare
New Payer Name: Desert Medical Group
Professional CPID: 8854
Institutional CPID: 8045
Current Industry Standard Payer ID: 44006
New Industry Standard Payer ID: DESRT

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 name change. 

8/18/2026

New Electronic Claims Connections Available

Optum has new electronic claims connections available:

Payer Name: Anabaptist Brotherhood
Institutional CPID: 1957
Professional CPID: 2239
Industry Standard Payer ID: ANB25
Payer Enrollment Required: No
Secondary Claims Accepted: No
Payer Location: National
Claims Fee: N/A
Par Status: Transitional

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.

8/18/2026

Edit Master changes for CPIDs 6855 and 8695 Premier Physician Network

Optum is changing Edit Masters for the following payer, effective Aug. 17, 2026:

Payer Name: Premier Physician Network
Professional CPID: 6855
Current Edit Master: PE_O007
New Edit Master: PE_T007
Institutional CPID: 8695
Current Edit Master: HE9O007
New Edit Master: HE9T007
Industry Standard Payer ID: MPM22

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.

8/18/2026

Report Generation Delay for CPIDs 3581 and 1497 Dean Health Plan by Medica

A payer intermediary is experiencing issues affecting Institutional report generation for some claims submitted since Aug. 10, 2026.

Payer impacted:

CPID 3581 Dean Health Plan by Medica
CPID 1497 Dean Health Plan by Medica

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 10424433.

8/18/2026

Report Generation Delay for CPIDs 2116 and 5961 Sanford Health Plan

A payer intermediary is experiencing issues affecting Institutional and Professional report generation for some claims submitted since Aug. 12, 2026.

Payer impacted:

CPID 2116 Sanford Health Plan
CPID 5961 Sanford 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 10424439.

8/18/2026

Update: Report Generation Delay for CPIDs 2296 and 8972 MetroPlus Health Plan

Update: The payer has been unable to generate and deliver the reports for some claims submitted July 17, 2026-Aug. 4, 2026.

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

Original notice sent July 28, 2026:
A payer intermediary is experiencing issues affecting Professional and Institutional report generation for some claims submitted since July 17, 2026.

Payer impacted:

CPID 2296 MetroPlus Health Plan
CPID 8972 MetroPlus 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 10395465.

8/18/2026

Report Generation Delay for CPID 5971 State Farm Insurance (Property and Casualty/Auto)

A payer intermediary is experiencing issues affecting Institutional report generation for some claims submitted Aug. 12, 2026.

Payer impacted:

CPID 5971 State Farm Insurance (Property and Casualty/Auto)

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 10424440.

8/18/2026

Report Generation Delay for CPID 8225 Island Home Insurance Company

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

Payer impacted:

CPID 8225 Island Home Insurance Company

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 10425047.

8/18/2026

Report Generation Delay for CPID 6631 McLaren Health Plan Medicaid

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

Payer impacted:

CPID 6631 McLaren Health Plan 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 10425039.

8/18/2026

Report Generation Delay for CPID 6732 McLaren Health Plan Medicaid

A payer is experiencing issues affecting Professional report generation for some claims submitted Aug. 3, 2026 and Aug. 4, 2026.

Payer impacted:

CPID 6732 McLaren Health Plan Medicaid

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 10425025.

8/18/2026

Report Generation Delay for CPID 5013 Aetna Better Health of Illinois - Medicaid

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

Payer impacted:

CPID 5013 Aetna Better Health of Illinois – 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 10424973.

8/18/2026

Report Generation Delay for CPIDs 9500 and 3803 Kern Health Systems

The payer listed below is experiencing issues affecting Institutional and Professional report generation for some claims submitted since Aug. 10, 2026.

Payer impacted:

CPID 9500 Kern Health Systems
CPID 3803 Kern Health Systems

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 10424929.

8/18/2026

Report Generation Delay for CPIDs 5003 and 8848 Clever Care Health

A payer intermediary is experiencing issues affecting Professional and Institutional report generation for some claims submitted Aug. 12, 2026.

Payer impacted:

CPID 5003 Clever Care Health Plan
CPID 8848 Clever Care 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 10424909.

8/18/2026

Report Generation Delay for CPID 4561 Meritain Health

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

Payer impacted:

CPID 4561 Meritain Health

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 10424812.

8/18/2026

UHC Community Plan of Missouri_New Electronic Claim Status connection available

Optum is pleased to announce the availability of Real-time Eligibility Inquiry and Response 270/271 for the below payer, effective August 14, 2026:

Payer Name: UnitedHealthcare Community Plan of Missouri
IMN Real Time ID: 86050
Exchange Real Time ID: UHCMO
CPID(s): 4527 (I), 1227 (P)
Optum IEDI Real Time ID: 86050
Payer Enrollment Required: NO
Connection Type: X12

Search Options:
Claim Status Inquiry subscribe:

Member ID, First name, Last name, Date of birth,

Optional additional elements:

Payer claim number, Total submitted charges

8/18/2026

New Payer Name and Payer ID Change

Effective immediately, please be aware of the following payer name change:

Previous Payer Name: Desert Oasis Healthcare
New Payer Name: Desert Medical Group

Optum is changing the payer ID for the above payer, effective September 17, 2026:

Payer ID: 44006
New Payer ID: DESRT

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

8/17/2026

Great Southern Life Insurance Co - New Real Time Eligibility 270/271 Connection

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

Payer Name: Great Southern Life Insurance Company
Industry Payer ID: GSLIC
IMN Real Time ID: GSLIC
Exchange Real Time ID: GSLIC
CPID(s): No CPIDs
Payer Enrollment Required: No
Connection Type: X12

Search Options: Subscriber

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

8/17/2026

Report Generation Delay for CPID 1942 IMCare

The payer listed below is experiencing issues affecting Institutional report generation for some claims submitted on Aug. 4, 2026.

Payer impacted:

CPID 1942 IMCare

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 10422216.

8/17/2026

Electronic Routing Change for Payer ID 37217 Key Benefit Administrators

Effective Aug. 14, 2026, Optum changed electronic remittance routing for the following payer:

Payer Name: Key Benefit Administrators
Industry Standard Payer ID: 37217
Payer Remittance Enrollment Required: Yes
Remittance Par Status: Transitional

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.
When a payer requires enrollment, forms must be submitted and approved from IEDI.

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

8/17/2026

Report Generation Delay for CPID 2803 UPMC Health Plan

The payer listed below is experiencing issues affecting Professional report generation for some claims submitted on Aug. 7, 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 10422215.

8/17/2026

Report Generation Delay for CPID 6987 Veterans Affairs Financial Services Center

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

Payer impacted:

CPID 6987 Veterans Affairs Financial Services Center

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 10422211.

8/17/2026

Payer Processing Issue for multiple CPIDs

Due to a payer intermediary processing issue, some Professional claims transmitted to the payers listed below on Aug. 13, 2026 were not processed by the payers.

Payers impacted:

CPID Payer Name

5810 Affiliated Doctors of Orange County

1214 AgeRight Advantage Health Plan

2842 Alexian PACE

9409 Align Senior Care of California

9267 Align Senior Care of Florida

8454 Align Senior Care of Michigan

4101 AllCare Advantage

2113 Allcare Health Plan

8714 Allstate

1764 Ambetter from Absolute Total Care

1765 Ambetter from Louisiana Healthcare Connections

9278 Ambetter from Nebraska Total Care

9431 Ambetter from Wellcare of Kentucky

9432 Ambetter from Wellcare of New Jersey

9775 Ambetter of Alabama

3235 Ambetter of Delaware

9433 Ambetter of Oklahoma

9270 American Benefit Corporation

2138 American Family Insurance Group

9712 American Health Advantage of Florida

9429 American Health Advantage of Idaho & Utah

9731 American Health Advantage of Louisiana

9142 American Health Advantage of Mississippi

7854 American Health Advantage of Oklahoma

9218 American Health Advantage of Tennessee

9117 American Health Advantage of Texas

6436 American Postal Workers Union

4468 Americas Choice Healthplan

1741 Amerigroup

1415 Anthem Blue Cross Blue Shield of Colorado

7416 Anthem Blue Cross Blue Shield of Colorado HMO

1420 Anthem Blue Cross Blue Shield of Connecticut

2427 Anthem Blue Cross Blue Shield of Connecticut Blue Care Family Plan

3419 Anthem Blue Cross Blue Shield of Connecticut Federal Employees Program

1407 Anthem Blue Cross Blue Shield of Georgia

1412 Anthem Blue Cross Blue Shield of Indiana

2421 Anthem Blue Cross Blue Shield of Kentucky

7446 Anthem Blue Cross Blue Shield of Maine

1408 Anthem Blue Cross Blue Shield of Missouri

7496 Anthem Blue Cross Blue Shield of Nevada

7422 Anthem Blue Cross Blue Shield of New Hampshire

4437 Anthem Blue Cross Blue Shield of New York

2418 Anthem Blue Cross Blue Shield of Ohio

1413 Anthem Blue Cross Blue Shield of Virginia

1401 Anthem Blue Cross Blue Shield of Wisconsin

8749 Anthem MaineHealth

7794 Associated Hispanic Physicians IPA

4477 Asuris Northwest Medadvantage Regence

4881 Asuris Northwest Regence

2811 Avanta IPA

3802 AvMed

7272 Axminster Medical Group

1414 Blue Cross Blue Shield of Florida

3417 Blue Cross Blue Shield of Florida Health Options HMO

1405 Blue Cross Blue Shield of Illinois

1421 Blue Cross Blue Shield of Michigan

1402 Blue Cross Blue Shield of Minnesota

1410 Blue Cross Blue Shield of Minnesota Comprehensive Care Services

7892 Blue Cross Blue Shield of Minnesota Health Care Programs

8723 Blue Cross Blue Shield of Minnesota Hlth Care Prog Non Emergent Transportation DOS after 3/31/2020

1429 Blue Cross Blue Shield of Minnesota HMO

7450 Blue Cross Blue Shield of Montana

7403 Blue Cross Blue Shield of New Mexico

2411 Blue Cross Blue Shield of North Dakota

1403 Blue Cross Blue Shield of Oklahoma

2857 Blue Cross Blue Shield of South Carolina Medicare Advantage

1406 Blue Cross Blue Shield of Texas

7493 Blue Cross Blue Shield of Vermont

1169 Blue Cross Blue Shield of Western New York Medicaid/CHP

7489 Blue Cross Blue Shield of Wyoming

1243 Blue Cross Community Centennial

3498 Blue Cross Community Health Plans

1167 Blue Cross Medicare Advantage

9162 Blue Medicare Advantage

6779 Bridgespan Regence

6165 Bridgeview

4246 Capital Health Plan

2810 Capitol Administrators

2289 Care1st Health Plan of Arizona Medicaid

4743 Carelon Behavioral Health

2164 Carelon Behavioral Health Maryland

6127 Carelon Behavioral Health, MBHP

3293 Carelon Health

2830 CarePlus Health Plans

3767 CareSource Nevada Marketplace

3788 CareSource Nevada Medicaid

1194 CareSource of Georgia

7143 CareSource of Indiana

3826 CareSource of Ohio

7263 CareSource of West Virginia

3706 Cenpatico

4283 Choice Medical Group

7275 Citrus Valley Physicians Group

8123 Clear Health Alliance

7763 Columbine Health Plan

6778 Common Ground Healthcare Cooperative

8834 Commonwealth Care Alliance

8477 Community Care Plan - Florida Healthy Kids

8147 Community Care Plan - Palm Beach Health District

8228 Community Care Plan (Broward Health PPUC)

2160 Community Care Plan (Commercial)

6865 Community Care Plan (Medicaid)

3420 Connecticut Medicare Blue (Risk)

6795 Contra Costa Health Plan

3856 Core Administrative Services

5862 CorrectCare Integrated Health

6241 Correctional Health Partners

7738 CountyCare Health Plan

6145 CSI Life Insurance Company

9747 Delaware First Health

1232 Denver Health Medical Plan Inc. - Medicare Choice

8135 Doctors Healthcare Plan

1733 Doctors Professional Services Consultants (DPSC)

1119 Easy Choice Health Plan of California

4289 El Paso First Health Plans CHIP

9745 El Paso Health Advantage Dual SNP

4279 El Paso Health STAR

5483 Employee Benefit Management Services (EBMS)

2805 Employer Driven Insurance Services Inc.

8137 Empower Healthcare Solutions

5238 Evolent Specialty Cardiology

9414 Evry Health

3792 Fidelis Care

7435 FirstCare Health Plans

9128 Florida Blue Medicare

9417 Florida Complete Care

8189 Gemcare IPA

8879 Georgia Health Advantage

5853 GMS Insurance

9766 Gold Kidney Health Plan

8266 Gonzaba Medical Group

1772 HAP CareSource

1797 HAP CareSource Michigan Dual Medicare/Medicaid

2891 HAP Caresource Michigan Marketplace

5243 Healthcare Management Administrators

1723 HealthCare Partners IPA

4448 HealthLink PPO

4740 Healthways WholeHealth Networks

8750 Healthy Blue Dual Advantage Louisiana

3224 Healthy Blue Kansas

7760 Healthy Blue Louisiana

8867 Healthy Blue Missouri

9133 Healthy Blue North Carolina

7715 Hopkins Health Advantage

6259 Humana - CareSource of Kentucky

9147 Idaho Womens Health Check

2234 Illinois Health Partners

3757 IMAGINE360 ADMINISTRATORS (GPA)

5865 Indian Health Services

4445 Insurance Management Services Texas

1107 Integrated Health Partners (IHP)

4876 International Medical Group

9713 Iowa Health Advantage

5479 IU Health Plan Medicare Advantage

5432 Johns Hopkins Healthcare / Priority Partners

5882 Kane County IPA

7782 Kansas Health Advantage

8467 KeyCare of Maryland

8812 Maryland Physicians Care

8860 Medica Government Programs

7859 Medica Health Plan Solutions

6799 Medica Individual and Family (IFB)

4423 Medical Mutual of Ohio

4714 Medigold HMO

3475 Memorial Hermann Health Network

9118 Meridian Complete Michigan

9102 Meridian Medicare Medicaid Plan

2426 Michigan Blue Care Network

2287 Michigan Medicare Plus Blue (MAP)

5871 Mission Community IPA Medical Group

1213 National Healthcare Corporation Advantage

8864 NextBlue of North Dakota

1782 North American Medical Management - Northern California

2881 Northwell Direct

7279 PACE Southeast Michigan

7829 Passport Advantage

9123 Perennial Advantage of Ohio

5838 Preferred Administrators

1883 Presbyterian Health Plan New Mexico Medicaid

4252 Presbyterian Salud

8468 Procare Advantage of Texas

2807 Professional Benefit Administrators (Oakbrook, Illinois)

7281 PruittHealth Premier Medicare Advantage

5428 QualChoice of Arkansas

8828 Qualexa Healthcare

7264 Quartz ASO

2404 Regence Blue Cross Blue Shield of Oregon

2412 Regence Blue Cross Blue Shield of Utah

2788 Regence Blue Cross Blue Shield of Utah Federal Employee Program

7426 Regence Blue Shield of Idaho

7451 Regence Blue Shield of Washington

1209 Regence Group Administrators

3257 ResourceOne Administrators

4270 Resurrection Physicians Provider Group

6423 RevClaims

1776 RIS Rx

5279 Santa Clara County IPA HMO

6222 Santa Clara County IPA PPO

4464 SCAN Health Plan

7499 Sentara Health Plans

9438 Shared Health Mississippi

7225 Sharp Community Medical Group

7138 Sierra Medical Group

8124 Simply Healthcare Plans Inc.

1891 Snedeker Risk Management

8708 SOMOS Anthem

8134 Summit Community Care

6195 Superior Vision Services

1261 Surgery One IPA, Inc.

1203 TCC Basic Plus

7795 Team Choice - Alpha Care Gold

4278 The Boon Group

5835 Trilogy Health Network

2812 Troy Medicare

3488 TrueCare Mississippi Medicaid

2868 U.S. Family Health Plan Northwest Region

7810 UMass Medical School Health and Criminal Justice Program

8473 Unicare

4258 VNS Health

9293 Wellcare by Allwell from Nebraska Total Care

3248 Wellcare by Allwell of Missouri

9430 Wellcare by Allwell of Oklahoma

3830 Wellcare By Meridian Illinois

1844 Wellcare Health Plans

3211 Wellcare Health Plans Encounters

1404 Wellmark Blue Cross Blue Shield of Iowa

6733 Wellmark Blue Cross Blue Shield of Iowa Crossover

2490 Wellmark Blue Cross Blue Shield of South Dakota

1775 Wellpoint

9441 Wellspace Nexus

A resolution has been implemented and the claims were retransmitted to the payer intermediary on Aug. 14, 2026.

This delay affected claims released to Optum between 10 p.m. on Aug. 12, 2026 and 3 a.m. CT on Aug. 13, 2026.

Action Required: Be aware of the processing issue above.

If you have any questions, please contact Customer Support and refer to Case Number 10420967.

8/14/2026

Electronic Routing Change for CPIDs 2821 and 7505 Key Benefit Administrators

Effective Aug. 14, 2026, Optum will be changing electronic remittance routing for the following payer:

Payer Name: Key Benefit Administrators
Professional CPID: 2821
Institutional CPID: 7505
Industry Standard Payer ID: 37217
Payer Remittance Enrollment Required: Yes
Remittance Par Status: Transitional
Remittance Fee: N/A

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.

8/14/2026

Electronic Routing Change for CPIDs 2821 and 7505 Key Benefit Administrators

Effective Aug. 14, 2026, Optum will be changing electronic remittance routing for the following payer:

Payer Name: Key Benefit Administrators
Professional CPID: 2821
Institutional CPID: 7505
Industry Standard Payer ID: 37217
Line of Business Code (LOB): U7Y
Payer Remittance Enrollment Required: Yes
Remittance Par Status: Transitional
Remittance Fee: N/A

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.

8/14/2026

Report Generation Delay for CPIDs 6672 and 6733 Wellmark Blue Cross Blue Shield of Iowa Crossover

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

Payer impacted:

• CPID 6672 Wellmark Blue Cross Blue Shield of Iowa Crossover
• CPID 6733 Wellmark Blue Cross Blue Shield of Iowa Crossover

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 10420701.

8/14/2026

New Electronic Claims Connections Available

Optum has new electronic claims connections available:

Payer Name: Amada Health Alameda
Institutional CPID: 1954
Professional CPID: 2228
Industry Standard Payer ID: AMDA3
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: California
Claims Fee: N/A
Par Status: Non Par

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.

8/14/2026

Report Generation Delay for CPID 2460 First Managed Care Options, Inc.

The payer listed below is experiencing issues affecting Professional report generation for some claims submitted since Aug. 3, 2026.

Payer impacted:

CPID 2460 First Managed Care Options, Inc.

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 10421314.

8/14/2026

New Electronic Remittance Connection Available

Optum has new electronic remittance connections available:

Payer Name: St. Paul's PACE
Industry Standard Payer ID: SPPCA
Payer Enrollment Required: Yes
Remittance Par Status: Non Par
Payer Location: California

Action Required:

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

8/14/2026

New Electronic Claims Connections Available

Optum has new electronic claims connections available:

Payer Name: Amada Health Alameda
Industry Standard Payer ID: AMDA3
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: California
Par Status: Non Par

Payer Name: Premier Care IPA
Industry Standard Payer ID: PCMSO
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: California
Par Status: Non Par

Payer Name: Hollywood Presbyterian Medical Center - Global Care Medical
Industry Standard Payer ID: MPM29
Payer Claim Enrollment Required: No
Secondary Claims Accepted: Yes
Claim Par Status: Non Par

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.

8/14/2026

Update: Report Generation Delay for CPID 3232 Health Choice Arizona

Update: The payer intermediary has been unable to generate and deliver the reports for some claims submitted July 10-29, 2026.

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

Original notice sent July 21, 2026:
A payer intermediary is experiencing issues affecting Professional report generation for some claims submitted since July 10, 2026.

Payer impacted:

CPID 3232 Health Choice Arizona

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 10386560.

8/14/2026

Report Generation Delay for CPID 3488 TrueCare Mississippi Medicaid

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

Payer impacted:

CPID 3488 TrueCare Mississippi 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 10420733.

8/14/2026

Report Generation Delay for CPID 1510 Wellmark Blue Cross Blue Shield of Iowa

A payer intermediary is experiencing issues affecting Institutional report generation for some claims submitted Aug. 4, 2026.

Payer impacted:

CPID 1510 Wellmark Blue Cross Blue Shield of Iowa

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 10420503.

8/14/2026

New Real Time Eligibility 270/271 Connection

Effective August 5, 2026 Optum is pleased to announce the availability of Real-time Eligibility Inquiry and Response 270/271 for the below payer:

Payer Name: American Health Advantage of Mississippi
Industry Payer ID: 31135
IMN Real Time ID: 31135
Exchange Real Time ID: AHAMS
CPID(s): 9142, 5093
Optum IEDi Real Time ID: 14393
Payer Enrollment Required: No
Connection Type: X12

Search Options:
Subscriber

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

8/14/2026

New Real Time Eligibility 270/271 Connection

Effective August 5, 2026, Optum is pleased to announce the availability of Real-time Eligibility Inquiry and Response 270/271 for the below payer:

Payer Name: American Health Advantage of Missouri
Industry Payer ID: MMS01
IMN Real Time ID: MMS01
Exchange Real Time ID: AHAMO
CPID(s): 8987, 7280
Optum IEDi Real Time ID: 14394
Payer Enrollment Required: No
Connection Type: X12

Search Options:
Subscriber

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

8/14/2026

New Real-Time Connections Available on RPA

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

05003 – Presbyterian Health Plan
73066 – Reserve National Insurance
CHCPI – Central Health Medicare Plan
HP001 – Health Plan of Upper Ohio Valley
KELSE – Kelsey Seybold
LSTAR – Lonestar TPA
SIM02 – Simpra Advantage Inc.

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

14165 – MVP Health Plan
81264 – Nippon Life insurance Company of America
93093 – Lifewise Health Plan of Oregon
SPPHP – Partnership Health Plan of California

8/14/2026

New Electronic Remittance (ERA) Connections Available on RPA

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

33072 – Physicians Choice Medical Group of San Luis Obispo
95166 – Cedars Sinai Medical Network

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

8/14/2026

Sanford Health Plan New Real Time Claim Status 276/ 277 Connection Available

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

Payer Name: Sanford Health Plan
Industry Payer ID: 91184
IMN Real Time ID: 91184
Exchange Real Time ID: SNFDHP
Optum IEDI Real Time ID: 10533
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

8/13/2026

Electronic Routing Change for CPIDs 3919 and 3465 William C Earhart

Effective August 17, 2026, Optum will be changing electronic claims routing for the following payer:

Payer Name: William C Earhart
Professional CPID: 3465
Edit Master: PE_T007
Institutional CPID: 3919
Current Edit Master: HE9E049
New Edit Master: HE9T007
Industry Standard Payer ID: 93050
Payer Claim Enrollment Required: Yes/No
Secondary Claims Accepted: Yes
Claim Par Status: Gateway

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.
When a payer requires enrollment, forms must be submitted and approved from Enrollment Central.

8/13/2026

Electronic Routing Change for CPIDs 3919 and 3465 William C Earhart

Effective August 17, 2026, Optum will be changing electronic claims routing for the following payer:

Payer Name: William C Earhart
Professional CPID: 3465
Institutional CPID: 3919
Industry Standard Payer ID: 93050
Payer Claim Enrollment Required: No
Secondary Claims Accepted: Yes
Claim Par Status: Gateway
Claim Fee: N/A

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.
When a payer requires enrollment, forms must be submitted and approved from Enrollment Central.

8/13/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: St. Paul's PACE
Institutional CPID: 9003
Professional CPID: 3454
Industry Standard Payer ID: SPPCA
Line of Business (LOB) Code: E83
Payer Enrollment Required: Yes
Remittance Par Status: Non Par
Remittance Fee: N/A
Payer Location: California

Action Required:

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

8/13/2026

Edit Master changes for CPIDs 9299 and 7017 Longevity Health Plan of Michigan

Effective August 13, 2026, Optum will be changing Edit Masters for the following payers:

Payer Name: Longevity Health Plan of Michigan
Professional CPID: 9299
Current Edit Master: PE_O007
New Edit Master: PE_T007
Institutional CPID: 7017
Current Edit Master: HE9O007
New Edit Master: HE9T007
Industry Standard Payer ID: LMI01

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.

8/13/2026

New Real-time Eligibility Connection Available

Optum is pleased to announce the availability of Real-time Eligibility Inquiry and Response 270/271 for the below payer, effective August 13, 2026:

Key details to use where applicable are:

Payer Name: LIBERTY HEALTHSHARE
Industry Payer ID: 90753
IMN Real Time ID: 90753
Exchange Real Time ID: LIBHS
Optum IEDI Real Time ID: 90753
Payer Enrollment Required: No
Connection Type: X12

Search Options:

Eligibility 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.

8/13/2026

New Real-time Eligibility Connection Available

Optum is pleased to announce the availability of Real-time Eligibility Inquiry and Response 270/271, Claim Status Inquiry and Response 276/277 for the below payer, effective August 13, 2026:

Key details to use where applicable are:

Payer Name: Windsor Medicare Extra
Industry Payer ID: 62153
IMN Real Time ID: 62153
Exchange Real Time ID: WNDMCX
Optum IEDI Real Time ID: 10576
Payer Enrollment Required: No
Connection Type: X12

Search Options:

Eligibility Subscriber

Member ID, 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

Action Required by customer:

8/13/2026

Update: Report Generation Delay for CPIDs 7052 and 9435 OhioRISE

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

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

Original notice sent Aug. 10, 2026:

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

Payer impacted:

CPID 7052 OhioRISE - Aetna Better Health of Ohio
CPID 9435 OhioRISE - Aetna Better Health 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 10412617.

8/13/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: St. Paul's PACE
Institutional CPID: 9003
Professional CPID: 3454
Industry Standard Payer ID: SPPCA
Payer Enrollment Required: Yes
Remittance Par Status: Non Par
Remittance Fee: N/A
Payer Location: California

Action Required:

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

8/13/2026

Edit Master changes for CPIDs 6134 and 5685 Innovante Benefit Administrators

Optum is changing Edit Masters for the following payer, effective August 13, 2026:

Payer Name: Innovante Benefit Administrators
Professional CPID: 6134
Current Edit Master: PE_O007
New Edit Master: PE_T007
Institutional CPID: 5685
Current Edit Master: HE9E049
New Edit Master: HE9T007
Industry Standard Payer ID: 31172

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.

8/13/2026

Payer Consolidation - Blue Cross Blue Shield of Texas

Claims currently exchanged with the following payer must use a different payer ID, effective September 10, 2026:

Payer Name: Blue Cross Blue Shield of Texas
Payer ID: 84980, TXBLS
Claim Type: Professional
Payer ID: 84980
Claim Type: Institutional

Payer IDs 84980, TXBLS will be terminated effective September 10, 2026.

Providers must begin using the following ID for electronic claims for Blue Cross Blue Shield of Texas:

Institutional Payer ID: 12B31
Professional Payer ID: SB900

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.

8/13/2026

Payer Consolidation - HealthPartners of Minnesota

Claims currently exchanged with the following payer must use a different payer ID, effective September 10, 2026:

Payer Name: HealthPartners of Minnesota
Payer ID: 55764, SX009
Claim Type: Professional
Payer ID: 12X51, 55764
Claim Type: Institutional

Payer IDs 55764, SX009, 12X51 will be terminated effective September 10, 2026.

Providers must begin using the following ID for electronic claims for HealthPartners of Minnesota:

Payer ID: 94267

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.

8/13/2026

Payer Consolidation - New Mexico Medicaid

Claims currently exchanged with the following payer must use a different payer ID, effective September 10, 2026:

Payer Name: New Mexico Medicaid
Payer ID: 77048, SKNM0
Claim Type: Professional

Payer IDs 77048, SKNM0 will be terminated effective September 10, 2026.

Providers must begin using the following ID for electronic claims for New Mexico Medicaid:

Professional Payer ID: NMMCD
Institutional Payer ID: 12K22

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.

8/13/2026

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 August 13, 2026:

Payer Name: EMPLOYEE BENEFIT MANAGEMENT
Industry Payer ID: 31074
IMN Real Time ID: 31074
Exchange Real Time ID: EBMCA
Optum IEDI Real Time ID: 31074
Payer Enrollment Required: No
Connection Type: X12

Search Options:
Eligibility Subscriber

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

8/13/2026

Report Generation Delay for CPID 9057 Sentara PACE

A payer intermediary is experiencing issues affecting Institutional report generation for some claims submitted Aug. 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 10419208.

8/13/2026

Report Generation Delay for CPID 1733 Doctors Professional Services

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

Payer impacted:

CPID 1733 Doctors Professional Services Consultants (DPSC)

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 10419136.

8/13/2026

Report Generation Delay for CPID 3788 CareSource Nevada Medicaid

A payer intermediary is experiencing issues affecting Professional report generation for some claims submitted Aug. 3, 2026.

Payer impacted:

CPID 3788 CareSource Nevada Medicaid

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 10419106.

8/13/2026

Report Generation Delay for CPID 5428 QualChoice of Arkansas

A payer intermediary is experiencing issues affecting Professional report generation for some claims submitted since Aug. 1, 2026.

Payer impacted:

CPID 5428 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 10418975.

8/13/2026

New Electronic Claims Connections Available

Optum has new electronic claims connections available:

Payer Name: Premier Care IPA
Institutional CPID: 1953
Industry Standard Payer ID: PCMSO
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: California
Claims Fee: N/A
Par Status: Non Par

Action Required:

Add the payer 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.

8/12/2026

Resolved: Delay in Electronic Remittance Advice (ERA) for CPIDs 2415 & 5555, Mississippi Blue Shield

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

Original notification sent August 11, 2026

Due to a Optum processing issue, there has been a delay affecting Professional and Institutional Electronic Remittance Advice (ERA) for the following payer for check dates July 31, 2026-Present.

Payers affected:

CPID 2415 Mississippi Blue Shield
CPID 5555 Mississippi Blue Shield

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 dates above.

If you have any questions, feel free to contact your Customer Support Team and refer to Case Number INC-000005375.

8/12/2026

Electronic Claims Connections No Longer Available

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

Payer Name: Kempton Group Administrators (USC)
Payer ID: 90210
Reason: Payer no longer offers an electronic connection to which Optum can connect

Payer Name: Physicians Health Plan of Michigan
Payer ID: 83276
Reason: Payer no longer in business effective Sept. 1, 2026.

Payer Name: Udelhoven Health Plan
Payer ID: 92006
Reason: Payer no longer in business

Action Required: Please make any necessary system changes.

8/12/2026

Resolved: Delay in Electronic Remittance Advice (ERA) for Payer ID MSBLS, Mississippi Blue Shield

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

Original notification sent on: August 11, 2026

Due to a Optum processing issue, there has been a delay affecting Professional and Institutional Electronic Remittance Advice (ERA) for the following payer for check dates July 31, 2026-Present.

Payers affected:

Payer ID MSBLS Mississippi Blue Shield

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 dates above

If you have any questions, feel free to contact your Customer Support Team and refer to Case Number INC-000005375.

8/12/2026

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 August 07, 2026:

Search Options:

Eligibility 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.

8/12/2026

Edit Master changes for CPIDs 2070 and 1298 Kova Healthcare Inc.

Optum is changing Edit Masters for the following payer, effective August 12, 2026:

Payer Name: Kova Healthcare Inc.
Professional CPID: 1298
Current Edit Master: HE9O007
New Edit Master: HE9T007
Institutional CPID: 2070
Current Edit Master: PE_O007
New Edit Master: PE_T007
Industry Standard Payer ID: KOVA1

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.

8/12/2026

Update: Report Generation Delay for CPIDs 5658 and 6284 Trillium Health Resources

Update: The payer intermediary has been unable to generate and deliver the reports for some claims submitted Aug. 4, 2026.

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

Original notice sent Aug. 12, 2026:
A payer intermediary is experiencing issues affecting Institutional and Professional report generation for some claims submitted Aug. 4, 2026.

Payer impacted:

CPID 5658 Trillium Health Resources
CPID 6284 Trillium Health Resources

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 10416533.

8/12/2026

Report Generation Delay for CPID 1522 District of Columbia Medicare

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

Payer impacted:

CPID 1522 District of Columbia Medicare

The payer intermediary has been unable to generate and deliver the reports for some claims submitted Aug. 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 10416176.

8/12/2026

New Electronic Claims Connections Available

Optum has new electronic claims connections available:

Payer Name: CareSource Military and Veterans
Professional CPID: 2226
Institutional CPID: 1946
Industry Standard Payer ID: MVCS1
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: Florida, Georgia
Claims Fee: N/A
Par Status: Non Par

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.

8/11/2026

Reminder: Payer Change for Multiple payers

Correction – Providers do need to complete a new claims enrollment.

Reminder: Effective immediately, claims, remittance, and eligibility currently exchanged with the following payer must use different CPIDs.

Payer Name: Blue Cross Blue Shield of Northeastern New York

Professional CPID: 7433

Professional Edit Master: PE_B020

Institutional CPID: 3525

Institutional Edit Master: HE9B020

RTE Payer ID: NYBCNE

Industry Standard Payer ID: 00800

Line of Business Code (LOB): X47

Payer Name: Blue Cross Blue Shield of Western New York

Professional CPID: 4409

Professional Edit Master: PE_T007

Institutional CPID: 3527

Institutional Edit Master: HE9B060

RTE Payer ID: NYBCBS

Industry Standard Payer ID: 00801

Line of Business Code (LOB): X47

CPIDs 7433 and 3525 Blue Cross Blue Shield of Northeastern New York and CPIDs 4409 and 3527 Blue Cross Blue Shield of Western New York will be terminated effective August 27, 2026.

Providers may transition to the following payer for electronic claims, remittance, and eligibility prior to August 27, 2026, but must be fully transitioned by August 27, 2026:

Payer Name: Highmark Western and Northeastern New York

Professional CPID: 7485

Professional Edit Master: PE_T007

Institutional CPID: 1943

Institutional Edit Master: HE9T007

RTE Payer ID: HLTNOW

Industry Standard Payer ID: 55204

Line of Business Code (LOB): X47

Claim Par Status: Non Par

Remittance Par Status: Non Par

Remittance Fee: N/A

Enrollment Requirements:

Claims:

Payer enrollment for electronic claims is required.
- Providers currently submitting electronic claims through Optum for CPIDs 7485, 1943, Highmark Western and Northeastern New York do need to complete a new enrollment form.
- New providers must complete a new enrollment form.

Remittance:

Payer enrollment for electronic remittance is required.
- Providers currently receiving electronic remittance through Optum for CPIDs 7485, 1943, Highmark Western and Northeastern New York do not need to complete a new enrollment form.
- Providers not receiving electronic remittance through Optum for CPIDs 7485, 1943, Highmark Western and Northeastern New York must complete a new enrollment form.
- New providers must complete a new enrollment form.
- All providers who have not received remittance since May 24, 2026, will need to complete a new enrollment form.

Eligibility:

Payer enrollment for electronic eligibility 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.

8/11/2026

Report Generation Delay for CPID 3519 New York Medicare Empire

A payer intermediary is experiencing issues affecting Institutional report generation for some claims submitted between Aug. 7, 2026 and Aug. 9, 2026.

Payer impacted:

• CPID 3519 New York Medicare Empire

The payer intermediary has been unable to generate and deliver the reports for some claims submitted between Aug. 7, 2026 and Aug. 9, 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 10415158.

8/11/2026

Edit Master changes for CPIDs 2730 Humboldt Del Norte Independent Practice Association

Effective August 11, 2026, Optum will be changing Edit Masters for the following payer:

Payer Name: Humboldt Del Norte Independent Practice Association
Professional CPID: 2730
Current Edit Master: PE_N000
New Edit Master: PE_T007
Industry Standard Payer ID: 94154

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.

8/11/2026

Kempton Group Administrators (USC) Electronic Claims Connection No Longer Available

Effective August 12, 2026, the payer listed below will no longer be available at Optum for claims processing.

Payer Name: Kempton Group Administrators (USC)
Claims CPIDs: 1168, 2514
Industry Standard Payer ID: 90210

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

Action Required: Please be aware the payer alias entries will be removed and claims for this payer must now be submitted on paper. Please make the following changes to accommodate the payer no longer offering an electronic connection.

After the edit release date above, revalidate unreleased claims to edit correctly to send paper claims.
Modify any bridge routines based on Edit Masters for paper claims.

8/11/2026

Report Generation Delay for CPID 5676 Alliance Behavioral Healthcare
A payer intermediary is experiencing issues affecting Institutional report generation for some claims submitted Aug. 4, 2026.

Payer impacted:

CPID 5676 Alliance Behavioral Healthcare

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 10415232.

8/11/2026

Reminder: Payer Change for multiple payers

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

Payer Name: Blue Cross Blue Shield of Northeastern New York
Professional CPID: 7433
Institutional CPID: 3525
Remittance Available: Yes
Industry Standard Payer ID: 00800

Payer Name: Blue Cross Blue Shield of Western New York
Professional CPID: 4409
Institutional CPID: 3527
Remittance Available: Yes
Industry Standard Payer ID: 00801

CPIDs 7433 and 3525 Blue Cross Blue Shield of Northeastern New York and CPIDs 4409 and 3527 Blue Cross Blue Shield of Western New York will be terminated effective Aug. 27, 2026.

Providers may transition to the following payer for electronic claims and remittance prior to Aug. 27, 2026, but must be fully transitioned by Aug. 27, 2026:

Payer Name: Highmark Western and Northeastern New York
Professional CPID: 7485
Institutional CPID: 1943
Remittance Available: Yes
Industry Standard Payer ID: 55204
Claim Par Status: Non Par
Claim Fee: N/A
Remittance Par Status: Non Par
Remittance Fee: N/A

Enrollment Requirements:
Claims:

Payer enrollment for electronic claims is required.
- Providers currently submitting electronic claims through Optum for CPIDs 7485, 1943, Highmark Western and Northeastern New York do not need to complete a new enrollment form.
- New providers must complete a new enrollment form.

Remittance:

Payer enrollment for electronic remittance is required.
- Providers currently receiving electronic remittance through Optum for CPIDs 7485, 1943, Highmark Western and Northeastern New York do not need to complete a new enrollment form.
- Providers not receiving electronic remittance through Optum for CPIDs 7485, 1943, Highmark Western and Northeastern New York must complete a new enrollment form.
- New providers must complete a new enrollment form.
- All providers who have not received remittance since May 24, 2026, will need to complete a new enrollment form.

Action Required:

Please be aware of the changes above and make any necessary changes in your system. Providers do need to complete a new claims enrollment.
To access the new enrollment forms, please visit Enrollment Central.

8/11/2026

Physicians Health Plan of Michigan Electronic Claims and Remittance Connections No Longer Available

The payer listed below will no longer be available at Optum for claims and remittance processing, effective Aug. 31, 2026.

Payer Name: Physicians Health Plan of Michigan
Claims and Remittance CPIDs: 8293, 3044
Line of Business (LOB) Code: J5D
Industry Standard Payer ID: 83276
Reason: Payer no longer in business effective Sept. 1, 2026.

Payer will no longer accept paper claims.

Action Required: Please make any necessary system changes.

8/11/2026

Payer Name: Physicians Health Plan of Michigan
Claims and Remittance CPIDs: 8293, 3044
Industry Standard Payer ID: 83276
Reason: Payer no longer in business effective Sept. 1, 2026.

Payer will no longer accept paper claims.

Action Required: Please make any necessary system changes.

8/11/2026

Delay in Electronic Remittance Advice (ERA) for CPIDs 2415 & 5555, Mississippi Blue Shield

Due to an Optum processing issue, there has been a delay affecting Professional and Institutional Electronic Remittance Advice (ERA) for the following payer for check dates July 31, 2026-Present.

Payers affected:

CPID 2415 Mississippi Blue Shield
CPID 5555 Mississippi Blue Shield

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 dates above.

If you have any questions, feel free to contact your Customer Support Team and refer to Case Number INC-000005375.

8/11/2026

Delay in Electronic Remittance Advice (ERA) for Payer ID MSBLS, Mississippi Blue

Due to a Optum processing issue, there has been a delay affecting Professional and Institutional Electronic Remittance Advice (ERA) for the following payer for check dates July 31, 2026-Present.

Payers affected:

Payer ID MSBLS Mississippi Blue Shield

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 dates above.

If you have any questions, feel free to contact your Customer Support Team and refer to Case Number INC-000005375.

8/11/2026

Kempton Group Administrators (USC) Electronic Claims Connection No Longer Available

The payer listed below will no longer be available at Optum for claims processing, effective Aug. 12, 2026.

Payer Name: Kempton Group Administrators (USC)
Claims CPIDs: 1168, 2514
Industry Standard Payer ID: 90210
Reason: Payer no longer offers an electronic connection to which Optum can connect

Action Required: Please make any necessary system changes.

8/11/2026

Report Generation Delay for CPID 6237 Century PHO

A payer intermediary is experiencing issues affecting Professional report generation for some claims submitted since July 29, 2026.

Payer impacted:

CPID 6237 Century PHO

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 10414163.

8/11/2026

Report Generation Delay for CPID 4509 Cigna Health Plans

A payer intermediary is experiencing issues affecting Institutional report generation for some claims submitted Aug. 10, 2026.

Payer impacted:

CPID 4509 Cigna Health Plans

The payer intermediary has been unable to generate and deliver the reports for some claims submitted Aug. 10, 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 10414134.

8/11/2026

Edit Master changes for Lone Star Medical Group and Longevity Health Plan of Florida

Optum is changing Edit Masters for the following payers, effective Aug. 11, 2026:

Payer Name: Lone Star Medical Group
Professional CPID: 9440
Current Edit Master: PE_O007
New Edit Master: PE_T007
Institutional CPID: 7057
Current Edit Master: HE9O007
New Edit Master: HE9T007
Industry Standard Payer ID: LNSTR

Payer Name: Longevity Health Plan of Florida
Professional CPID: 8268
Current Edit Master: PE_O007
New Edit Master: PE_T007
Institutional CPID: 3018
Current Edit Master: HE9O007
New Edit Master: HE9T007
Industry Standard Payer ID: LFL01

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.

8/11/2026

Udelhoven Health Plan Electronic Claims Connection No Longer Available

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

Payer Name: Udelhoven Health Plan
Claims CPIDs: 8792, 4050
Industry Standard Payer ID: 92006
Reason: Payer no longer in business

Action Required: Please make any necessary system changes.

8/10/2026

Edit Master changes for CPIDs 1107 and 9519 Integrated Health Partners (IHP)

Effective August 10, 2026, Optum will be changing Edit Masters for the following payer:

Payer Name: Integrated Health Partners (IHP)
Professional CPID: 1107
Current Edit Master: PE_O007
New Edit Master: PE_B800
Institutional CPID: 9519
Current Edit Master: HE9O007
New Edit Master: HE9B801
Industry Standard Payer ID: MPM26

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

8/10/2026

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

Resolved: The Veterans Administration has delivered delayed Electronic Remittance Data to Optum for check date range June 2026 thru July 2026.

Original notification sent July 14, 2026

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

Due to a payer processing issue, there has been a delay affecting some Professional and Institutional Electronic Remittance Advice (ERA) for the following payer for check dates June 25, 2026-July 15, 2026.

Payers affected:

Payer ID 3807 CHAMPVA – HAC
Payer ID 1503 CHAMPVA – HAC Medicare Crossover

Action Required: Please review your systems for previously reported missing VA ERA data. If you have any questions, feel free to contact your Customer Support Team and refer to Case Number INC-000005179.

8/10/2026

Resolved Delay in Electronic Remittance Advice (ERA) for Payer IDs 84146/80214

Resolved: The Veterans Administration has delivered delayed Electronic Remittance Data to Optum for check date range June 2026 thru July 2026.

Original notification sent July 14, 2026

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

Payers affected:

Payer ID 84146 CHAMPVA – HAC
Payer ID 80214 CHAMPVA – HAC Medicare Crossover

8/10/2026

Report Generation Delay for CPIDs 3017 and 8266 Gonzaba Medical Group

A payer intermediary is experiencing issues affecting Institutional and Professional report generation for some claims submitted since July 30, 2026.

Payer impacted:

• CPID 3017 Gonzaba Medical Group
• CPID 8266 Gonzaba 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 10412823.

8/10/2026

Report Generation Delay for CPID 2936 IMAGINE360 ADMINISTRATORS (GPA)

A payer intermediary is experiencing issues affecting Institutional report generation for some claims submitted July 29, 2026.

Payer impacted:

CPID 2936 IMAGINE360 ADMINISTRATORS (GPA)

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 10412710.

8/10/2026

Electronic Claim Status Connection Restored

The payer listed below is restored at Optum for claim status processing and transactions may again be submitted, effective immediately.

Payer Name: USAA-Medicare Supplemental
Industry Standard Payer ID: USAAM
IMN Real Time ID: USAAM
Exchange Real Time ID: n/a

Action Required: Please resume submitting claim status transactions for this payer.

8/10/2026

Report Generation Delay for CPIDs 7052 and 9435 OhioRISE - Aetna Better Health of Ohio

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

Payer impacted:

CPID 7052 OhioRISE - Aetna Better Health of Ohio
CPID 9435 OhioRISE - Aetna Better Health 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 10412617.

8/10/2026

New Electronic Remittance Connections Available on Revenue Performance Advisor

We would like to give you awareness of a payer processing issue that could potentially impact your business. ERA (Remittance) transactions have recently been added to the Revenue Performance Advisor (RPA) system for the following payers:

R3499 – Hope Select Care PACE
ROJW1 – Religious Order of Jehovah's Witnesses (Professional)
UROJW – Religious Order of Jehovah's Witnesses (Institutional)

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

8/10/2026

Update: Report Generation Delay for CPIDs 9014 and 3488 TrueCare Mississippi Medicaid

Update: The payer intermediary has been unable to generate and deliver the reports for some claims submitted July 9, 2026-July 13, 2026.

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

Original notice sent July 8, 2026:
A payer intermediary is experiencing issues affecting Institutional and Professional report generation for some claims submitted since June 24, 2026.

Payer impacted:

CPID 9014 TrueCare Mississippi Medicaid
CPID 3488 TrueCare Mississippi 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 10370136.

8/10/2026

Payer Name Change

Please be aware of the following payer name change, effective immediately:

Previous Payer Name: Virginia Health Network, Inc.
New Payer Name: MedCost Virginia
Payer ID: 54138

Action Required:

No Payer Alias changes are needed.

8/7/2026

Report Generation Delay for CPID 3519 New York Medicare Empire

A payer intermediary is experiencing issues affecting Institutional report generation for some claims submitted Aug. 5, 2026.

Payer impacted:

CPID 3519 New York Medicare Empire

The payer intermediary has been unable to generate and deliver the reports for some claims submitted Aug. 5, 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 10411344.

8/7/2026

Payer Name Change

Please be aware of the following payer name change, effective immediately:

Previous Payer Name: Virginia Health Network, Inc.
New Payer Name: MedCost Virginia
Professional CPID: 6186
Institutional CPID: 7939
Industry Standard Payer ID: 54138

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

8/7/2026

Payer Name Change

Please be aware of the following payer name change, effective immediately:

Previous Payer Name: Virginia Health Network, Inc.
New Payer Name: MedCost Virginia
Professional CPID: 6186
Professional Edit Master: PE_T007
Institutional CPID: 7939
Institutional Edit Master: HE9T007
Industry Standard Payer ID: 54138

Action Required:

No Payer Alias changes are needed.

8/7/2026

Report Generation Delay for CPID 1254 and 3914 JPS Connection

The payer listed below is experiencing issues affecting Professional and Institutional report generation for some claims submitted since Aug. 4, 2026.

Payer impacted:

CPID 1254 JPS Connection
CPID 3914 JPS Connection

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 10410980.

8/7/2026

Update: Report Generation Delay for CPIDs 1565 and 2786 Prime West

Update: The payer has been unable to generate and deliver the reports for some claims submitted July 1, 2026-July 31, 2026.

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

Original notice sent July 17, 2026:
The payer listed below is experiencing issues affecting Institutional and Professional report generation for some claims submitted since July 7, 2026.

Payer impacted:

CPID 1565 Prime West
CPID 2786 Prime West

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 10383904.

8/7/2026

BCBS of Rhode Island New Real Time Claim Status 276/ 277 Connection Available

Optum is pleased to announce the availability of Real-time Claim Status Inquiry and Response 276/277 for the below payer, effective August 6, 2026:

Payer Name: Blue Cross Blue Shield of Rhode Island
Industry Payer ID: 00370, 00870
IMN Real Time ID: SB870
Exchange Real Time ID: RIBCBS
Optum IEDI Real Time ID: RIBLS
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

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

8/7/2026

Edit Master changes for CPIDs 1057 and 7884 LACH HealthNet by MedPOINT

Optum is changing Edit Masters for the following payer, effective August 11, 2026:

Payer Name: LACH HealthNet by MedPOINT
Professional CPID: 7884
Current Edit Master: PE_O007
New Edit Master: PE_T007
Institutional CPID: 1057
Current Edit Master: HE9O007
New Edit Master: HE9T007
Industry Standard Payer ID: MPM19

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.

8/7/2026

New Electronic Claims Connections Available

Optum has new electronic claims connections available:

Payer Name: InStil Health
Payer ID: SX161
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: South Carolina
Par Status: Non Par

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.

8/7/2026

Electronic Routing Change for CPIDs 2032 and 8169 Hollywood Presbyterian Medical Center - Global Care Medical

Optum is reactivating and changing electronic claims routing for the following payer, effective Aug. 11, 2026:

Payer Name: Hollywood Presbyterian Medical Center - Global Care Medical
Professional CPID: 8169
Institutional CPID: 2032
Industry Standard Payer ID: MPM29
Payer Claim Enrollment Required: No
Secondary Claims Accepted: Yes
Claim Par Status: Non Par
Claim Fee: N/A

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.
When a payer requires enrollment, forms must be submitted and approved from Enrollment Central.

8/7/2026

Payer Name: Hollywood Presbyterian Medical Center - Global Care Medical
Professional CPID: 8169
Current Edit Master: PE_O007
New Edit Master: PE_T007
Institutional CPID: 2032
Current Edit Master: HE9O007
New Edit Master: HE9T007
Industry Standard Payer ID: MPM29
Payer Claim Enrollment Required: No
Secondary Claims Accepted: Yes
Claim Par Status: Non Par

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.
When a payer requires enrollment, forms must be submitted and approved from Enrollment Central.

8/7/2026

Update: Report Generation Delay for CPIDs 9500 and 3803 Kern Health

Update: The payer has been unable to generate and deliver the reports for some claims submitted July 7, 2026-July 30, 2026.

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

Original notice sent July 20, 2026:
The payer listed below is experiencing issues affecting Institutional and Professional report generation for some claims submitted since July 7, 2026.

Payer impacted:

CPID 9500 Kern Health Systems
CPID 3803 Kern Health Systems

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 10385945.

8/6/2026

CareCore National Wellcare Radiology Electronic Claims Connection No Longer Available

The payer listed below is no longer available at Optum for claims processing, effective Aug. 6, 2026.

Payer Name: CareCore National Wellcare Radiology
Claims CPID: 4870
Industry Standard Payer ID: 14188
Reason: Payer no longer offers an electronic connection to which Optum can connect.

After the edit release date above, revalidate unreleased claims to edit correctly to send paper claims.
Modify any bridge routines based on Edit Masters for paper claims.

Original notification sent April 1, 2026
Effective immediately, the payer listed below has been suspended at Optum for claim processing and removed from the payer list.

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.

8/6/2026

CareCore National Wellcare Radiology Electronic Claims Connection No Longer Available

The payer listed below is no longer available at Optum for claims processing, effective Aug. 6, 2026.

Original notification sent April 1, 2026
Effective immediately, the payer listed below has been suspended at Optum for claim processing and removed from the payer list.

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.

8/6/2026

Edit Master changes for CPID 7879 Human Behavior Institute and CPID 4167 Key Medical Group

Optum is changing Edit Masters for the following payers, effective Aug. 6, 2026:

Payer Name: Human Behavior Institute
Professional CPID: 7879
Current Edit Master: PE_O007
New Edit Master: PE_T007
Industry Standard Payer ID: HBI01

Payer Name: Key Medical Group
Professional CPID: 4167
Current Edit Master: PE_O007
New Edit Master: PE_T007
Industry Standard Payer ID: IP082

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.

8/6/2026

Electronic Routing Change for Payer ID 95327 Alameda Alliance for Health

Effective September 2, 2026, Optum will be changing electronic claims routing for the following payer:

Payer Name: Alameda Alliance for Health
Payer ID: 95327
Payer Claim Enrollment Required: Yes
Secondary Claims Accepted: Yes
New Claim Par Status: Transitional

Enrollment Requirements:

Claims:

Payer enrollment for electronic claims is required.
- Providers currently sending electronic claims through Optum must complete a new enrollment form.
- New providers must complete a new enrollment form.
- Providers may begin enrolling prior to September 2, 2026.

Providers currently submitting or planning to submit electronic claims for Alameda Alliance for Health should complete the required enrollment process as soon as possible to ensure uninterrupted claims routing after September 2, 2026.

Report Changes:

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

Action Required: Make any necessary system changes.

When a payer requires enrollment, forms must be submitted and approved from IEDI.

8/6/2026

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 August 04, 2026:

Payer Name: UnitedHealthcare Community Plan of Michigan
IMN Real Time ID: 95467
Exchange Real Time ID: UHCGLH
CPID(s): 8577 (I), 1886 (P)
Optum IEDI Real Time ID: 95467
Payer Enrollment Required: NO
Connection Type: X12

Search Options:

Eligibility Subscriber

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

Action Required by customer:

8/6/2026

Report Generation Delay for CPID 5428 QualChoice of Arkansas

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

Payer impacted:

• CPID 5428 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 10405456.

8/6/2026

Update: Report Generation Delay for CPID 6778 Common Ground Healthcare Cooperative

Update: The payer intermediary has been unable to generate and deliver the reports for some claims submitted July 6, 2026 and July 17, 2026.

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

Original notice sent July 20, 2026:
A payer intermediary is experiencing issues affecting Professional report generation for some claims submitted since July 6, 2026.

Payer impacted:

CPID 6778 Common Ground Healthcare Cooperative

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 10384964.

8/6/2026

Enrollment Form Update

Dear Valued Customer,
The following payer has changed their Remittance enrollment form:

Payer Name: SX105
Payer ID: Deseret Mutual Benefit Associates

Providers already approved to submit and receive transactions through Optum do not need to complete a new enrollment form.

To access the new enrollment form, please visit the IEDI enrollment portal.

Action Required: None for existing providers. New providers should begin using the new enrollment form immediately.

8/5/2026

New York Life Long Term Care Electronic Claims Connection No Longer Available

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

Payer Name: New York Life Long Term Care
Payer ID: NYL11

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

Action Required: Please make any necessary system changes.

8/5/2026

Report Generation Delay for CPID 6843 Northwood

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

Payer impacted:

CPID 6843 Northwood

The payer has been unable to generate and deliver the reports for some claims submitted July 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 10406529.

8/5/2026

NY Life Long Term Care termination

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

Payer Name: New York Life Long Term Care
Claims CPID: 4403
Industry Standard Payer ID: NYL11

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

Action Required: Please make any necessary system changes.

8/5/2026

Avera Health Plans Real Time Eligibility 270/271 PAR Status Change

The Real Time Eligibility 270/271 PAR Status changed for the following payer, effective June 10, 2026:

Payer Name: Avera Health Plans
PAR Status: Non PAR
Industry Payer ID: 46045
IMN Real Time ID: 46045
Exchange Real Time ID: AVRHP
Optum IEDI Real Time ID: 10869
Payer Enrollment Required: No
Connection Type: X12

Search Options:

Eligibility Subscriber: Member ID, First Name, Last Name, Date of Birth

8/5/2026

Update: Report Generation Delay for CPIDs 7868 and 1039 South Country Health Alliance

Update: The payer has been unable to generate and deliver the reports for some claims submitted July 1, 2026-July 29, 2026.

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

Original notice sent July 10, 2026:
The payer listed below is experiencing issues affecting Institutional and Professional report generation for some claims submitted since July 1, 2026.

Payer impacted:

CPID 7868 South Country Health Alliance
CPID 1039 South Country Health Alliance

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 10373926.

8/5/2026

Electronic Routing Change for CPIDs 2173 and 1631 Alameda Alliance for Health

Effective September 2, 2026, Optum will be changing electronic claims routing for the following payer:

Payer Name: Alameda Alliance for Health
Professional CPID: 2173
Current Edit Master: PE_C051
New Edit Master: PE_T007
Institutional CPID: 1631
Current Edit Master: HE9C051
New Edit Master: HE9T007
Industry Standard Payer ID: 95327
Payer Claim Enrollment Required: Yes
Secondary Claims Accepted: Yes
Claim Par Status: Transitional

Enrollment Requirements:

Claims:

Payer enrollment for electronic claims is required.
- Providers currently sending electronic claims through Optum must complete a new enrollment form.
- New providers must complete a new enrollment form.
- Providers may begin enrolling prior to September 2, 2026.

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.
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.

8/5/2026

Electronic Routing Change for CPIDs 2173 and 1631 Alameda Alliance for Health

Effective September 2,2026, Optum will be changing electronic claims routing for the following payer:

Payer Name: Alameda Alliance for Health
Professional CPID: 2173
Institutional CPID: 1631
Industry Standard Payer ID: 95327
Payer Claim Enrollment Required: Yes
Secondary Claims Accepted: Yes
Claim Par Status: Transitional
Claim Fee: N/A

Enrollment Requirements:

Claims:

Payer enrollment for electronic claims is required.
- Providers currently sending electronic claims through Optum must complete a new enrollment form.
- New providers must complete a new enrollment form.
- Providers may begin enrolling prior to September 2, 2026.

Report Changes:

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

Action Required: Make any necessary system changes.

When a payer requires enrollment, forms must be submitted and approved from Enrollment Central.

8/5/2026

New Real-Time Transactions Available

Effective July 28th, 2026, Optum is pleased to announce the availability of Real-time (270/271) transactions for the below payer:

Payer name: Lonestar TPA
Transaction type: Eligibility
IMN: LSTAR
Exchange: LSTAR
OPTUM ID: 11013

Action Required by customer:

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

8/5/2026

Report Generation Delay for CPID 2455 Arkansas Medicare

A payer intermediary is experiencing issues affecting Professional report generation for some claims submitted July 31, 2026-Aug. 3, 2026.

Payer impacted:

CPID 2455 Arkansas Medicare

The payer intermediary has been unable to generate and deliver the reports for some claims submitted July 31, 2026-Aug. 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 10405326.

8/5/2026

Update: Report Generation Delay for CPIDs 7052 and 9435 OhioRISE - Aetna Better Health of Ohio

Update: The payer intermediary has been unable to generate and deliver the reports for some claims submitted July 15, 2026-July 17, 2026.

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

Original notice sent July 22, 2026:
A payer intermediary is experiencing issues affecting Institutional and Professional report generation for some claims submitted since July 15, 2026.

Payer impacted:

CPID 7052 OhioRISE - Aetna Better Health of Ohio
CPID 9435 OhioRISE - Aetna Better Health 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 10388029.

8/5/2026

Report Generation Delay for CPID 6284 Trillium Health Resources

A payer intermediary is experiencing issues affecting Professional report generation for some claims submitted July 28, 2026.

Payer impacted:

CPID 6284 Trillium Health Resources

The payer intermediary has been unable to generate and deliver the reports for some claims submitted on July 28, 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 10405191.

8/5/2026

Report Generation Delay for multiple CPIDs

A payer intermediary is experiencing issues affecting Professional and Institutional report generation for some claims submitted on July 29, 2026.

Payers impacted:

• CPID 1029 Physician Health Associates/Midland Mgmt
• CPID 3770 Physician Health Associates/Midland Mgmt
• CPID 3026 Essential Health Partners

The payer intermediary has been unable to generate and deliver the reports for some claims submitted on July 29, 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 10405166.

8/5/2026

Resolved: Delay in Electronic Remittance Advice (ERA) for Payer IDs 12115 & 12116, Veterans Administration Fee Basis Programs

This issue has been resolved. All impacted ERAs have been processed.

Original notification sent July 30, 2026:

Due to a payer processing issue, there has been a delay affecting Professional, Institutional, and Dental Electronic Remittance Advice (ERA) for the following payer for check dates July 17, 2026-Present.

Payers affected:

Payer ID 12115 Veterans Administration Fee Basis Programs
Payer ID 12116 Veterans Administration Fee Basis Programs

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 dates above.

8/4/2026

Health Help Networks Electronic Claims Connection No Longer Available

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

Payer Name: Health Help Networks
Claims CPID: 6476
Industry Standard Payer ID: 59087
Reason: Payer no longer offers an electronic connection to which Optum can connect.

Action Required: Please make any necessary system changes.

8/4/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: Sentinel Management Services
Payer ID: 23249
Payer Enrollment Required: Yes
Remittance Par Status: Transitional
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.

8/4/2026

Electronic Claims Connection Suspended

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

Payer Name: Beacon of Life
Payer ID: 65432
Reason: Payer unavailable electronically.

Payer Name: Seaview IPA
Payer ID: SVIPA
Reason: Payer unavailable electronically.

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

8/4/2026

Payer Processing Issue for CPIDs 7034 and 9418 The Cascade PACE Inc.

Due to a payer processing issue, some Professional and Institutional claims transmitted to the payer listed below July 25, 2026 were not processed by the payer.

Payer impacted:

CPID 7034 The Cascade PACE Inc.
CPID 9418 The Cascade PACE Inc.

A resolution has been implemented and the claims were retransmitted to the payer Aug. 4, 2026.

This delay affected claims released to Optum July 24, 2026, 9:00 a.m.-July 25, 2026, 9:00 a.m. CT.

Action Required: Be aware of the processing issue above.

If you have any questions, please contact Customer Support and refer to Case Number 10404605.

8/4/2026

Resolved: Delay in (ERA for CPIDs 3887 &1507, Veterans Administration Fee Basis Programs

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

Original notification sent July 30, 2026:
Due to a payer processing issue, there has been a delay affecting Professional and Institutional Electronic Remittance Advice (ERA) for the following payer for check dates July 17, 2026-Present.

Payers affected:

CPID 3887 Veterans Administration Fee Basis Programs
CPID 1507 Veterans Administration Fee Basis Programs

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 dates above.

8/4/2026

Simpra Advantage Inc. 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 Aug. 4, 2026:

Payer Name: Simpra Advantage Inc.
Industry Payer ID: SIM02
IMN Real Time ID: SIM01
Exchange Real Time ID: SIMAI
Optum IEDI Real Time ID: 14388
Payer Enrollment Required: NO
Connection Type: X12

Search Options:
Eligibility Subscriber
Member ID, First Name, Last Name, Date of Birth

8/4/2026

Fee Change for Claim Payers Aug. 4, 2026

The claim fee will change for the following payers, effective Sept. 1, 2026:

Greater Covina Medical Group
Exchange CPIDs: 8133
Current Fee: $0.00
New Fee: $0.10

Lakeside Medical Group
Exchange CPIDs: 9575, 5886
Current Fee: $0.00
New Fee: $0.10

Action Required: Please be aware of the claim fee changes.

8/4/2026

Update: Report Generation Delay for CPIDs 2570 and 1194 CareSource of Georgia

Update: The payer intermediary has been unable to generate and deliver the reports for some claims submitted from June 26, 2026 through July 17, 2026.

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

Original notice sent July 10, 2026:

A payer intermediary is experiencing issues affecting Institutional and Professional report generation for some claims submitted since June 26, 2026.

Payer impacted:

CPID 2570 CareSource of Georgia
CPID 1194 CareSource of Georgia

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 10373449.

8/4/2026

Update: Report Generation Delay for CPIDs 7688 and 7143 CareSource of Indiana

Update: The payer intermediary has been unable to generate and deliver the reports for some claims submitted from June 26, 2026 through July 16, 2026.

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

Original notice sent July 10, 2026:

A payer intermediary is experiencing issues affecting Institutional and Professional report generation for some claims submitted since June 26, 2026.

Payer impacted:

CPID 7688 CareSource of Indiana
CPID 7143 CareSource of Indiana

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 10373196.

8/4/2026

Report Generation Delay for CPID 6405 Cigna Health Plans

A payer intermediary is experiencing issues affecting Professional report generation for some claims submitted on Aug. 3, 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 Aug. 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 10403669.

8/4/2026

New Electronic Remittance Connection Available

Optum has new electronic remittance connections available:

Payer Name: BSI Companies
Industry Standard Payer ID: 25916
Payer Enrollment Required: Yes
Remittance Par Status: Non Par
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.
To access the new enrollment forms, please visit IEDI

8/4/2026

Electronic Claims Connection Suspended

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

Payer Name: Seaview IPA
CPID(s): 1000, 4259
Industry Standard Payer ID: SVIPA
Reason: Payer unavailable electronically.

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

8/4/2026

Electronic Claims Connection Suspended

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

Payer Name: Beacon of Life
CPIDs: 2086, 8234
Industry Standard Payer ID: 65432
Reason: Payer unavailable electronically.

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

8/4/2026

Electronic Routing Change for CPIDs 3256 and 2995 Sentinel Management Services

Optum is changing electronic remittance routing for the following payer, effective immediately:

Payer Name: Sentinel Management Services
Professional CPID: 3256
Institutional CPID: 2995
Industry Standard Payer ID: 23249
Payer Remittance Enrollment Required: Yes
Remittance Par Status: Transitional
Remittance Fee: N/A

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.

8/4/2026

Electronic Routing Change for CPIDs 3256 and 2995 Sentinel Management Services

Optum is changing electronic remittance routing for the following payer, effective immediately:

Payer Name: Sentinel Management Services
Professional CPID: 3256
Institutional CPID: 2995
Industry Standard Payer ID: 23249
Line of Business Code (LOB): N05
Payer Remittance Enrollment Required: Yes
Remittance Par Status: Transitional
Remittance Fee: N/A

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.

8/4/2026

Update: Report Generation Delay for CPIDs 2525 and 1772 HAP CareSource

Update: The payer intermediary has been unable to generate and deliver the reports for some claims submitted July 4, 2026-July 17, 2026.

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

Original notice sent July 10, 2026:
A payer intermediary is experiencing issues affecting Professional and Institutional report generation for some claims submitted since July 4, 2026.

Payer impacted:

CPID 2525 HAP CareSource
CPID 1772 HAP CareSource

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 10384867.

8/4/2026

Update: Report Generation Delay for CPIDs 9054 and 3788 CareSource

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

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

Original notice sent July 14, 2026:
A payer intermediary is experiencing issues affecting Professional and Institutional report generation for some claims submitted since June 30, 2026.

CPID 9054 CareSource Nevada Medicaid
CPID 3788 CareSource Nevada 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 10376932.

8/4/2026

Update: Report Generation Delay for CPIDs 2526 and 3826 CareSource

Update: The payer intermediary has been unable to generate and deliver the reports for some claims submitted June 25, 2026-July 17, 2026.

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

Original notice sent July 9, 2026:
A payer intermediary is experiencing issues affecting Institutional and Professional report generation for some claims submitted since June 25, 2026.

Payer impacted:

CPID 2526 CareSource of Ohio
CPID 3826 CareSource 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 10371634.

8/4/2026

Update: Report Generation Delay for CPIDs 6099 and 9226 CareSource

Update: The payer intermediary has been unable to generate and deliver the reports for some claims submitted June 25, 2026-July 17, 2026.

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

Original notice sent July 9, 2026:
A payer intermediary is experiencing issues affecting Institutional and Professional report generation for some claims submitted since June 25, 2026.

Payer impacted:

CPID 6099 CareSource PASSE of Arkansas
CPID 9226 CareSource PASSE 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 10371579.

8/4/2026

Edit Master changes for CPIDs 9442 and 7060 Healthy Valley Provider Network

Optum is changing Edit Masters for the following payers, effective August 3, 2026:

Payer Name: Healthy Valley Provider Network
Professional CPID: 9442
Current Edit Master: PE_O007
New Edit Master: PE_T007
Institutional CPID: 7060
Current Edit Master: HE9O007
New Edit Master: HE9T007
Industry Standard Payer ID: HVPNI

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.

8/3/2026

Update: Electronic Routing Change for CPIDs 5181 and 3613 Santa Clara Family Health Plan

Update: Providers currently receiving electronic remittance through Optum must complete a new enrollment form.

Original notify sent July 24, 2026:
Effective July 24, 2026, Optum will be changing electronic remittance routing for the following payer:

Payer Name: Santa Clara Family Health Plan
Professional CPID: 5181
Institutional CPID: 3613
Industry Standard Payer ID: 24077
Line of Business Code (LOB): H2P
Payer Remittance Enrollment Required: Yes
Remittance Par Status: Transitional
Remittance Fee: N/A

Enrollment Requirements:
Remittance:

Payer enrollment for electronic remittance is required.
Providers currently receiving electronic remittance through Optum do not need to 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.

8/3/2026

Original notify sent July 24, 2026:
Effective July 24, 2026, Optum will be changing electronic remittance routing for the following payer:

Payer Name: Santa Clara Family Health Plan
Professional CPID: 5181
Institutional CPID: 3613
Industry Standard Payer ID: 24077
Payer Remittance Enrollment Required: Yes
Remittance Par Status: Transitional
Remittance Fee: N/A

Enrollment Requirements:
Remittance:

Payer enrollment for electronic remittance is required.
Providers currently receiving electronic remittance through Optum do not need to 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.

8/3/2026

Payer Change for multiple payers

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

Payer Name: Blue Cross Blue Shield of Northeastern New York
Remittance Available: Yes
Payer IDs: 00800, N5BLS, SB800, 12B68

Payer Name: Blue Cross Blue Shield of Western New York
Remittance Available: Yes
Payer IDs: 00801, 12B39, SB801, N1BLS

Blue Cross Blue Shield of Northeastern New York and Blue Cross Blue Shield of Western New York will be terminated effective Aug. 27, 2026.

Providers may transition to the following payer for electronic claims and remittance prior to Aug. 27, 2026, but must be fully transitioned by Aug. 27, 2026:

Payer Name: Highmark Western and Northeastern New York
Remittance Available: Yes
Payer ID: 55204
Claim Par Status: Non Par
Remittance Par Status: Non Par

Enrollment Requirements:
Claims:

Payer enrollment for electronic claims is required.
- Providers currently submitting electronic claims through Optum for Highmark Western and Northeastern New York, Payer ID 55204 do not need to complete a new enrollment form.
- New providers must complete a new enrollment form.

Remittance:

Payer enrollment for electronic remittance is required.
- Providers currently receiving electronic remittance through Optum for Highmark Western and Northeastern New York, Payer ID 55204, do not need to complete a new enrollment form.
- Providers not receiving electronic remittance through Optum for Highmark Western and Northeastern New York must complete a new enrollment form.
- New providers must complete a new enrollment form.
- All providers who have not received remittance since May 24, 2026, will need to 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 IEDI.

8/3/2026

Payer Processing Issue for CPIDs 3411 and 1525 HealthPartners of Minnesota

Due to a processing issue, some Professional and Institutional claims transmitted to the payer listed below Aug. 3, 2026 were not processed by the payer.

Payer impacted:

CPID 3411 HealthPartners of Minnesota
CPID 1525 HealthPartners of Minnesota

A resolution has been implemented and the claims were retransmitted to the payer Aug. 3, 2026.

This delay affected claims released to Optum July 31, 2026, 7:00 a.m.-Aug. 3, 2026, 7:00 a.m. CT.

Action Required: Be aware of the processing issue above.

If you have any questions, please contact Customer Support and refer to Case Number 10402442.

8/3/2026

Health Plan of Upper Ohio Valley New Real Time 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 July 27, 2026:

Payer Name: Health Plan of Upper Ohio Valley
Industry Payer ID: 10657
IMN Real Time ID: 10657
Exchange Real Time ID: HPUOV
Optum IEDI Real Time ID: 10657
Payer Enrollment Required: No
Connection Type: X12

Search Options:
Eligibility 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.

8/3/2026

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: HealthSpring Medicare Advantage, Cigna HealthSpring Tennessee/Alabama, and Cigna Medicare
Exchange Real Time ID: HSPRN1
Connection Type: Portal

Reason: Payer no longer offers an electronic connection.

Action Required: None.

8/3/2026

Report Generation Delay for CPIDs 8048 and 9766 Gold Kidney Health

A payer intermediary is experiencing issues affecting Institutional and Professional report generation for some claims submitted since July 22, 2026.

Payer impacted:

CPID 8048 Gold Kidney Health Plan
CPID 9766 Gold Kidney 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 10402245.

8/3/2026

Report Generation Delay for CPID 3532 Michigan Blue Care Network

A payer intermediary is experiencing issues affecting Institutional report generation for some claims submitted on July 21, 2026.

Payer impacted:

• CPID 3532 Michigan Blue Care Network

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 10402204.

8/3/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: BSI Companies
Professional CPID: 2195
Industry Standard Payer ID: 25916
Payer Enrollment Required: Yes
Remittance Par Status: Non Par
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.

8/3/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: BSI Companies
Professional CPID: 2195
Industry Standard Payer ID: 25916
Line of Business (LOB) Code: J98
Payer Enrollment Required: Yes
Remittance Par Status: Non Par
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.

8/3/2026

PAR Status change for Real Time payers

The PAR Status will change for the following real time payer(s):

Aetna Better Health of Illinois FIDE
IEDI ID: 10892
Transaction: Claim Status
New PAR Status: Transitional
Effective date: 08/01/2026

Medstar Family Choice Maryland
IEDI ID: 10844
Transaction: Eligibility
New PAR Status: Non Par
Effective date: 09/01/2026

OhioRISE - Aetna Better Health of Ohio
IEDI ID: 45221
Transaction: Eligibility, Claim Status
New PAR Status: Non Par
Effective date: 09/01/2026

Sana Benefits
IEDI ID: 50114
Transaction: Eligibility
New PAR Status: Non Par
Effective date: 09/01/2026

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

8/3/2026

PAR Status change for Claims and Remittance Payers

The PAR Status will change for the following payer(s):

Blue Cross Blue Shield of Arkansas
iEDI ID: 00520, SB520, ARBLS
Transaction: Claims - Professional
New PAR Status: Non Par
Effective Date: 09/01/2026

Boncura Health Solutions
iEDI ID: TH088
Transaction: Claims – Inst/Prof
New PAR Status: Non Par
Effective Date: 09/01/2026

California Health and Wellness
iEDI ID: 68047, 68069
Transaction: Claims – Inst/Prof
New PAR Status: Non Par
Effective Date: 09/01/2026

Cedars Sinai Medical Network
iEDI ID: 95166
Transaction: Claims – Inst/Prof
New PAR Status: Non Par
Effective Date: 09/01/2026

Cook Childrens Health Plan
iEDI ID: CCHP1, TH104
Transaction: Claims – Inst/Prof
New PAR Status: Non Par
Effective Date: 09/01/2026

Florida Health Care Plans
iEDI ID: 59322
Transaction: Claims – Professional
New PAR Status: Transitional
Effective Date: 08/01/2026

Island Home Insurance Company
iEDI ID: 85502
Transaction: Claims – Inst/Prof
New PAR Status: Non Par
Effective Date: 09/01/2026

IU Health Plan Medicare Advantage
iEDI ID: 95444
Transaction: Claims – Professional
New PAR Status: Non Par
Effective Date: 09/01/2026

Kansas City Life Insurance Company and Healthy Choices
iEDI ID: CX058
Transaction: Claims – Dental
New PAR Status: Non Par
Effective Date: 09/01/2026

Medical Mutual of Ohio
iEDI ID: 29076
Transaction: Claims – Inst/Prof
New PAR Status: Non Par
Effective Date: 09/01/2026

Morris Associates
iEDI ID: 35092
Transaction: Claims – Inst/Prof
New PAR Status: Non Par
Effective Date: 09/01/2026

New Era Life Insurance Company
iEDI ID: 98798
Transaction: Claims – Professional
New PAR Status: Non Par
Effective Date: 09/01/2026

North American Medical Management - Northern California
iEDI ID: E3510
Transaction: Claims – Inst/Prof
New PAR Status: Non Par
Effective Date: 09/01/2026

Presbyterian Health Plan
iEDI ID: 05003, PREHP
Transaction: Claims – Inst/Prof
New PAR Status: Non Par
Effective Date: 09/01/2026

TRICARE Overseas Program
iEDI ID: SX163
Transaction: Claims – Professional
New PAR Status: Non Par
Effective Date: 09/01/2026

Welfare Pension Admin Services
iEDI ID: 91136
Transaction: Remittance – Inst/Prof
New PAR Status: Transitional
Effective Date: 08/01/2026

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

8/3/2026

Older Payer Updates

Click the link below to access payer updates prior to August 1st, 2026.

GET OLDER UPDATES

Payer Updates (August 2026)

August 2026

August Payer Processing Issues

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