June 2026

June 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 Claims Payer ID Change for Blue Cross Blue Shield of South Carolina

Effective July 30, 2026, claims currently exchanged with the following payer must use a different payer ID:

Payer Name: Blue Cross Blue Shield of South Carolina
Payer ID: 00401, SC402, SCBLS, SX084, SX085, SX103, SX104
Claim Type: Professional

Payer IDs 00401, SC402, SCBLS, SX084, SX085, SX103, SX104 will be terminated effective July 30, 2026.

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

Professional Payer ID: SB880

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.

6/30/2026

Edit Master for CPIDs 9158 and 6009 Golden Coast MSO

Optum changed Edit Masters for the following payer, effective June 30, 2026:

Payer Name: Golden Coast MSO
Professional CPID: 9158
Current Edit Master: PE_O007
New Edit Master: PE_T007
Institutional CPID: 6009
Current Edit Master: HE9O007
New Edit Master: HE9T007
Industry Standard Payer ID: GCMSO

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.

6/30/2026

Edit Master for CPIDs 2058 and 2246 Foundation for Medical Care Tulare King County

Optum is changing Edit Masters for the following payer, effective July 1, 2026:

Payer Name: Foundation for Medical Care Tulare King County
Professional CPID: 2246
Current Edit Master: PE_O007
New Edit Master: PE_T007
Institutional CPID: 2058
Current Edit Master: HE9O007
New Edit Master: HE9T007
Industry Standard Payer ID: TKFMC

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.

6/30/2026

Update: Report Generation Delay for CPIDs 2839 and 2960 Hometown Health

Update: Due to a processing issue, some Professional and Institutional claims transmitted to the payer listed below June 10, 2026 and June 11, 2026 were not processed by the payer.

Payer impacted:

CPID 2839 Hometown Health
CPID 2960 Hometown Health

A resolution has been implemented and the claims were retransmitted to the payer intermediary June 30, 2026.

This delay affected claims released to Optum June 9, 2026, 3:00 p.m.-June 11, 2026, 3:00 p.m. CT.

Action Required: Be aware of the processing issue above.

Original notice sent June 19, 2026:
A payer intermediary is experiencing issues affecting Professional report generation for some claims submitted since June 10, 2026.

Payer impacted:

CPID 2839 Hometown 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 10352359.

6/30/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: VitalCore Millette
Institutional CPID: 1594
Professional CPID: 1715
Industry Standard Payer ID: MAI58
Payer Enrollment Required: Yes
Remittance Fee: N/A
Payer Location: National

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.

6/30/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: VitalCore Millette
Institutional CPID: 1594
Professional CPID: 1715
Industry Standard Payer ID: MAI58
Line of Business (LOB) Code: E70
Payer Enrollment Required: Yes
Remittance Fee: N/A
Payer Location: National

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.

6/30/2026

Report Generation Delay for CPID 8028 Resurrection Physicians Provider Group

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

Payer impacted:

CPID 8028 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 10362670.

6/30/2026

Reminder: Payer Change for multiple payers

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

Payer Name: Cigna HealthSpring Tennessee/Alabama
Professional CPID: 2795
Professional Edit Master: PE_T007
Institutional CPID: 1556
Institutional Edit Master: HE9T007
RTE Payer ID: HSPRNG
Industry Standard Payer ID: 63092
Line of Business Code (LOB): U1F

Payer Name: Cigna Medicare
Professional CPID: 4742
Professional Edit Master: PE_B800
Institutional CPID: 5694
Institutional Edit Master: HE9B801
RTE Payer ID: HSPRNG
Industry Standard Payer ID: 52192
Line of Business Code (LOB): U1F

CPIDs 1556 and 2795 Cigna HealthSpring Tennessee/Alabama and CPIDs 5694 and 4742 Cigna Medicare will be terminated effective July 9, 2026.

Providers must begin using the following ID for electronic claims, remittance and eligibility:

Current Payer Name: Cigna HealthSpring Maryland/Pennsylvania
New Payer Name: HealthSpring Medicare Advantage
Professional CPID: 3839
Professional Edit Master: PE_T007
Institutional CPID: 1978
Institutional Edit Master: HE9T007
RTE Payer ID: ELDRHL
Industry Standard Payer ID: 52192
Line of Business Code (LOB): U1F

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 3839, 1978 HealthSpring Medicare Advantage do not need to complete a new enrollment form.
- Providers not receiving electronic remittance through Optum for CPIDs 3839, 1978 HealthSpring Medicare Advantage must complete a new enrollment form.
- New providers must complete a new enrollment form.
- All providers who have not received remittance since March 31, 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.

6/30/2026

Reminder: Payer Change for multiple payers

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

CPIDs 1556 and 2795 Cigna HealthSpring Tennessee/Alabama and CPIDs 5694 and 4742 Cigna Medicare will be terminated effective July 9, 2026.

Providers must begin using the following ID for electronic claims, remittance and eligibility:

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 3839, 1978 HealthSpring Medicare Advantage do not need to complete a new enrollment form.
- Providers not receiving electronic remittance through Optum for CPIDs 3839, 1978 HealthSpring Medicare Advantage must complete a new enrollment form.
- New providers must complete a new enrollment form.
- All providers who have not received remittance since March 31, 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.

6/30/2026

Update: Report Generation Delay for CPIDs 6099 and 9226 CareSource PASSE of Arkansas

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

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

Original notice sent June 15, 2026:
A payer intermediary is experiencing issues affecting Institutional and Professional report generation for some claims submitted May 30, 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 10344989.

6/30/2026

Payer Processing Issue for CPID 1411 Blue Cross Blue Shield of North Carolina

Due to a payer processing issue, some Professional claims transmitted to the payer listed below June 26, 2026 were not processed by the payer.

Payer impacted:

CPID 1411 Blue Cross Blue Shield of North Carolina

A resolution has been implemented and the claims were retransmitted to the payer June 30, 2026.

This delay affected claims released to Optum June 25, 2026, 4:00 p.m.-June 26, 2026, 4:00 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 10362560.

6/30/2026

Electronic Claims Connection No Longer Available

The payer listed below will no longer be available at Optum for claims processing, effective June 30, 2026.

Payer Name: EYLEA4U Commercial Copay Card Program
Payer ID: 61461
Reason: Payer no longer in business.

Payer will no longer accept paper claims.

Action Required: Please make any necessary system changes.

6/30/2026

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: Fringe Benefit Coordinators (Medical and Accident)
Payer ID: 59204

Reason: Payer unavailable electronically.

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

6/30/2026

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 on May 29, 2026.

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

Original notice sent June 12, 2026:

A payer intermediary is experiencing issues affecting Institutional and Professional report generation for some claims submitted since May 29, 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 10343266.

6/30/2026

New Real-Time Eligibility 270/271 Connection Available - HealthTeam Advantage

Optum is pleased to announce the availability of Real-time Eligibility Inquiry and Response 270/271 for the below payer, effective June 25, 2026:

Payer Name: HealthTeam Advantage
Industry Payer ID: 88250
IMN Real Time ID: 88250
Exchange Real Time ID: HTADV
Optum IEDI Real Time ID: 11239
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.

6/30/2026

New Electronic Eligibility Connections Available

Optum has new electronic eligibility connections available:

Payer Name: American Health Advantage of Idaho & Utah

Connection Type: X12

Payer Name: Capitol Administrators Direct

Connection Type: X12

Payer Name: Definity Health

Connection Type: X12

Payer Name: Delta Dental ID

Connection Type: X12

Payer Name: Entrust

Connection Type: X12

Payer Name: Lifewise Washington

Connection Type: X12

Payer Name: Northeast Delta Dental ME NH VT

Connection Type: X12

Payer Name: Pekin Life Insurance

Connection Type: X12

Payer Name: Wellfleet Group LLC

Connection Type: X12

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

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

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

6/30/2026

Edit Master for CPIDs 9296 and 7014 Gulf South Risk Services

Effective June 29, 2026, Optum will be changing Edit Masters for the following payer:

Payer Name: Gulf South Risk Services
Professional CPID: 9296
Current Edit Master: PE_O007
New Edit Master: PE_T007
Institutional CPID: 7014
Current Edit Master: HE9O007
New Edit Master: HE9T007
Industry Standard Payer ID: 60389

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.

6/30/2026

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 June 24, 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 10362407.

6/30/2026

Update: Report Generation Delay for CPID 7487 CareFirst Blue Cross Blue Shield Medicare Advantage

Update: The payer intermediary has been unable to generate and deliver the reports for some claims submitted May 2, 2026 and May 29, 2026.

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

Original notice sent May 20, 2026:
A payer intermediary is experiencing issues affecting Professional report generation for some claims submitted May 2, 2026.

Payer impacted:

CPID 7487 CareFirst Blue Cross Blue Shield Medicare Advantage

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 10314784.

6/29/2026

Update: Report Generation Delay for CPIDs 1730 and 4943 CareFirst Administrators/NCAS

Update: The payer intermediary has been unable to generate and deliver the reports for some claims submitted April 27, 2026.

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

Original notice sent May 15, 2026:
A payer intermediary is experiencing issues affecting Professional and Institutional report generation for some claims submitted since April 27, 2026.

Payer impacted:

CPID 1730 CareFirst Administrators/NCAS
CPID 4943 CareFirst Administrators/NCAS

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 10309299.

6/29/2026

Report Generation Delay for CPIDs 2907 and 7495 Nevada Medicaid

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

Payer impacted:

CPID 2907 Nevada Medicaid
CPID 7495 Nevada Medicaid

The payer intermediary has been unable to generate and deliver the reports for some claims submitted on June 19, 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 10361877.

6/29/2026

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: Fringe Benefit Coordinators (Medical and Accident)
CPID(s): 5247, 8944
Industry Standard Payer ID: 59204
Reason: Payer unavailable electronically.

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

6/29/2026

Electronic Routing Change for CPIDs 4093 and 8834 Commonwealth Care Alliance

Reminder: Optum will be changing electronic remittance routing for the following payer, effective July 1, 2026:

Payer Name: Commonwealth Care Alliance
Professional CPID: 8834
Institutional CPID: 4093
Industry Standard Payer ID: A2793
Payer Remittance Enrollment Required: Yes

Enrollment Requirements:
Remittance:

Payer enrollment for electronic remittance is required.
- Providers currently receiving electronic remittance through Optum must complete a new enrollment form.
- New providers must complete a new enrollment form.
- Providers may begin enrolling prior to July 1, 2026.

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.

6/29/2026

Electronic Routing Change for CPIDs 4093 and 8834 Commonwealth Care Alliance

Reminder: Optum will be changing electronic remittance routing for the following payer, effective July 1, 2026:

Payer Name: Commonwealth Care Alliance
Professional CPID: 8834
Institutional CPID: 4093
Industry Standard Payer ID: A2793
Line of Business Code (LOB): H6O
Payer Remittance Enrollment Required: Yes

Enrollment Requirements:
Remittance:

Payer enrollment for electronic remittance is required.
- Providers currently receiving electronic remittance through Optum must complete a new enrollment form.
- New providers must complete a new enrollment form.
- Providers may begin enrolling prior to July 1, 2026.

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.

6/29/2026

New Electronic Claims Connections Available

Optum has new electronic claims connections available:

Payer Name: OneHome
Payer ID: ONEHC
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: National

Action Required:

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

6/29/2026

New Electronic Claims Connections Available

Optum has new electronic claims connections available:

Payer Name: OneHome
Institutional CPID: 1677
Professional CPID: 2135
Industry Standard Payer ID: ONEHC
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: National
Claims Fee: N/A

Action Required:

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

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

6/29/2026

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 May 29, 2026-June 1, 2026.

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

Original notice sent June 12, 2026:
A payer intermediary is experiencing issues affecting Institutional and Professional report generation for some claims submitted since May 29, 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 10343151.

6/29/2026

Update: Report Generation Delay for CPID 2570 CareSource of Georgia

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

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

Original notice sent June 12, 2026:
A payer intermediary is experiencing issues affecting Institutional report generation for some claims submitted since May 29, 2026.

Payer impacted:

CPID 2570 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 10343220.

6/29/2026

Edit Master for CPIDs 8731 and 3047 Good Samaritan Hospital

Optum has changed Edit Masters for the following payer, effective June 29, 2026:

Payer Name: Good Samaritan Hospital
Professional CPID: 8731
Current Edit Master: PE_O007
New Edit Master: PE_T007
Institutional CPID: 3047
Current Edit Master: HE9O007
New Edit Master: HE9T007
Industry Standard Payer ID: GSH01

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.

6/29/2026

Enrollment Form Change

The following payers have changed their enrollment form:

Payer ID PSKW0
Payer Name PSKW LLC
Transaction Remittance

Payer ID 95393
Payer Name HIGH DESERT MEDICAL GROUP
Transaction Remittance

Payer ID JHHCG
Payer Name JOHNS HOPKINS HOMECARE GROUP
Transaction Remittance

Payer ID CMSEB
Payer Name COVENANT MANAGEMENT SYSTEMS EMPLOYEE BENEFIT PLAN
Transaction Remittance

Payer ID HALOS
Payer Name HALOS SYSTEMS
Transaction Remittance

Payer ID RP042
Payer Name VYTALIZE HEALTH
Transaction Remittance

Payer ID CLFM1
Payer Name CAMP LEJEUNE FAMILY MEMBER PROGRAM
Transaction Remittance

Payer ID NV101
Payer Name NATIONSVISION
Transaction Remittance

Payer ID 73275
Payer Name PERLMAN MEDICAL GROUP
Transaction Remittance

Payer ID SKTX1
Payer Name Texas Medicaid Long Term Care
Transaction CLAIMS

Payer ID 46045
Payer Name AVERA HEALTH PLANS
Transaction Remittance

Payer ID 82694
Payer Name THE MACALUSO GROUP
Transaction Remittance

Payer ID ILMCD
Payer Name ILLINOIS MEDICAID
Transaction Remittance

Payer ID STJOE
Payer Name ST. JOSEPH HERITAGE
Transaction Remittance

Payer ID 12K96
Payer Name Texas Medicaid Long Term Care
Transaction CLAIMS

Payer ID APP01
Payer Name DOWNEY SELECT IPA (APPLECARE MEDICAL MANAGEMENT)
Transaction Remittance

Payer ID TXMCD
Payer Name TEXAS MEDICAID
Transaction Remittance

Payer ID SKTX1
Payer Name Texas Medicaid Long Term Care
Transaction Remittance

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

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

6/29/2026

Update: Report Generation Delay for CPIDs 5994 and 2234 Illinois Health Partners

Update: The payer intermediary has been unable to generate and deliver the reports for some claims submitted May 28, 2026.

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

Original notice sent June 11, 2026:
A payer intermediary is experiencing issues affecting Institutional and Professional report generation for some claims submitted May 28, 2026.

Payer impacted:

CPID 5994 Illinois Health Partners
CPID 2234 Illinois Health Partners

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 10342336.

6/29/2026

Payer EYLEA4U Commercial Copay Card Program Electronic Claims Connection No Longer Available

The payer listed below will no longer be available at Optum for claims processing, effective June 30, 2026.

Payer Name: EYLEA4U Commercial Copay Card Program
Claims CPIDs: 3703, 9025
Industry Standard Payer ID: 61461
Reason: Payer no longer in business.

Payer will no longer accept paper claims.

Action Required: Please make any necessary system changes.

6/29/2026

Electronic Reactivation and Routing Change for CPIDs 4424 and 3998 Morris Associates

Effective June 26, 2026, Optum will be reactivating and changing electronic claims routing for the following payer:

Payer Name: Morris Associates
Professional CPID: 4424
Institutional CPID: 3998
Industry Standard Payer ID: 35092
Payer Claim Enrollment Required: No
Professional Secondary Claims Accepted: Yes
Institutional Secondary Claims Accepted: No

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.

6/26/2026

New Real Time Connections Available on RPA

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

00562 – Blue Cross Blue Shield of Minnesota Health Care Programs

10151 – Neighborhood Health Partnership

11236 – Lumico Life Insurance

13281 – Central States Health and Life Company of Omaha

31441 – S & S Healthcare Strategies dba Reflect Health

75234 – HealthFirst TPA (Tyler, TX)

76079 – Auxiant fka Midwest Health Partners

81600 – South Country Health Alliance

88461 – The Alliance

95279 – Keenan and Associates

AMNJC – AmeriChoice of New Jersey Commercial

DIRGD – Director Guild

EWACA – Network Administrators

IHS26 – Network Administrators

KPS01 – Kitsap Physician Services

LALA1 – Lagniappe Advantage

MC721 – Blue Cross Community Centennial

NJ099 – Partners Insurance of New Jersey

WESHR – WeShare

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

00562 – Blue Cross Blue Shield of Minnesota Health Care Programs

31441 – S & S Healthcare Strategies dba Reflect Health

76079 – Auxiant fka Midwest Health Partners

81600 – South Country Health Alliance

68035 – Health Plan of San Joaquin

93221 – Asuris Northwest Regence

DIRGD – Director Guild

GLOBH – GlobalHealth

GRV01 – Gravie Inc.

MC721 – Blue Cross Community Centennial

NJ099 – Partners Insurance of New Jersey

NVCSM – CareSource Nevada Medicaid

SB611 – Idaho Blue Shield (Regence)

SB770 – Anthem Blue Cross Blue Shield of New Hampshire

SB910 – Regence Blue Cross Blue Shield Utah

SKAR0 – Arkansas Medicaid

SKKS0 – Kansas Medicaid

SKNC0 – North Carolina Medicaid

SKWV0 – West Virginia Medicaid

SX163 – TRICARE Overseas Program

SX176 – Tricare For Life

6/26/2026

New Electronic Claims Connections Available on RPA

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

12175 – Altrua HealthShare

22417 – Alliance Desert Physicians

56621 – Sutter Senior Care

60801 – American Public Life (APL)

66456 – ResourceOne Administrators

ASU01 – Aspirion

CPNAU – Choice Physicians Network All United Medical Group

CPNFC – Choice Physicians Net First Choice

CPNLW – Choice Physicians Network - Live Well

EPF11 – Preferred Administrators Childrens Hospital

FRN02 – 374 Franciscan CNPT

GCVCP – Cardiovascular Care Providers

L0929 – INDECS, A Homestead Company

MPM42 – Beverly Hospital

R3485 – Complete Senior Care

RYMG1 – Redlands Yucaipa Medical Group DOS after 01/01/26

SNMIS – Iowa Medicaid SNMIS

WESHR – WeShare

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

12175 – Altrua HealthShare

60801 – American Public Life (APL)

66456 – ResourceOne Administrators

AH001 – Avante Health

ASU01 – Aspirion

CPNAU – Choice Physicians Network All United Medical Group

CPNFC – Choice Physicians Net First Choice

CPNLW – Choice Physicians Network - Live Well

EPF11 – Preferred Administrators Childrens Hospital

FRN02 – 374 Franciscan CNPT

GCVCP – Cardiovascular Care Providers

L0929 – INDECS, A Homestead Company

MPM42 – Beverly Hospital

POP01 – Center IPA

R3485 – Complete Senior Care

RYMG1 – Redlands Yucaipa Medical Group DOS after 01/01/26

SNMIS – Iowa Medicaid SNMIS

WESHR – WeShare

6/26/2026

Real-time Eligibility Connection No Longer Available

The payer listed below has been suspended at Optum for eligibility processing and removed from the payer list, effective June 25, 2026.

Payer Name: Alameda Alliance for Health
Industry Standard Payer ID: 95327
IMN Real Time ID: 95327
Exchange Real Time ID: N/A
Optum IEDI Real Time ID: 10639

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

6/26/2026

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

Update:

The intermediary reports that the connectivity issue affecting real-time eligibility and claim status transactions has been resolved. However, two additional issues were identified during remediation that are now causing timeouts and data inconsistencies.

Work is underway to address these issues, including deploying targeted fixes, enhancing system performance, and improving monitoring to prevent future disruptions.

The investigation is ongoing, and updates will be provided as new findings, root cause details, and remediation actions are confirmed.

Original Notify sent March 18, 2026:

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

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

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

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

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

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

What You Should Know:

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

What You Can Do:

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

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

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

6/26/2026

Evernorth Care Solutions Electronic Claim Status Connection No Longer Available

Effective immediately, Real Time Claim Status Inquiry 276/277 for the payer listed below will no longer be available at Optum.

Payer Name: Evernorth Care Solutions
Industry Payer ID: 62350
IMN Real Time ID: 62350
Exchange Real Time ID: ENCSL
CPIDs: 7945, 2789
Optum iEDI Real Time ID: 62350
Connection Type: X12

Reason: Payer no longer offers an electronic connection.

Action Required: None

6/26/2026

Update: Report Generation Delay for CPID 3475 Memorial Hermann Health Network

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

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

Original notice sent June 8, 2026:

A payer intermediary is experiencing issues affecting Professional report generation for some claims submitted on May 26, 2026.

Payer impacted:

CPID 3475 Memorial Hermann Health 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 10336923.

6/26/2026

Delay in Electronic Remittance Advice (ERA) for CPIDs 4425, 5550 District of Columbia Medicaid

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 dates of February 28, 2026, through present:

CPID 4425 District of Columbia Medicaid
CPID 5550 District of Columbia Medicaid

Additional updates will be forwarded as more information becomes available.

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

If you have any questions, feel free to contact your Customer Support Team and refer to Case Number INC-000005036.

6/26/2026

New Electronic Claims Connections Available

Optum has new electronic claims connections available:

Payer Name: Amada Health (Los Angeles and Orange County)
Institutional CPID: 1650
Professional CPID: 2115
Industry Standard Payer ID: AMDA2
Payer Enrollment Required: No
Secondary Claims Accepted: No
Payer Location: CA
Claims Fee: N/A

Action Required:

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

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

6/26/2026

Enrollment Form Change for CPIDs 5522,7445,3572 / Payer ID 00430

The following payers have changed their Remittance enrollment form:

CPID 5522 / Payer ID 00430- Payer Name-Blue Cross Blue Shield of Washington and Alaska
CPID 7445 / Payer ID 00430- Payer Name-Blue Cross Blue Shield of Washington and Alaska
CPID 3572 / Payer ID 00430- Payer Name-Blue Cross Blue Shield of Washington and Alaska Health Options BHP

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

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

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

6/25/2026

Report Generation Delay for CPID 3802 AvMed

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

Payer impacted:

CPID 3802 AvMed

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 10358832.

6/25/2026

Real Time Eligibility 270/271 & Claim Status 276/277 Connection No Longer Available

Optum is announcing the termination of Real-time Eligibility Inquiry and Response 270/271, Claim Status Inquiry and Response 276/277 for the below payer, effective June 25, 2026:

Key details to use where applicable are:

Payer Name: Cerner Health Plan 
Industry Payer ID: 11018
IMN Real Time ID: 20356
Optum IEDI Real Time ID: 11018
Payer Enrollment Required: No
Connection Type: X12

Action Required by customer:

6/25/2026

Payer Processing Issue for CPID 3501 Indiana Medicaid

Due to a payer processing issue, some Institutional claims transmitted to the payer listed below on June 20, 2026 were not processed by the payer.

Payer impacted:

CPID 3501 Indiana Medicaid

A resolution has been implemented and the claims were retransmitted to the payer on June 25, 2026.

This delay affected claims released to Optum between 2 p.m. CT on June 19, 2026 and 10 a.m. CT on June 20, 2026.

Action Required: Be aware of the processing issue above.

If you have any questions, please contact Customer Support and refer to Case Number 10358557.

6/25/2026

Report Generation Delay for CPID 9765 Central Valley Medical Providers

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

Payer impacted:

CPID 9765 Central Valley Medical Providers

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 10358394.

6/25/2026

Report Generation Delay for CPIDs 2081 and 8226 Community Care IPA

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

Payer impacted:

CPID 2081 Community Care IPA
CPID 8226 Community Care IPA

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

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

If you have any questions, please contact Customer Support and refer to Case Number 10358483.

6/25/2026

New Real-time Eligibility and Claim Status Transactions Available

Effective June 22, 2026, Optum is pleased to announce the availability of Real-time Eligibility and Claim Status transactions for the below payer:

Payer Name: Lifewise Health Plan of Washington
Transaction Type: Eligibility; Claims Status
Payer ID/CPIDs
IMN: 10650
IEDI: 10650
Exchange: LWHPW

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

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

6/25/2026

Resolved: Delay in Remittance Advice (ERA) for Payer ID 80141

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

Original notice sent on June 9, 2026:

Due to a payer processing issue, there has been a delay in both Professional and Institutional Electronic Remittance Advice (ERA) for the following payer for the check date of May 31, 2026.

Payer ID 80141 Healthfirst of New York/New Jersey

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-000004932.

6/24/2026

Payer Change for CPID 2789 Evernorth Care Solutions

Effective immediately, claims and remittance currently exchanged with the following payer must use a different CPID.

Payer Name: Evernorth Care Solutions
Professional CPID: 2789
Remittance Available: Yes
Industry Standard Payer ID: 62350

Claims and Remittance must begin using the following:

Payer Name: Cigna Health Plans
Professional CPID: 6405
Remittance Available: Yes
Industry Standard Payer ID: 62308
Claim Fee: No

CPID 2789 Evernorth Care Solutions will be terminated effective 6/25/2026.

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 6405 Cigna Health Plans do not need to complete a new enrollment form.
- Providers not receiving electronic remittance through Optum for CPID 6405 Cigna Health Plans 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.

6/24/2026

Payer Change for CPID 2789 Evernorth Care Solutions

Effective immediately, claims and remittance currently exchanged with the following payer must use a different CPID.

Payer Name: Evernorth Care Solutions
Professional CPID: 2789
Professional Edit Master: PE_T007
Industry Standard Payer ID: 62350
Line of Business Code (LOB): E15

Claims and Remittance must begin using the following:

Payer Name: Cigna Health Plans
Professional CPID: 6405
Professional Edit Master: PE_T007
Industry Standard Payer ID: 62308
Line of Business Code (LOB): H75

CPID 2789 Evernorth Care Solutions will be terminated effective 6/25/2026.

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 6405 Cigna Health Plans do not need to complete a new enrollment form.
- Providers not receiving electronic remittance through Optum for CPID 6405 Cigna Health Plans 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 CPID.
To access the new enrollment forms, please visit Enrollment Central.

6/24/2026

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 June 22, 2026:

Payer Name: Entrust
Industry Payer ID: 36878
IMN Real Time ID: 36878
Exchange Real Time ID: NTRST
Optum IEDI Real Time ID: 14413
Payer Enrollment Required: No
Connection Type: X12

Search Options:

Eligibility Subscriber

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

Action Required by customer:

6/24/2026

New Real-Time Eligibility and Claim Status Connections 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 June 19, 2026:

Payer Name: Definity Health
Industry Payer ID: 10828
IMN Real Time ID: 10828
Exchange Real Time ID: DEFHL
Optum IEDI Real Time ID: 10828
Payer Enrollment Required: No
Connection Type: X12

Search Options:

Eligibility Subscriber:

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

Eligibility Dependent:

Member ID, Dependent First Name, Dependent Last Name, Dependent 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

Claim Status Inquiry Dependent:

Member ID, Dependent First Name, Dependent Last Name, Dependent Date of Birth, Subscriber Last Name
- Optional additional elements: Payer Claim Number; Total Submitted Charges

Action Required by customer:

6/24/2026

New Real Time Claim Status Inquiry 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 June 24, 2026:

Key details to use where applicable are:

Payer Name: ARISE HEALTH PLAN
Industry Payer ID: 11181
IMN Real Time ID: 39185
Exchange Real Time ID: AHPMSP
Optum IEDI Real Time ID: 11181
Payer Enrollment Required: No
Connection Type: X12

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:

6/24/2026

Resolved: Delay in Remittance Advice (ERA) for CPIDs 1854 and 1973 Healthfirst of New York/New Jersey

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

Original notice sent: June 9, 2026:

There has been a delay in Professional and Institutional Electronic Remittance Advice (ERA) for the following payer for check dates since May 31, 2026.

CPID 1854 Healthfirst of New York/New Jersey
CPID 1973 Healthfirst of New York/New Jersey

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

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

If you have any questions, please contact Customer Support and refer to Case Number 10338591.

6/24/2026

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 June 22, 2026:

Payer Name: American Health Advantage of Idaho & Utah
Industry ID: 31145
IMN Real Time ID: 31145
Exchange Real Time ID: AHAIU
CPID(s): 7047 (I), 9429 (P)
Optum IEDI Real Time ID: 14398
Payer Enrollment Required: NO
Connection Type: X12

Search Options:

Eligibility Subscriber

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

Action Required by customer:

6/24/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: Denver Health and Hospital Authority
Institutional CPID: 2943
Professional CPID: 2433
Industry Standard Payer ID: 84133
Line of Business (LOB) Code: H5G
Payer Enrollment Required: Yes
Remittance Fee: N/A
Payer Location: Colorado

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.

6/24/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: Denver Health and Hospital Authority
Institutional CPID: 2943
Professional CPID: 2433
Industry Standard Payer ID: 84133
Payer Enrollment Required: Yes
Remittance Fee: N/A
Payer Location: Colorado

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.

6/24/2026

Edit Master for CPIDs 4005 and 8729 Golden Physicians Medical Group

Effective June 25, 2026, Optum will be changing Edit Masters for the following payer:

Payer Name: Golden Physicians Medical Group
Professional CPID: 8729
Current Edit Master: PE_O007
New Edit Master: PE_T007
Institutional CPID: 4005
Current Edit Master: HE9O007
New Edit Master: HE9T007
Industry Standard Payer ID: MPM43

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.

6/24/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: Bakersfield Family Medical Center
Institutional CPID: 6614
Professional CPID: 4241
Industry Standard Payer ID: BKRFM
Line of Business (LOB) Code: E62
Payer Enrollment Required: Yes
Remittance Fee: N/A
Payer Location: California

Action Required:

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

6/23/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: Bakersfield Family Medical Center
Institutional CPID: 6614
Professional CPID: 4241
Industry Standard Payer ID: BKRFM
Payer Enrollment Required: Yes
Remittance Fee: N/A
Payer Location: California

Action Required:

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

6/23/2026

Electronic Routing Change for CPIDs 4083 and 8834 Commonwealth Care Alliance

Effective July 1, 2026, Optum will be changing electronic remittance routing for the following payer:

Payer Name: Commonwealth Care Alliance
Professional CPID: 8834
Institutional CPID: 4093
Industry Standard Payer ID: A2793
Payer Remittance Enrollment Required: Yes

Enrollment Requirements:

Remittance:

Payer enrollment for electronic remittance is required.
- Providers currently receiving electronic remittance through Optum must complete a new enrollment form.
- New providers must complete a new enrollment form.
- Providers may begin enrolling prior to July 1, 2026.

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.

6/23/2026

Electronic Routing Change for CPIDs 4083 and 8834 Commonwealth Care Alliance

Effective July 1, 2026, Optum will be changing electronic remittance routing for the following payer:

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.
- Providers may begin enrolling prior to July 1, 2026.

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.

6/23/2026

Update: Report Generation Delay for CPID 7450 Blue Cross Blue Shield of Montana

Update: The payer intermediary has been unable to generate and deliver the reports for some claims submitted from May 14, 2026 through May 29, 2026.

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

Original notice sent May 28, 2026:

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

Payer impacted:

CPID 7450 Blue Cross Blue Shield of Montana

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 10324202.

6/23/2026

Edit Master for CPIDs 9284 and 7002 EasyAccess Care IPA

Effective June 23, 2026, Optum will be changing Edit Masters for the following payer:

Payer Name: EasyAccess Care IPA
Professional CPID: 9284
Current Edit Master: PE_O007
New Edit Master: PE_T007
Institutional CPID: 7002
Current Edit Master: HE9O007
New Edit Master: HE9T007
Industry Standard Payer ID: EAIPA

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.

6/23/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: Amida Care Medicare
Payer ID: 79966
Payer Enrollment Required: Yes
Payer Location: New York

Payer Name: Salia Healthcare
Payer ID: SALIA
Payer Enrollment Required: Yes
Payer Location: Arizona

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.

6/23/2026

Lancaster General Health Group Electronic Claims Connection No Longer Available

Effective June 30, 2026, the payer listed below will no longer be available at Optum for claims processing.

Payer Name: Lancaster General Health Group
Payer ID: 16109
Reason: Payer no longer in business.

Payer will no longer accept paper claims.

Action Required: Please make any necessary system changes.

6/23/2026

New Electronic Claims Connections Available

Update: The payer intermediary has been unable to generate and deliver the reports for some claims submitted from May 14, 2026 through May 29, 2026.

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

Original notice sent May 28, 2026:

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

Payer impacted:

CPID 7450 Blue Cross Blue Shield of Montana

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 10324202.

6/23/2026

Edit Master for CPIDs 9284 and 7002 EasyAccess Care IPA

Effective June 23, 2026, Optum will be changing Edit Masters for the following payer:

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.

6/23/2026

Edit Master for CPID 6232 Family Practice Medical Group and CPID 7238 FirstChoice Medical Group

Effective June 23, 2026, Optum will be changing Edit Masters for the following payers:

Payer Name: Family Practice Medical Group
Professional CPID: 6232
Current Edit Master: PE_O007
New Edit Master: PE_T007
Industry Standard Payer ID: 10145

Payer Name: FirstChoice Medical Group
Professional CPID: 7238
Current Edit Master: PE_O007
New Edit Master: PE_T007
Industry Standard Payer ID: FCMG1

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.

6/23/2026

New Electronic Claims Connections Available

Optum has new electronic claims connections available:

Payer Name: Assurant Health (Repricing via HealthSpan)
Professional CPID: 1899
Institutional CPID: 1641
Industry Standard Payer ID: ASNTH
Payer Enrollment Required: No
Secondary Claims Accepted: No
Payer Location: National
Claims Fee: $0.10

Action Required:

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

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

6/23/2026

New Electronic Claims Connections Available

Optum has new electronic claims connections available:

Payer Name: TrueClaim
Professional CPID: 1888
Institutional CPID: 1638
Industry Standard Payer ID: 87801
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: National
Claims Fee: N/A

Action Required:

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

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

6/23/2026

New Electronic Claims Connections Available

Optum has new electronic claims connections available:

Payer Name: Assurant Health (Repricing via HealthSpan)
Professional CPID: 1899
Institutional CPID: 1641
Industry Standard Payer ID: ASNTH
Payer Claim Enrollment Required: No
Secondary Claims Accepted: No
Payer Location: National

Action Required:

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

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

6/23/2026

Update: Payer Change for CPIDs 3271, 4939 MedCom

Reminder:

Effective June 11, 2026, claims currently exchanged with CPIDs 3271 and 4939 MedCom, Payer ID 59231 must be sent using CPIDs 3750 & 9042 American Correctional Healthcare, Payer ID 26323.

CPIDs 3271 and 4939 MedCom, Payer ID 59231 will be terminated effective June 26, 2026.

Original notification sent on June 10, 2026

Effective June 11, 2026, claims currently exchanged with the following payer must use different CPIDs.

Payer Name: MedCom
Professional CPID: 3271
Institutional CPID: 4939
Remittance Available: No
Industry Standard Payer ID: 59231

Claims sent on or after June 11, 2026, must begin using the following:

Payer Name: American Correctional Healthcare
Professional CPID: 3750
Institutional CPID: 9042
Remittance Available: No
Industry Standard Payer ID: 26326
Claim Fee: N/A

CPIDs 3271 and 4939 MedCom, Payer ID 59231 will be terminated effective June 26, 2026.

Enrollment Requirements:

Claims:

Payer enrollment for electronic claims is not required.

Action Required:

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

6/23/2026

Update: Payer Change for CPIDs 3271, 4939 MedCom

Reminder:

Effective June 11, 2026, claims currently exchanged with CPIDs 3271 and 4939 MedCom, Payer ID 59231 must be sent using CPIDs 3750 & 9042 American Correctional Healthcare, Payer ID 26323.

CPIDs 3271 and 4939 MedCom, Payer ID 59231 will be terminated effective June 26, 2026.

Original notification sent on June 10, 2026

Effective June 11, 2026, claims currently exchanged with the following payer must use different CPIDs.

Payer Name: MedCom
Professional CPID: 3271
Professional Edit Master: PE_T007
Institutional CPID: 4939
Institutional Edit Master: HE9T007
Industry Standard Payer ID: 59231

Claims sent on or after June 11, 2026, must begin using the following:

Payer Name: American Correctional Healthcare
Professional CPID: 3750
Professional Edit Master: PE_T007
Institutional CPID: 9042
Institutional Edit Master: HE9T007
Industry Standard Payer ID: 26326

CPIDs 3271 and 4939 MedCom, Payer ID 59231 will be terminated effective June 26, 2026.

Enrollment Requirements:

Claims:

Payer enrollment for electronic claims is not required.

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

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

6/23/2026

Real-Time Eligibility Search Option Change

The Real Time Eligibility 270/271 Search Option will change for the following payer, effective June 22, 2026:

Payer Name: ANTHEM MAINEHEALTH
Industry Payer ID: 00958
IMN Real Time ID: 00958
Exchange Real Time ID: ANTHME
Optum IEDI Real Time ID: MEBLS
Payer Enrollment Required: No
Connection Type: X12

Search Options:

Eligibility Subscriber

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

Eligibility Dependent

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

Action Required by customer:

6/22/2026

Report Generation Delay for CPIDs 3259 and 8541 MERP Administration Services

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

Payer impacted:

CPID 3259 MERP Administration Services
CPID 8541 MERP Administration Services

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 10354383.

6/22/2026

Electronic Claims Connection No Longer Available

Effective June 30, 2026, the payer listed below will no longer be available at Optum for claims processing.

Payer Name: Lancaster General Health Group
Payer ID: 16109
Reason: Payer no longer in business.

Payer will no longer accept paper claims.

Action Required: Please make any necessary system changes.

6/22/2026

Electronic Claims Connection No Longer Available

Optum has new electronic remittance connections available:

Payer Name: Amida Care Medicare
Payer ID: 79966
Payer Enrollment Required: Yes
Payer Location: New York

Payer Name: Salia Healthcare
Payer ID: SALIA
Payer Enrollment Required: Yes
Payer Location: Arizona

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.

6/22/2026

Real-Time Eligibility Search Option Change

The Real Time Eligibility 270/271 Search Option will change for the following payer, effective June 22, 2026:

Search Options:

Eligibility Subscriber

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

Eligibility Dependent

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

Action Required by customer:

6/22/2026

Report Generation Delay for CPIDs 3259 and 8541 MERP Administration Services

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

Payer impacted:

CPID 3259 MERP Administration Services
CPID 8541 MERP Administration Services

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 10354383.

6/22/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: Salia Healthcare
Institutional CPID: 1629
Professional CPID: 1877
Industry Standard Payer ID: SALIA
Line of Business (LOB) Code: E69
Payer Enrollment Required: Yes
Remittance Fee: N/A
Payer Location: Arizona

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.

6/22/2026

Lancaster General Health Group Electronic Claims Connection No Longer Available

Effective June 30, 2026, the payer listed below will no longer be available at Optum for claims processing.

Payer Name: Lancaster General Health Group
Claims CPIDs: 5262, 8939
Industry Standard Payer ID: 16109
Reason: Payer no longer in business.

Payer will no longer accept paper claims.

Action Required: Please make any necessary system changes.

6/22/2026

Update: Report Generation Delay for CPIDs 2930 and 3232 Health Choice Arizona

Update: The payer intermediary has been unable to generate and deliver the reports for some claims submitted on May 29, 2026 and May 30, 2026.

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

Original notice sent June 11, 2026:

A payer intermediary is experiencing issues affecting Institutional and Professional report generation for some claims submitted on May 29, 2026 and May 30, 2026.

Payer(s) impacted:

CPID 2930 Health Choice Arizona
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 10338531.

6/22/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: Salia Healthcare
Institutional CPID: 1629
Professional CPID: 1877
Industry Standard Payer ID: SALIA
Payer Enrollment Required: Yes
Remittance Fee: N/A
Payer Location: Arizona

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.

6/22/2026

Update: Report Generation Delay for CPID 6834 VillageCareMAX

Update: The payer intermediary has been unable to generate and deliver the reports for some claims submitted on May 30, 2026.

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

Original notice sent June 12, 2026:

A payer intermediary is experiencing issues affecting Professional report generation for some claims submitted on May 30, 2026.

Payer impacted:

CPID 6834 VillageCareMAX

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 10343033.

6/22/2026

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:

37275 – Missoula County Medical Benefits Plan
79846 – Reliance Community Care Partners
AMG02 – Access Medical Group

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.

6/22/2026

Edit Master for CPIDs 9492 and 7085 Freedom Claims Management Inc.

Effective June 23, 2026, Optum will be changing Edit Masters for the following payer:

Payer Name: Freedom Claims Management Inc
Professional CPID: 9492
Current Edit Master: HE9O007
New Edit Master: HE9T007
Institutional CPID: 7085
Current Edit Master: PE_O007
New Edit Master: PE_T007
Industry Standard Payer ID: 67136

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.

6/22/2026

New Electronic Eligibility Connections Available

Optum has new electronic eligibility connections available:

Payer Name: American Health Advantage of Oklahoma

Connection Type: X12

Payer Name: American Health Advantage of Tennessee

Connection Type: X12

Payer Name: American Health Advantage of TX

Connection Type: X12

Payer Name: Superior Select Health Plan

Connection Type: X12

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

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

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

6/22/2026

Edit Master for CPIDs 7885 and 1058 Fenix Medical Group

Effective June 22, 2026, Optum will be changing Edit Masters for the following payer:

Payer Name: Fenix Medical Group
Professional CPID: 7885
Current Edit Master: PE_O007
New Edit Master: PR_T007
Institutional CPID: 1058
Current Edit Master: HE9O007
New Edit Master: HE9T007
Industry Standard Payer ID: 60818

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.

6/22/2026

Health Net of California 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 July 1, 2026:

Payer Name: Health Net of California
Industry Payer ID: 95567
IMN Real Time ID: XHNNC
Exchange Real Time ID: CNTENE
Optum IEDI Real Time ID: 95567
Payer Enrollment Required: No
Connection Type: X12

Eligibility Subscriber

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

Action Required by customer:

6/22/2026

Update: Report Generation Delay for CPIDs 7056 and 9438 Shared Health Mississippi

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

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

Original notice sent May 29, 2026:

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

Payer impacted:

CPID 7056 Shared Health Mississippi
CPID 9438 Shared Health 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.

6/22/2026

Paramount Health 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 month day 07/01/2026:

Payer Name: Paramount Health
Industry Payer ID: SX158
IMN Real Time ID: PRMNT
Exchange Real Time ID: PRMNT
Optum IEDI Real Time ID: 10854
Payer Enrollment Required: No
Connection Type: X12

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:

6/22/2026

Update: Report Generation Delay for CPID 3442 Health Network One

Update: The payer intermediary has been unable to generate and deliver the reports for some claims submitted on June 5, 2026.

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

Original notice sent June 12, 2026:

The payer listed below is experiencing issues affecting Professional report generation for some claims submitted on June 5, 2026.

Payer impacted:

CPID 3442 Health Network One

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 10342930.

6/22/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: Amida Care Medicare
Institutional CPID: 7689
Professional CPID: 7144
Industry Standard Payer ID: 79966
Payer Enrollment Required: Yes
Remittance Fee: N/A
Payer Location: New York

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.

6/22/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: Amida Care Medicare
Institutional CPID: 7689
Professional CPID: 7144
Industry Standard Payer ID: 79966
Line of Business (LOB) Code: J1K
Payer Enrollment Required: Yes
Remittance Fee: N/A
Payer Location: New York

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.

6/22/2026

Report Generation Delay for CPID 5676 Alliance Behavioral Healthcare

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

Payer impacted:

CPID 5676 Alliance Behavioral Healthcare

The payer intermediary has been unable to generate and deliver the reports for some claims submitted on June 12, 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 10352445.

6/19/2026

Enrollment Form Change

The following payer have changed their Remittance enrollment form:

Payer ID 18247 -REDLANDS YUCAIPA MEDICAL GROUP

Action Required: Providers already submitting transactions through Optum must complete a new enrollment form.

6/19/2026

Enrollment Form Change for CPIDs 5892,7536/Payer ID 18247

The following payers have changed their Remittance enrollment form:

CPID 5892/ Payer ID 18247 -REDLANDS YUCAIPA MEDICAL GROUP
CPID 7536/ Payer ID 18247 -REDLANDS YUCAIPA MEDICAL GROUP

Action Required: Providers already submitting transactions through Optum must complete a new enrollment form. To access the new agreement form, please visit Enrollment Central.

6/19/2026

Enrollment Form Change for CPIDs 3550,3429 / Payer ID 87726-UNITED HEALTHCARE

The following payers have changed their Remittance enrollment form:

CPID 3550 / Payer ID 87726-UNITED HEALTHCARE
CPID 3429 / Payer ID 87726-UNITED HEALTHCARE

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

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

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

6/19/2026

Report Generation Delay for multiple CPIDs

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

Payers impacted:

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

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

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

If you have any questions, please contact Customer Support and refer to Case Number 10352213.

6/19/2026

Electronic Routing Change for CPIDs 1479 and 1598 VAFSC/ICE Health Services Corps

Optum will change electronic claims routing for the following payer, effective June 25, 2026:

Payer Name: VAFSC/ICE Health Services Corps
Professional CPID: 1479
Institutional CPID: 1598
Industry Standard Payer ID: VAICE
Payer Claim Enrollment Required: No
Secondary Claims Accepted: Yes

Enrollment Requirements:
Claims:

Payer enrollment for electronic claims is not required.

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

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

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

6/19/2026

Delay in Electronic Remittance Advice (ERA) for CPIDs 1786 and 8561

There has been a delay in Professional and Institutional Electronic Remittance Advice (ERA) for the following payer for file dates since May 2, 2026.

Payer impacted:

CPID 1786 Avera Health Plans
CPID 8561 Avera Health Plans

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

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

If you have any questions, please contact Customer Support and refer to Case Number 10352195.

6/19/2026

New Electronic Claims Connections Available

Optum has new electronic claims connections available:

Payer Name: Salia Healthcare
Professional CPID: 1877
Institutional CPID: 1629
Industry Standard Payer ID: SALIA
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: Arizona

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.

6/19/2026

Electronic Routing Change for CPIDs 1479 and 1598 VAFSC/ICE Health Services Corps

Optum will change electronic claims routing for the following payer, effective June 25, 2026:

Payer Name: VAFSC/ICE Health Services Corps
Professional CPID: 1479
Edit Master: PE_T007
Institutional CPID: 1598
Edit Master: HE9T007
Industry Standard Payer ID: VAICE
Payer Claim Enrollment Required: No
Secondary Claims Accepted: Yes

Enrollment Requirements:
Claims:

Payer enrollment for electronic claims is not required.

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

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

Edit Masters are not changing, no modification to the bridge routines needed.
No Payer Alias changes are required. Payer name and CPIDs are not changing.
When a payer requires enrollment, forms must be submitted and approved from Enrollment Central.

6/19/2026

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 June 19, 2026:

Payer Name: AMERICAN HEALTH ADVANTAGE OF FLORIDA
Industry Payer ID: 31150
IMN Real Time ID: 31150
Exchange Real Time ID: AHAFL
Optum IEDI Real Time ID: 14395
Payer Enrollment Required: No
Connection Type: X12

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.

6/19/2026

New Real Time Elig 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 June 17, 2026:

Payer Name: American Health Advantage of Oklahoma
Industry Payer ID: 31125
IMN Real Time ID: 31125
Exchange Real Time ID: AHAOK
Optum IEDI Real Time ID: 14397
Payer Enrollment Required: No
Connection Type: X12

Search Options:
Eligibility Subscriber

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

6/19/2026

Enrollment Form Change

The following payers have changed their Remittance enrollment form:

GENTIVE CARE CENTRIX [CPID 7658 / Payer ID 11345]
GENTIVE CARE CENTRIX [CPID 5266/ Payer ID 11345]
CARECENTRIX WELLCARE [CPID 4016/ Payer ID 11345]

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

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

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

6/19/2026

Electronic Eligibility Connection Suspended

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

Payer Name: Christian Brothers Services
Industry Standard Payer ID: 38308
IMN Real Time ID: 38308
Exchange Real Time ID: CBSER
Optum IEDI Real Time ID: 38308

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

6/19/202

Superior Select HP 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 June 17, 2026:

Payer Name: SUPERIOR SELECT HEALTH PLAN
Industry Payer ID: 61184
IMN Real Time ID: 61184
Exchange Real Time ID: SSHPA
Optum IEDI Real Time ID: 61184
Payer Enrollment Required: No
Connection Type: X12

Search Options:

Eligibility Subscriber

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

Action Required by customer:

6/18/2026

Enrollment Form Change

The following payers have changed their enrollment forms:

PSKW0--PSKW LLC--REMITTANCE

95393--HIGH DESERT MEDICAL GROUP--REMITTANCE

JHHCG--JOHNS HOPKINS HOMECARE GROUP--REMITTANCE

CMSEB--COVENANT MANAGEMENT SYSTEMS EMPLOYEE BENEFIT PLAN--REMITTANCE

HALOS--HALOS SYSTEMS--REMITTANCE

RP042--VYTALIZE HEALTH--REMITTANCE

CLFM1--CAMP LEJEUNE FAMILY MEMBER PROGRAM--REMITTANCE

NV101--NATIONSVISION--REMITTANCE

73275--PERLMAN MEDICAL GROUP--REMITTANCE

SKTX1--Texas Medicaid Long Term Care--CLAIMS

46045--AVERA HEALTH PLANS--REMITTANCE

82694--THE MACALUSO GROUP--REMITTANCE

ILMCD--ILLINOIS MEDICAID--REMITTANCE

STJOE--ST. JOSEPH HERITAGE--REMITTANCE

12K96--Texas Medicaid Long Term Care--CLAIMS

APP01--DOWNEY SELECT IPA (APPLECARE MEDICAL MANAGEMENT)--REMITTANCE

TXMCD--TEXAS MEDICAID--REMITTANCE

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

New providers should begin using the new enrollment form immediately.

6/18/2026

ACS Benefit Services 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 June 17, 2026:

Payer Name: ACS BENEFIT SERVICES
Industry Payer ID: 72467
IMN Real Time ID: 72467
Exchange Real Time ID: ACSBE
Optum IEDI Real Time ID: 11009
Payer Enrollment Required: No
Connection Type: X12

Search Options:

Claim Status Inquiry Subscriber

Member ID, First Name, Last Name, Date of Birth, Gender
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, Dependent Gender, Subscriber Last Name
Optional additional elements: Payer claim number, Total submitted charges

Action Required by customer:

Claims Reactivation for Payer ID CNPY1 Canopy

Optum recently restored electronic claims connectivity for the following payer:

Payer Name: Canopy
Payer ID: CNPY1

Enrollment Requirements:

Claims:

Payer enrollment for electronic claims is not required.

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

Make any necessary system changes.

6/18/2026

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

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

Payer impacted:

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

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

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

If you have any questions, please contact Customer Support and refer to Case Number 10350670.

6/18/2026

Eligibility Termination for Multiple Payers on RPA

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

55768 – Piedmont Community Health Plan
65465 – MoreCare
72107 – Louisiana Blue Advantage
RP105 – StandardHealth with Health Choice (HCS)
SPJMS – SPJST Medicare Supplement
56139 – Maestro Health
MMMFL – MMM of Florida
OSLIC – Old Surety Life Insurance

Reason: Payers no longer offer an electronic connection.

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

6/18/2026

Edit Master Updates - Multiple Payers and CPIDs

Effective June 18, 2026, Optum will be changing Edit Masters for the following payers:

Payer Name: Dignity Health Medical Foundation for Mercy Medical Group or Woodland Clinic Medical Group
Professional CPID: 7796
Current Edit Master: PE_O007
New Edit Master: PE_T007
Institutional CPID: 8555
Current Edit Master: HE9O007
New Edit Master: HE9T007
Industry Standard Payer ID: PROH1

Payer Name: Dignity Health Medical Group - Inland Empire
Professional CPID: 7729
Current Edit Master: PE_O007
New Edit Master: PE_T007
Institutional CPID: 9677
Current Edit Master: HE9O007
New Edit Master: HE9T007
Industry Standard Payer ID: DHFIE

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.

6/18/2026

Claims Reactivation for CPIDs 3790, 9056 Canopy

Optum recently restored electronic claims connectivity for the following payer:

Payer Name: Canopy
Professional CPID: 3790
Institutional CPID: 9056
Industry Standard Payer ID: CNPY1

Enrollment Requirements:

Claims:

Payer enrollment for electronic claims is not required.

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

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

6/18/2026

999 Payer Batch Rejections for CPID 3447 CenCal Health

Professional claims transmitted to the payer listed below from Optum on June 17, 2026 were not processed by the payer due to a 999 Batch Rejection.

CPID 3447 CenCal Health

A resolution has been implemented and the claims were retransmitted to the payer on June 18, 2026.

Action Required: None.

If you have any questions, please contact Customer Support and refer to Case Number 10350504.

6/18/2026

Payer Change for Payer ID 59231 MedCom

Claims currently exchanged with the following payer must use a different payer ID, effective June 26, 2026.

Payer Name: MedCom
Remittance Available: No
Payer ID: 59231

Claims sent on or after June 26, 2026, must use the following:

Payer Name: American Correctional Healthcare
Remittance Available: No
Payer ID: 26326

MedCom, Payer ID 59231 will be terminated effective June 26, 2026.

Enrollment Requirements:

Claims:

Payer enrollment for electronic claims is not required.

Action Required:

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

6/18/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: Access Medical Group
Payer ID: AMG02
Payer Enrollment Required: Yes
Payer Location: National

Payer Name: Reliance Community Care Partners
Payer ID: 79846
Payer Enrollment Required: Yes
Payer Location: Michigan

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.

6/18/2026

Partners Insurance of New Jersey New Claims

Optum has new electronic claims connections available:

Payer Name: Partners Insurance of New Jersey
Institutional CPID: 9013
Professional CPID: 3483
Industry Standard Payer ID: NJ099
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: New Jersey
Claims Fee: N/A

Action Required:

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

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

6/18/2026

Resolved: Delay in Claim Processing for Submission Dates June 5-12, 2026

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

Original notify sent on June 16, 2026:

Due to an internal processing issue, there has been a delay in Professional and Institutional claim processing for some claims submitted June 5, 2026 - June 12, 2026.

Optum is working diligently to resolve the issue and ensure claims are processed.

Action Required: Please be aware of the possible delay in Professional and Institutional claim processing for the above submission dates.

6/18/2026

Delay in Electronic Remittance Advice (ERA) for CPIDs 1468 and 1568

There is a delay in Professional and Institutional Electronic Remittance Advice (ERA) for the following payer for file dates since June 15, 2026.

Payer impacted:

CPID 1468 Minnesota Medicaid
CPID 1568 Minnesota Medicaid

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

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

If you have any questions, please contact Customer Support and refer to Case Number 10348321.

6/17/2026

Electronic Routing Change for CPIDs 7727 Forest County Potawatomi Insurance

Optum changed electronic claims routing for the following payer, effective June 17, 2026:

Payer Name: Forest County Potawatomi Insurance
Professional CPID: 7727
Current Edit Master: PE_O007
New Edit Master: PE_T007
Industry Standard Payer ID: 25059
Payer Claim Enrollment Required: No
Secondary Claims Accepted: Yes

Enrollment Requirements:
Claims:

Payer enrollment for electronic claims is not required.

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

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

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

6/17/2026

Edit Master for CPID 9674 Forest County Potawatomi Insurance

Optum changed Edit Masters for the following payer, effective June 17, 2026:

Payer Name: Forest County Potawatomi Insurance
Institutional CPID: 9674
Current Edit Master: HE9O007
New Edit Master: HE9T007
Industry Standard Payer ID: 25059

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

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

6/17/2026

Electronic Routing Change for CPIDs 7727 Forest County Potawatomi Insurance

Optum changed electronic claims routing for the following payer, effective June 17, 2026:

Payer Name: Forest County Potawatomi Insurance
Professional CPID: 7727
Industry Standard Payer ID: 25059
Payer Claim Enrollment Required: No
Secondary Claims Accepted: Yes

Enrollment Requirements:
Claims:

Payer enrollment for electronic claims is not required.

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

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

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

6/17/2026

Edit Master for CPID 6200 Complementary Health Care

Optum is changing Edit Masters for the following payer, effective June 18, 2026:

Payer Name: Complementary Health Care
Professional CPID: 6200
Current Edit Master: PE_O007
New Edit Master: PE_T007
Industry Standard Payer ID: CHP01

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

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

6/17/2026

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

Update: The payer intermediary has been unable to generate and deliver the reports for some claims submitted June 3, 2026-June 8, 2026.

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

Original notify sent June 11, 2026:
A payer intermediary is experiencing issues affecting Professional and Institutional report generation for some claims submitted since June 3, 2026.

Payer impacted:

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

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

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

If you have any questions, please contact Customer Support and refer to Case Number 10341999.

6/17/2026

Payer Processing Issue for multiple CPIDs

Due to a payer processing issue, some Institutional and Professional claims transmitted to the payer listed below since June 15, 2026 were not processed by the payer.

Payer impacted:

CPID 2437 Minnesota Medicaid
CPID 6567 Minnesota Medicaid
CPID 1468 Minnesota Medicaid
CPID 1568 Minnesota Medicaid

Optum is working diligently with the payer to resolve the issue.

This delay affects claims released to Optum since June 12, 2026, 10:00 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 10348321.

6/17/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: Reliance Community Care Partners
Institutional CPID: 7032
Professional CPID: 9416
Industry Standard Payer ID: 79846
Payer Enrollment Required: Yes
Remittance Fee: N/A
Payer Location: Michigan

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.

6/17/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: Reliance Community Care Partners
Institutional CPID: 7032
Professional CPID: 9416
Industry Standard Payer ID: 79846
Line of Business (LOB) Code: H4F
Payer Enrollment Required: Yes
Remittance Fee: N/A
Payer Location: Michigan

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.

6/17/2026

Payment Integrity Claim Edit - Cigna Healthcare

Please be advised of the below notice from Cigna Healthcare.

Payer ID 62308
Payer Name: Cigna Health Plans
Institutional CPID 4509
Professional CPID 6405

Beginning in July 1, 2026 Cigna Healthcare® will update its claim editing process to immediately reject claims with unacceptable primary diagnoses at the point of submission, rather than after denial and adjudication.

In preparation of this update, providers can:

Review claims process to ensure systems and workflows are updated to recognize and respond to immediate rejections at the point of submission.
Review the appropriate companion guide that aligns to the submitted claims.
Educate billing and administrative staff about the new process so they can quickly identify and correct unacceptable primary diagnoses before submitting claims.
For additional information, log in to the Cigna for Health Care Professionals portal (CignaforHCP.com > Resources > Clinical Reimbursement Policies and Payment Policies > Claim Editing Policies & Procedures).

For general inquiries, contact CIGNA Provider Service at 800.882.4462.

6/17/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: Access Medical Group
Institutional CPID: 3095
Professional CPID: 8719
Industry Standard Payer ID: AMG02
Payer Enrollment Required: Yes
Remittance Fee: N/A
Payer Location: National

Action Required:

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

6/17/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: Access Medical Group
Institutional CPID: 3095
Professional CPID: 8719
Industry Standard Payer ID: AMG02
Line of Business (LOB) Code: H4D
Payer Enrollment Required: Yes
Remittance Fee: N/A
Payer Location: National

Action Required:

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

6/17/2026

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 June 16, 2026:

Payer Name: American Health Advantage of Tennessee
Industry ID: 31130
IMN Real Time ID: 31130
Exchange Real Time ID: AHATN
CPID(s): 6064 (I), 9218 (P)
Optum IEDI Real Time ID: 14389
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.

6/17/2026

999 Payer Batch Rejections for CPID 3801 Fallon Community Health

Professional claims transmitted to the payer listed below from Optum June 12, 2026 were not processed by the payer due to a 999 Batch Rejection.

Payer impacted:

CPID 3801 Fallon Community Health Plan

A resolution has been implemented, and the claims were retransmitted to the payer June 16, 2026.

Action Required: None.

If you have any questions, please contact Customer Support and refer to Case Number 10346996.

6/16/2026

New Clearance Payer Connections June 16, 2026

Optum has new electronic eligibility connections available:

Payer Name: American Health Advantage of Florida
Connection Type: X12

Payer Name: Contra Costa Health Plan
Connection Type: X12

Payer Name: HAP Caresource Michigan Marketplace
Connection Type: X12

Payer Name: Lifewise Arizona
Connection Type: X12

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

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

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

6/16/2026

LifePath Hospice Electronic Claims Connection No Longer Available

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

Payer Name: LifePath Hospice
Industry Standard Payer ID: 76870
Reason: Payer no longer offers an electronic connection. Please review member ID cards and submit claims to the correct Payer ID.

Action Required: Please make any necessary system changes.

Update sent June 3, 2026:
Effective immediately, the payer listed below has been suspended at Optum for claim processing and removed from the payer list.

Payer Name: LifePath Hospice
Industry Standard Payer ID: 76870
Reason: Payer unavailable electronically.

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

6/16/2026

Resolved: Delay in Electronic Remittance Advice (ERA)

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

Original Notification sent June 11, 2026:
Due to a payer processing issue, there has been a delay in Professional and Institutional Electronic Remittance Advice (ERA) for the following payers for check dates of June 8, 2026-June 10, 2026:

Payer ID 94036 Blue Shield of California
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 dates above.

If you have any questions, feel free to contact your Customer Support Team and refer to Case Number INC-000004945.

6/16/2026

Resolved: Delay in Electronic Remittance Advice (ERA)

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

Original notification sent June 11, 2026:
Due to a payer processing issue, there has been a delay in Professional and Institutional Electronic Remittance Advice (ERA) for the following payers for check dates of June 8, 2026-June 10, 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 dates above.

If you have any questions, feel free to contact your Customer Support Team and refer to Case Number INC-000004945.

6/16/2026

Edit Master for CPIDs 1125 and 1574 Easy Care MSO LLC

Optum is changing Edit Masters for the following payer, effective June 16, 2026:

Payer Name: Easy Care MSO LLC
Professional CPID: 1125
Current Edit Master: PE_O007
New Edit Master: PE_T007
Institutional CPID: 1574
Current Edit Master: HE9O007
New Edit Master: HE9T007
Industry Standard Payer ID: ECMSO

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.

6/16/2026

Report Generation Delay for multiple CPIDs

Waystar is experiencing issues affecting Professional report generation for some claims submitted June 11, 2026.

Payers impacted:

CPID 1114 Summit Administration Services, Inc.
CPID 1121 Auxiant
CPID 1122 South Atlantic Medical Group
CPID 1124 Asian American Medical Group (AAMG)
CPID 1131 Via Christi Hope
CPID 1159 Network Solutions IPA
CPID 1198 Employer Direct Healthcare
CPID 1239 BMS Oncology Copay Program
CPID 1240 Bankers Life and Casualty Company
CPID 1290 Banner- University Family Care (UNIVERSITY OF ARIZONA HEALTH PLANS)
CPID 1295 Imperial Health Plan of California
CPID 1426 Yuzu Health
CPID 1428 Kelsey Seybold
CPID 1470 TX Medicaid
CPID 1705 Partners Insurance Company Medicare PPO
CPID 1729 Texas Childrens Health Plan (CHIP product)
CPID 1740 Sonder Health Plans
CPID 1742 Midlands Choice
CPID 1786 Avera Health Plans
CPID 1810 Imperial Insurance Companies Exchange Texas
CPID 1825 Medsolutions, Inc.
CPID 1830 Brokerage Concepts
CPID 1831 Live Well IPA
CPID 1850 Verda Healthcare
CPID 1867 DHMN Preferred IPA Hospital Risk
CPID 1879 IEHP Covered (Covered California)
CPID 1882 Central Valley Medical Group (CVMG)
CPID 1887 American Health Advantage of Pennsylvania
CPID 2150 Florida Health Care Plan
CPID 2246 Foundation for Medical Care Tulare/King County
CPID 2254 Scott & White Health Plan
CPID 2295 Allegiance Benefit Plan Management, Inc.
CPID 2482 Cox HealthPlan
CPID 2483 Texas Childrens Health Plan (Medicaid)
CPID 2488 IL Medicaid
CPID 2722 AAG/Gallagher Benefits Administrator
CPID 2840 Physicians Care Network (IL)/Midland Mgmt
CPID 2841 American Health Advantage of Indiana
CPID 2867 Meridian PACE Solutions
CPID 2868 US Family Health Plan - NW Region
CPID 2869 Millette Administrators
CPID 3119 Community Health Center Network
CPID 3203 Palo Alto Medical Foundation
CPID 3225 Preferred IPA
CPID 3256 Sentinel Management Services
CPID 3285 Desert Med Group
CPID 3287 Gateway IPA
CPID 3292 Regal Medical Group
CPID 3295 Cedars Sinai Medical Network
CPID 3297 Amada Health
CPID 3406 TRU Community Care
CPID 3466 Amida Care
CPID 3469 Health Plan of San Joaquin
CPID 3473 Chinese Community Health Plan
CPID 3485 Greater Newport IPA
CPID 3715 Halos Systems
CPID 3716 Heraya Health
CPID 3732 NorthBay Health
CPID 3735 Blue Zones Health
CPID 3746 Point C
CPID 3755 AmeriBen Solutions, Inc
CPID 3771 JP Farley Corporation
CPID 3775 Broward PACE Program
CPID 3776 Texas Childrens Health Plan (Medicaid Managed Care)
CPID 3779 Texas Childrens Health Plan (Star Medicaid) (Medicaid Managed Care)
CPID 3809 Community First
CPID 3829 ConnectiCare Molina
CPID 3837 Astrana Care Texas
CPID 3839 Elder Health HMO of Maryland and Pennsylvania
CPID 3843 SKAI Blue Cross Blue Shield
CPID 3845 Banner Health AZ
CPID 3868 Rincol Health Network
CPID 3870 WyoBlue Advantage
CPID 3876 Bay Area Care Partners
CPID 4105 AdminOne
CPID 4109 Lagniappe Advantage
CPID 4116 Integranet
CPID 4150 Key Medical Group - Medicare Advantage
CPID 4152 Downey Select IPA (Applecare Medical Management)
CPID 4241 Bakersfield Family Medical Center
CPID 4701 Sutter Connect - Santa Rosa claims
CPID 4742 Texas HealthSpring
CPID 4750 Johns Hopkins US Family Health Plan (USFHP)
CPID 4752 Cook Childrens Star Plan
CPID 4775 MedStar Family Choice
CPID 4896 Facey Medical Foundation
CPID 5217 Affinity Medical Group
CPID 5436 CIGNA Healthcare for Seniors
CPID 5473 Geisinger Health Plan
CPID 5828 Southern Cal Physicians Managed Care Services
CPID 5840 HealthCare LA, IPA
CPID 5854 Firstcare STAR Medicaid MCO/Firstcare & Firstcare Advantage HMO
CPID 5868 Centinela Valley IPA
CPID 5870 Global Care Medical Group IPA
CPID 5892 Redlands Yucaipa Medical Group
CPID 6100 GEMCare - Kern County
CPID 6182 RightCare Scott & White Health Plan
CPID 6198 Central Health Medicare Plan
CPID 6206 ComPsych
CPID 6220 AZ Priority Care Plus
CPID 6246 Riverside Medical Clinic
CPID 6272 Hispanic Physicians IPA
CPID 6275 Beaver Medical Group
CPID 6430 Horizon Valley Medical Group
CPID 6464 Sagamore Health Network
CPID 6707 OLOLRMC Uninsured Patient Services Program
CPID 6736 San Francisco Health Plan
CPID 6749 Riverside Health of Maryland
CPID 6767 VGM Homelink
CPID 6777 Centers Plan for Healthy Living
CPID 6820 Centerlight Healthcare
CPID 6840 United Care Medical Group
CPID 6855 Premier Physicians Network (Medpoint Management)
CPID 6862 Peak Pace Solutions
CPID 6877 UC Davis Medical Group
CPID 7116 Group Benefit Services
CPID 7123 Physician Health Network
CPID 7124 Valley Care IPA
CPID 7135 Primary Care Associates of California
CPID 7141 Physician Choice Medical Group of San Luis Obispo
CPID 7142 Physicians Choice Medical Group of Santa Maria
CPID 7144 Amida Care Medicare
CPID 7235 Alignment Health Care
CPID 7243 HealthSmart MSO, Inc.
CPID 7247 Allcare IPA
CPID 7266 UCLA Medical Group
CPID 7274 Heritage Victor Valley Medical Group
CPID 7465 Imperial Insurance Company of Texas
CPID 7468 Oscar Health (California and Texas)
CPID 7485 NY BCBS Healthnow
CPID 7703 Hemet Community Medical Group
CPID 7717 QualCare IPA
CPID 7732 Exceedent LLC
CPID 7797 Dignity HCLA
CPID 7807 Tri-Valley Medical Group
CPID 7847 Northeast Medical Services (NEMS)
CPID 7860 Northwood
CPID 7867 Ucare Individual & Family Plans
CPID 8119 Access Integra
CPID 8129 Florida Community Care
CPID 8168 Solis Health Plans
CPID 8176 Saint Johns Health Clinic
CPID 8192 PHCS Multiplan - Group Resources
CPID 8201 Johns Hopkins Home Care Group
CPID 8229 PIH Health
CPID 8247 Alpha Care Medical Group NMM
CPID 8260 Longevity Health Plan of New York
CPID 8268 Longevity Health Plan of Florida
CPID 8270 Longevity Health Plan of Illinois
CPID 8401 Hoag
CPID 8405 Group Health Cooperative of the Northwest
CPID 8466 Longevity Health Plan - New Jersey
CPID 8471 Texas Independence Health Plan, Inc
CPID 8744 Alivi Health
CPID 8797 NP Providence Health Plan Commercial
CPID 8798 NP Providence Health Plan Medicare
CPID 8799 NP Providence Health Plan OHP
CPID 8832 Valley Presbyterian Hospital Preferred IPA VPRESPREF
CPID 8835 Calvo's SelectCare Health Plans
CPID 8837 Superior Choice Medical Group
CPID 8886 Astiva Health
CPID 8888 Presence ERC
CPID 8890 ClaimChoice
CPID 8893 Banner Medicare Advantage Prime HMO (BMAH)
CPID 9126 Provider Partners Health Plan of Missouri
CPID 9143 Physician Healthcare Integration IPA
CPID 9187 Avera-VA Claims
CPID 9219 Universal Healthcare IPA
CPID 9244 SolarteHealth
CPID 9271 Simpra Advantage Inc. DOS after 12/31/2022
CPID 9284 EasyAccess Care IPA
CPID 9412 Leon Health Plans
CPID 9422 MyTru Advantage
CPID 9423 All United Medical Group IPA
CPID 9437 Adventist Health Physicians Network
CPID 9440 Lone Star Medical Group
CPID 9477 WelbeHealth
CPID 9707 UCI Health
CPID 9723 Jade Health Care Medical Group
CPID 9736 Aligned Community Physicians
CPID 9742 Serendib Healthways
CPID 9746 Silicon Valley Medical Development

Optum is working diligently with Waystar 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 10346718.

6/16/2026

Reminder: Payer Change for Multiple payers

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

Payer Name: Cigna HealthSpring Tennessee/Alabama
Professional CPID: 2795
Institutional CPID: 1556
Remittance Available: Yes
Industry Standard Payer ID: 63092

Payer Name: Cigna Medicare
Professional CPID: 4742
Institutional CPID: 5694
Remittance Available: Yes
Industry Standard Payer ID: 52192

CPIDs 1556 and 2795 Cigna HealthSpring Tennessee/Alabama and CPIDs 5694 and 4742 Cigna Medicare will be terminated effective July 9, 2026.

Providers must begin using the following ID for electronic claims and remittance:

Current Payer Name: Cigna HealthSpring Maryland/Pennsylvania
New Payer Name: HealthSpring Medicare Advantage
Professional CPID: 3839
Institutional CPID: 1978
Remittance Available: Yes
Industry Standard Payer ID: 52192
Claim Fee: N/A

Enrollment Requirements:
Claims:

Payer enrollment for electronic claims is not required.

Remittance:

Payer enrollment for electronic remittance is required.
- Providers currently receiving electronic remittance through Optum for CPIDs 3839, 1978 HealthSpring Medicare Advantage do not need to complete a new enrollment form.
- Providers not receiving electronic remittance through Optum for CPIDs 3839, 1978 HealthSpring Medicare Advantage 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.

6/16/2026

Reminder: Payer Change for Multiple payers

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

CPIDs 1556 and 2795 Cigna HealthSpring Tennessee/Alabama and CPIDs 5694 and 4742 Cigna Medicare will be terminated effective July 9, 2026.

Providers must begin using the following ID for electronic claims, remittance and eligibility:

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 3839, 1978 HealthSpring Medicare Advantage do not need to complete a new enrollment form.
- Providers not receiving electronic remittance through Optum for CPIDs 3839, 1978 HealthSpring Medicare Advantage must complete a new enrollment form.
- New providers must 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.

6/16/2026

LifePath Hospice Electronic Claims Connection No Longer Available

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

Payer Name: LifePath Hospice
Claims CPIDs: 5642, 6273
Industry Standard Payer ID: 76870
Reason: Payer no longer offers an electronic connection. Please review member ID cards and submit claims to the correct Payer ID.

Action Required: Please make any necessary system changes.

Update sent June 3, 2026:
Effective immediately, the payer listed below has been suspended at Optum for claim processing and removed from the payer list.

Payer Name: LifePath Hospice
CPIDs: 5642, 6273
Industry Standard Payer ID: 76870
Reason: Payer unavailable electronically.

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

Update sent May 27, 2026:
Effective May 28, 2026, Optum will be reactivating and changing electronic claims routing for the following payer:

Payer Name: LifePath Hospice
Professional CPID: 6273
Institutional CPID: 5642
Industry Standard Payer ID: 76870
Payer Claim Enrollment Required: No
Secondary Claims Accepted: No

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.

6/16/2026

LifePath Hospice Electronic Claims Connection No Longer Available

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

Action Required: Please make any necessary system changes.

Update sent June 3, 2026:
Effective immediately, the payer listed below has been suspended at Optum for claim processing and removed from the payer list.

Payer Name: LifePath Hospice
CPIDs: 5642, 6273
Industry Standard Payer ID: 76870
Reason: Payer unavailable electronically.

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

Update sent May 27, 2026:
Effective May 28, 2026, Optum will be reactivating and changing electronic claims routing for the following payer:

Payer Name: LifePath Hospice
Professional CPID: 6273
Current Edit Master: PE_B800
New Edit Master: PE_T007
Institutional CPID: 5642
Current Edit Master: HE9B801
New Edit Master: HE9T007
Industry Standard Payer ID: 76870
Payer Claim Enrollment Required: No
Secondary Claims Accepted: No

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.

6/16/2026

Report Generation Delay for CPID 7146 Camp Lejeune Family Member Program

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

Payer impacted:

CPID 7146 Camp Lejeune Family Member Program

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

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

If you have any questions, please contact Customer Support and refer to Case Number 10346504.

6/16/2026

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 June 15, 2026:

Payer Name: American Health Advantage of Texas
Industry ID: 31155
IMN Real Time ID: 31155
Exchange Real Time ID: AHATX
Optum IEDI Real Time ID: 14392
Payer Enrollment Required: NO
Connection Type: X12

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

6/16/2026

Electronic Routing Change for CPIDs 9074 and 3841 Hinge Health

Effective June 15, 2026, Optum will be changing electronic remittance routing for the following payer:

Payer Name: Hinge Health
Professional CPID: 3841
Institutional CPID: 9074
Industry Standard Payer ID: HINGE
Payer Remittance Enrollment Required: Yes

Enrollment Requirements:

Remittance:

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

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

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

6/15/2026

Electronic Routing Change for CPIDs 9074 and 3841 Hinge Health

Effective June 15, 2026, Optum will be changing electronic remittance routing for the following payer:

Payer Name: Hinge Health
Professional CPID: 3841
Institutional CPID: 9074
Industry Standard Payer ID: HINGE
Line of Business Code (LOB): H9C
Payer Remittance Enrollment Required: Yes

Enrollment Requirements:

Remittance:

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

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

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

6/15/2026

Edit Master for CPIDs 9523 and 1113 Exclusive Care

Effective June 16, 2026, Optum will be changing Edit Masters for the following payer:

Payer Name: Exclusive Care
Professional CPID: 1113
Current Edit Master: PE_O007
New Edit Master: PE_T007
Institutional CPID: 9523
Current Edit Master: HE9O007
New Edit Master: HE9T007
Industry Standard Payer ID: EC999

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.

6/15/2026

Eligibility Termination for Multiple Payers on RPA

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

RPA Payer ID Payer Name

09908 Maricopa Care Advantage
59143 Harrington Health
94320 Kaiser Self Funded Plan thru Harrington/Fiserv
CX061 Lincoln Financial Group
GLOBE Global Life and Accident Insurance Company
HLTBR HealthBridge
LTNAN Liberty National Life Insurance Company
RX001 TransactRX Infusion and Specialty
SKHI0 Hawaii Medicaid
UTAMS United Teacher Associates Insurance Company

Reason: Payer no longer offers an electronic connection.

6/15/2026

American Plan Administrators Electronic Remittance Connection No Longer Available

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

Payer Name: American Plan Administrators
Industry Standard Payer ID: 95606
Reason: Payer no longer offers an electronic connection to which Optum can connect.

Action Required: Please make any necessary system changes.

6/15/2026

TDS/SRRIPA/Amerivantage Electronic Claims and Remittance Connection No Longer Available

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

Payer Name: TDS/SRRIPA/Amerivantage
Industry Standard Payer ID: RP010
Reason: Payer no longer in business.

Action Required: Please make any necessary system changes.

6/15/2026

Payer Name: TDS/SRRIPA/Amerivantage
Claims and Remittance CPIDs: 6051, 9204
Industry Standard Payer ID: RP010
Reason: Payer no longer in business.

Action Required: Please make any necessary system changes.

6/15/2026

Payer Name: TDS/SRRIPA/Amerivantage
Claims and Remittance CPIDs: 6051, 9204
Line of Business (LOB) Code: K79
Industry Standard Payer ID: RP010
Reason: Payer no longer in business.

Action Required: Please make any necessary system changes.

6/15/2026

New Electronic Claims Connections Available

Optum has new electronic claims connections available:

Payer Name: GEMCare (Golden Empire Managed Care System)
Institutional CPID: 1621
Professional CPID: 1812
Industry Standard Payer ID: MCS01
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: California
Claims Fee: N/A

Action Required:

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

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

6/15/2026

Edit Master for CPIDs 1198 and 2611 Employer Direct Healthcare

Effective June 15, 2026, Optum will be changing Edit Masters for the following payer:

Payer Name: Employer Direct Healthcare
Professional CPID: 1198
Current Edit Master: PE_O007
New Edit Master: PE_T007
Institutional CPID: 2611
Current Edit Master: HE9O007
New Edit Master: HE9T007
Industry Standard Payer ID: 48888

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.

6/15/2026

Edit Master for CPIDs 4414 and 2059 EBSO, Inc.

Effective June 15, 2026, Optum will be changing Edit Masters for the following payer:

Payer Name: EBSO, Inc.
Professional CPID: 4414
Current Edit Master: PE_O007
New Edit Master: PE_T007
Institutional CPID: 2059
Current Edit Master: HE9O007
New Edit Master: HE9T007
Industry Standard Payer ID: 37257

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.

6/15/2026

Edit Master for CPIDs 3659 and 1839 East West Administrators

Optum is changing Edit Masters for the following payer, effective June 16, 2026:

Payer Name: East West Administrators
Professional CPID: 1839
Current Edit Master: PE_O007
New Edit Master: PE_T007
Institutional CPID: 3659
Current Edit Master: HE9O007
New Edit Master: HE9T007
Industry Standard Payer ID: EWACA

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.

6/15/2026

Electronic Routing Change for CPIDs 2233 and 7967 Consolidated Associates Railroad

Optum is changing electronic claim routing for the following payer, effective June 18, 2026:

Payer Name: Consolidated Associates Railroad
Professional CPID: 2233
Institutional CPID: 7967
Industry Standard Payer ID: 75284
Payer Claim Enrollment Required: No
Secondary Claims Accepted: Yes

Enrollment Requirements:
Claims:

Payer enrollment for electronic claims is not required.

Report Changes:
Payer does not generate reports at this time.

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.

6/15/2026

Electronic Routing Change for CPIDs 2233 and 7967 Consolidated Associates Railroad

Optum is changing electronic claim routing for the following payer, effective June 18, 2026:

Payer Name: Consolidated Associates Railroad
Professional CPID: 2233
Current Edit Master: PE_E049
New Edit Master: PE_T007
Institutional CPID: 7967
Edit Master: HE9T007
Industry Standard Payer ID: 75284
Payer Claim Enrollment Required: No
Secondary Claims Accepted: Yes

Enrollment Requirements:
Claims:

Payer enrollment for electronic claims is not required.

Report Changes:
Payer does not generate reports at this time.

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.

6/15/2026

American Plan Administrators Electronic Remittance Connection No Longer Available

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

Payer Name: American Plan Administrators
Claims and Remittance CPIDs: 8276, 3027
Line of Business (LOB) Code: E50
Industry Standard Payer ID: 95606
Reason: Payer no longer offers an electronic connection to which Optum can connect.

Action Required: Please make any necessary system changes.

6/15/2026

American Plan Administrators Electronic Remittance Connection No Longer Available

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

Payer Name: American Plan Administrators
Claims and Remittance CPIDs: 8276, 3027
Industry Standard Payer ID: 95606
Reason: Payer no longer offers an electronic connection to which Optum can connect.

Action Required: Please make any necessary system changes.

6/15/2026

Report Generation Delay for CPIDs 9057 and 3796 Sentara PACE

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

Payer impacted:

CPID 9057 Sentara PACE
CPID 3796 Sentara PACE

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 10345204.

6/15/2026

New Electronic Claims Connections Available

Optum has new electronic claims connections available:

Payer Name: Imperial Health Plan of the Southwest Exchange (Utah)
Payer ID: IEXUT
Payer Claim Enrollment Required: No
Secondary Claims Accepted: No
Payer Location: Utah

Action Required:

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

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

6/15/2026

Electronic Routing Change for Multiple Payers

Effective June 18, 2026, Optum will be changing electronic claims routing for the following payer:

Payer Name: Health Partners Plans of Pennsylvania
Professional CPID: 2822
Institutional CPID: 4572
Industry Standard Payer ID: 80142
Payer Claim Enrollment Required: No
Secondary Claims Accepted: Yes

Payer Name: Jefferson Health Plans Medicare PPO
Professional CPID: 1705
Institutional CPID: 8072
Industry Standard Payer ID: RP099
Payer Claim Enrollment Required: No
Secondary Claims Accepted: Yes

Enrollment Requirements:

Claims:

Payer enrollment for electronic claims is not required.

Report Changes:

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

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

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

6/15/2026

Report Generation Delay for CPID 6671 HealthSun

A payer intermediary is experiencing issues affecting Institutional report generation for some claims submitted on June 1, 2026 and June 4, 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 10345046.

6/15/2026

Electronic Routing Change for Multiple Payers

Optum is changing electronic claims routing for the following payers, effective June 18, 2026:

Payer Name: Health Partners Plans of Pennsylvania
Professional CPID: 2822
Edit Master: PE_T007
Institutional CPID: 4572
Edit Master: HE9T007
Industry Standard Payer ID: 80142
Payer Claim Enrollment Required: No
Secondary Claims Accepted: Yes

Payer Name: Jefferson Health Plans Medicare PPO
Professional CPID: 1705
Edit Master: PE_T007
Institutional CPID: 8072
Edit Master: HE9T007
Industry Standard Payer ID: RP099
Payer Claim Enrollment Required: No
Secondary Claims Accepted: Yes

Enrollment Requirements:
Claims:

Payer enrollment for electronic claims is not required.

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

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

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.

6/15/2026

Report Generation Delay for CPIDs 6099 and 9226 CareSource PASSE of Arkansas

A payer intermediary is experiencing issues affecting Institutional and Professional report generation for some claims submitted May 30, 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 10344989.

6/15/2026

Reminder: Payer Change for Multiple Payers

Reminder: Effective July 1, 2026, the payers listed below will no longer be available at Optum for claims processing. Claims must be submitted to Optum by June 30, 2026, 5:00 p.m. CT to ensure final transmission to the payer.

Payer Name: Anthem Blue Cross Blue Shield of Nevada EVV
Professional CPID: 1801
Professional Edit Master: PE_B143
Institutional CPID: 2944
Institutional Edit Master: HE9B143
Payer-assigned Payer ID: NVANT

Payer Name: EVV Health Plan Nevada UHC
Professional CPID: 1800
Professional Edit Master: PE_T007
Institutional CPID: 2925
Institutional Edit Master: HE9T007
Payer-assigned Payer ID: NVHPN

Payer Name: EVV Molina Health Plan Nevada
Professional CPID: 1799
Professional Edit Master: PE_T007
Institutional CPID: 2922
Institutional Edit Master: HE9T007
Payer-assigned Payer ID: NVMOL

Payer Name: EVV State of Nevada
Professional CPID: 1798
Professional Edit Master: PE_F014
Institutional CPID: 2916
Institutional Edit Master: HE9F014
Payer-assigned Payer ID: NVFFS

Reason: Payer IDs no longer supported.

Claims submitted after June 30, 2026, 5:00 p.m. CT must begin using the following:

Payer Name: Anthem Blue Cross Blue Shield of Nevada
Professional CPID: 7496
Professional Edit Master: PE_B143
Institutional CPID: 2906
Institutional Edit Master: HE9B143
Industry Standard Payer ID: 00265
Line of Business Code (LOB): X68

Payer Name: Sierra Health and Life
Professional CPID: 3880
Professional Edit Master: PE_N000
Institutional CPID: 1994
Institutional Edit Master: HE9N000
Industry Standard Payer ID: 76342
Line of Business Code (LOB): U56

Payer Name: Molina Healthcare of Nevada
Professional CPID: 9247
Professional Edit Master: PE_C051
Institutional CPID: 6086
Institutional Edit Master: HE9C051
Industry Standard Payer ID: MLNNV
Line of Business Code (LOB): U21

Payer Name: Nevada Medicaid
Professional CPID: 7495
Professional Edit Master: PE_F014
Institutional CPID: 2907
Institutional Edit Master: HE9F014
Industry Standard Payer ID: NVMED
Line of Business Code (LOB): D31

Enrollment Requirements:
Claims:

Payer enrollment for electronic claims is not required for the following payers:

7496, 2906 Anthem Blue Cross Blue Shield of Nevada
3880, 1994 Sierra Health and Life
9247, 6086 Molina Healthcare of Nevada

Payer enrollment for electronic claims is required for the following payer:

7495, 2907 Nevada Medicaid.
Providers currently sending electronic claims through Optum for CPIDs 7495 and 2907 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 1994, 2906, 2907, 3880, 6086, 7495, 7496, and 9247 do not need to complete a new enrollment form.
- Providers not receiving electronic remittance through Optum for CPIDs 1994, 2906, 2907, 3880, 6086, 7495, 7496, and 9247 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:

Modify any bridge routines based on edit masters.
Modify related Payer Alias names to the new CPIDs.

6/15/2026

Payer Name: Anthem Blue Cross Blue Shield of Nevada EVV
Claim CPIDs: 1801, 2944
Industry Standard Payer ID: NVANT

Payer Name: EVV Health Plan Nevada UHC
Claim CPIDs: 1800, 2925
Industry Standard Payer ID: NVHPN

Payer Name: EVV Molina Health Plan Nevada
Claim CPIDs: 1799, 2922
Industry Standard Payer ID: NVMOL

Payer Name: EVV State of Nevada
Claim CPIDs: 1798, 2916
Industry Standard Payer ID: NVFFS

Reason: Payer IDs no longer supported.

Claims submitted after June 30, 2026, 5:00 p.m. CT must begin using the following:

Payer Name: Anthem Blue Cross Blue Shield of Nevada
Professional CPID: 7496
Institutional CPID: 2906
Remittance Available: Yes
Industry Standard Payer ID: 00265
Claim Fee: No

Payer Name: Sierra Health and Life
Additional Plan: Health Plan of Nevada
Professional CPID: 3880
Institutional CPID: 1994
Remittance Available: Yes
Industry Standard Payer ID: 76342
Claim Fee: No

Payer Name: Molina Healthcare of Nevada
Professional CPID: 9247
Institutional CPID: 6086
Remittance Available: Yes
Industry Standard Payer ID: MLNNV
Claim Fee: No

Payer Name: Nevada Medicaid
Professional CPID: 7495
Institutional CPID: 2907
Remittance Available: Yes
Industry Standard Payer ID: NVMED
Claim Fee: No

Enrollment Requirements:
Claims:

Payer enrollment for electronic claims is not required for the following payers:

7496, 2906 Anthem Blue Cross Blue Shield of Nevada
3880, 1994 Sierra Health and Life
9247, 6086 Molina Healthcare of Nevada

Payer enrollment for electronic claims is required for the following payer:

7495, 2907 Nevada Medicaid.
Providers currently sending electronic claims through Optum for CPIDs 7495 and 2907 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 1994, 2906, 2907, 3880, 6086, 7495, 7496, and 9247 do not need to complete a new enrollment form.
- Providers not receiving electronic remittance through Optum for CPIDs 1994, 2906, 2907, 3880, 6086, 7495, 7496, and 9247 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 updates in your system.

6/15/2026

Update: Report Generation Delay for CPIDs 1573 and 3802 AvMed

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

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

Original notice sent May 28, 2026:
A payer intermediary is experiencing issues affecting Institutional and Professional report generation for some claims submitted May 14, 2026.

Payer impacted:

CPID 1573 AvMed
CPID 3802 AvMed

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 10324082.

6/15/2026

New Electronic Claims and Remittance Connections Available

Optum has new electronic claims and remittance connections available:

Payer Name: Adventist White Memorial – Southland San Gabriel Valley
Payer ID: MPM34
Payer Claim Enrollment Required: No
Payer Remittance Enrollment Required: Yes
Secondary Claims Accepted: No
Payer Location: California

Action Required:

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

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

6/15/2026

TPAC/USPCPS/Amerivantage Electronic Claims Connection No Longer Available

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

Payer Name: TPAC/ USPCPS/ Amerivantage
Transaction Type: Professional
Industry Standard Payer ID: RP023
Reason: Payer no longer in business.

Action Required: Please make any necessary system changes.

6/15/2026

Resolved: Delay in Electronic Remittance Advice (ERA) for CPID 2824, 7551 The Health Plan

Resolved: This issue has been resolved. The payer has confirmed that due to an internal processing issue, any remaining Electronic Remittance Advice (ERA) for dates prior to May 1, 2026 will not be reissued. Impacted remittances will need to be posted manually.

Original notify sent April 6, 2026
Due to a payer processing issue, there has been a delay in both Professional and Institutional Electronic Remittance Advice (ERA) for the following payer for file dates of November 19, 2025 – May 1, 2026.

Payer impacted:

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

Additional updates will be forwarded as more information becomes available.

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-000003991.

6/12/2026

Resolved: Delay in Electronic Remittance Advice (ERA) for Payer ID 95677 The Health Plan

Resolved: This issue has been resolved. The payer has confirmed that due to an internal processing issue, any remaining Electronic Remittance Advice (ERA) for dates prior to May 1, 2026 will not be reissued. Impacted remittances will need to be posted manually.

Payer impacted:

The Health Plan: Payer ID 95677

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-000003991.

6/12/2026

Resolved: Delay in Electronic Remittance Advice (ERA) for CPIDs 4509, 6405 Cigna Health Plans

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

Original notify sent on June 4, 2026:

Due to a payer processing issue, there has been a delay in Professional and Institutional Electronic Remittance Advice (ERA) for the following payers for the check dates of May 20, 2026.

CPID 4509 Cigna Health Plans
CPID 6405 Cigna Health Plans

Additional updates will be forwarded as more information becomes available.

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

If you have any questions, feel free to contact your Customer Support Team and refer to Case Number INC-000004908.

6/12/2026

Payer Processing Issue for CPID 5560 Alabama Medicaid Inpatient

Due to a payer processing issue, some Institutional claims transmitted to the payer listed below on June 9, 2026 were not processed by the payer.

Payer impacted:

CPID 5560 Alabama Medicaid Inpatient

A resolution has been implemented and the claims were retransmitted to the payer on June 12, 2026.

This delay affected claims released to Optum between 3 p.m. CT on June 8, 2026 and 3 p.m. CT on June 9, 2026.

Action Required: Be aware of the processing issue above.

If you have any questions, please contact Customer Support and refer to Case Number 10342954.

6/12/2026

Report Generation Delay for CPID 3442 Health Network One

The payer listed below is experiencing issues affecting Professional report generation for some claims submitted on June 5, 2026.

Payer impacted:

CPID 3442 Health Network One

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 10342930.

6/12/2026

New Electronic Claims Connections Available

Optum has new electronic claims connections available:

Payer Name: North American Medical Management
Professional CPID: 1809
Institutional CPID: 1619
Industry Standard Payer ID: IP079
Payer Claim Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: California

Action Required:

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

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

6/12/2026

New Electronic Claims Connections Available

Optum has new electronic claims connections available:

Payer Name: North American Medical Management
Professional CPID: 1809
Institutional CPID: 1619
Industry Standard Payer ID: IP079
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: California
Claims Fee: $0.10

Action Required:

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

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

6/12/2026

Report Generation Delay for CPID 1522 District of Columbia Medicare

A payer intermediary is experiencing issues affecting Institutional report generation for some claims submitted on June 8, 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 on June 8, 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 10342392.

6/12/2026

Report Generation Delay for CPIDs 2930 and 3232 Health Choice Arizona

A payer intermediary is experiencing issues affecting Institutional and Professional report generation for some claims submitted on May 29, 2026 and May 30, 2026.

Payer(s) impacted:

CPID 2930 Health Choice Arizona
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 10338531.

6/12/2026

Report Generation Delay for CPID 5994 and 2234 Illinois Health Partners

A payer intermediary is experiencing issues affecting Institutional and Professional report generation for some claims submitted on May 28, 2026.

Payer impacted:

CPID 5994 Illinois Health Partners
CPID 2234 Illinois Health Partners

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 10342336.

6/12/2026

TDS/SRRIPA/Wellcare Electronic Claims and Remittance Connection No Longer Available

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

Payer Name: TDS/SRRIPA/Wellcare
Claims and Remittance CPIDs: 9203, 6050
Industry Standard Payer ID: RP011
Reason: Payer no longer in business.

Action Required: Please make any necessary system changes.

6/12/2026

Payer Name: TDS/SRRIPA/Wellcare
Claims and Remittance CPIDs: 9203, 6050
Line of Business (LOB) Code: K78
Industry Standard Payer ID: RP011
Reason: Payer no longer in business.

Action Required: Please make any necessary system changes.

6/12/2026

Report Generation Delay for CPID 6284 Trillium Health Resources

The payer listed below is experiencing issues affecting Professional report generation for some claims submitted April 30, 2026-May 25, 2026.

Payer impacted:

CPID 6284 Trillium Health Resources

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

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

If you have any questions, please contact Customer Support and refer to Case Number 10343554.

6/12/2026

Report Generation Delay for CPIDs 6674 and 6778 Common Ground Healthcare Cooperative

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

Payer impacted:

CPID 6674 Common Ground Healthcare Cooperative
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 10343370.

6/12/2026

Report Generation Delay for CPIDs 2525 and 1772 HAP CareSource

A payer intermediary is experiencing issues affecting Institutional and Professional report generation for some claims submitted since May 29, 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 10343266.

6/12/2026

Report Generation Delay for CPID 2570 CareSource of Georgia

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

Payer impacted:

CPID 2570 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 10343220.

6/12/2026

Report Generation Delay for CPIDs 8796 and 4056 Liberty Advantage

A payer intermediary is experiencing issues affecting Professional and Institutional report generation for some claims submitted May 21, 2026.

Payer impacted:

CPID 8796 Liberty Advantage Health Plan
CPID 4056 Liberty Advantage 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 10343187.

6/12/2026

Report Generation Delay for CPIDs 2526 and 3826 CareSource of Ohio

A payer intermediary is experiencing issues affecting Institutional and Professional report generation for some claims submitted since May 29, 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 10343151.

6/12/2026

Report Generation Delay for CPID 1547 Colorado Medicare

A payer intermediary is experiencing issues affecting Institutional report generation for some claims submitted June 5, 2026-June 8, 2026.

Payer impacted:

CPID 1547 Colorado Medicare

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 10341989.

6/12/2026

Report Generation Delay for CPID 6868 Ultimate Health Plans

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

Payer impacted:

CPID 6868 Ultimate Health Plans

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

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

If you have any questions, please contact Customer Support and refer to Case Number 10335303.

6/12/2026

Report Generation Delay for CPID 6834 VillageCareMAX

A payer intermediary is experiencing issues affecting Professional report generation for some claims submitted May 30, 2026.

Payer impacted:

CPID 6834 VillageCareMAX

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 10343033.

6/12/2026

Update: Report Generation Delay for CPID 2414 NJ BCBS (Horizon)

Update: The payer intermediary has been unable to generate and deliver the reports for some claims submitted on May 23, 2026 and May 25, 2026.

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

Original notice sent June 5, 2026:

A payer intermediary is experiencing issues affecting Professional report generation for some claims submitted on May 23, 2026 and May 25, 2026.

Payer impacted:

CPID 2414 NJ BCBS (Horizon)

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 10335303.

6/11/2026

Delay in Electronic Remittance Advice (ERA) for Payer IDs 94036 and BS001

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 dates of June 8, 2026 through June 10, 2026:

Payer ID 94036 Blue Shield of California
Payer ID BS001 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 Case Number INC-000004945.

6/11/2026

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

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 Case Number INC-000004945.

6/11/2026

Payer Processing Issue for CPID 4604 Louisiana Medicaid Long Term Care

Due to a payer processing issue, some Institutional claims transmitted to the payer listed below on June 8, 2026 were not processed by the payer.

Payer impacted:

CPID 4604 Louisiana Medicaid Long Term Care

A resolution has been implemented and the claims were retransmitted to the payer on June 11, 2026.

This delay affected claims released to Optum between 10 a.m. CT on June 5, 2026 and 10 a.m. CT on June 8, 2026.

Action Required: Be aware of the processing issue above.

If you have any questions, please contact Customer Support and refer to Case Number 10342092.

6/11/2026

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

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

Payer impacted:

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

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

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

If you have any questions, please contact Customer Support and refer to Case Number 10341999.

6/11/2026

Edit Master for CPIDs 2043 and 8181 Emanate Health Med Center AltaMed

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

Payer Name: Emanate Health Med Center AltaMed
Professional CPID: 8181
Current Edit Master: PE_O007
New Edit Master: PE_T007
Institutional CPID: 2043
Current Edit Master: HE9O007
New Edit Master: HE9T007
Industry Standard Payer ID: MPM45

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.

6/11/2026

New Real-time Eligibility Inquiry and Response 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 June 04, 2026:

Payer Name: Providence Health Assurance Medicaid
Industry Payer ID: 77350
IMN Real Time ID: 77350
Exchange Real Time ID: PHAMCD
Optum IEDI Real Time ID: 77350
Payer Enrollment Required: No
Connection Type: X12

Search Options:

Eligibility Subscriber

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

Action Required by customer:

6/11/2026

New Electronic Claim Status Connection Available

Optum is pleased to announce the availability of Real-time Claim Status Inquiry and Response 276/277 for the below payer, effective June 9, 2026:

Payer Name: Independence Blue Cross of PA
Industry Payer ID: 54704
IMN Real Time ID: SX083
Exchange Real Time ID: PAIBCE
CPID(s): 2781 (P), 3560 (I)
IEDI Real Time ID: 10974
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

Action Required by customer:

6/11/2026

TPAC/ USPCPS/ Amerivantage Electronic Claims Connection No Longer Available

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

Payer Name: TPAC/ USPCPS/ Amerivantage
Claims CPID: 9401
Industry Standard Payer ID: RP023
Reason: Payer no longer in business.

Action Required: Please make any necessary system changes.

6/11/2026

Real Time Eligibility 270/271 PAR Status Change

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

Payer Name: Avera Health Plans
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

Action Required by customer:

6/11/2026

New Electronic Claims Connections Available

Optum has new electronic claims connections available:

Payer Name: John Morrell
Professional CPID:4291
Industry Standard Payer ID: 38310
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: National

Action Required:

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

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

6/11/2026

New Electronic Claims Connections Available

Optum has new electronic claims connections available:

Payer Name: John Morrell
Professional CPID: 4291
Industry Standard Payer ID: 38310
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: National
Claims Fee: $0.10

Action Required:

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

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

6/11/2026

Edit Master for CPIDs 7223 and 8639 County Medical Services Program

Effective June 10, 2026, Optum will be changing Edit Masters for the following payers:

Payer Name: County Medical Services Program
Professional CPID: 7223
Current Edit Master: PE_O007
New Edit Master: PE_T007
Institutional CPID: 8639
Current Edit Master: HE9O007
New Edit Master: HE9T007
Industry Standard Payer ID: CMSP1

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.

6/10/2026

Edit Master for CPIDs 1866 and 3915 DHMN Santa Cruz

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

Payer Name: DHMN Santa Cruz
Professional CPID: 1866
Current Edit Master: PE_O007
New Edit Master: PE_T007
Institutional CPID: 3915
Current Edit Master: HE9O007
New Edit Master: HE9T007
Industry Standard Payer ID: DHM01

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.

6/10/2026

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 on June 8, 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 on June 10, 2026.

This delay affected claims released to Optum between 9 p.m. CT on June 5, 2026 and 9 p.m. CT on June 8, 2026.

Action Required: Be aware of the processing issue above.

If you have any questions, please contact Customer Support and refer to Case Number 10339927.

6/10/2026

999 Payer Batch Rejections for CPID 3801 Fallon Community Health Plan

Professional claims transmitted to the payer listed below from Optum June 6, 2026 were not processed by the payer due to a 999 Batch Rejection.

Payer impacted:

CPID 3801 Fallon Community Health Plan

A resolution has been implemented, and the claims were retransmitted to the payer June 10, 2026.

Action Required: None.

If you have any questions, please contact Customer Support and refer to Case Number 10340434.

6/10/2026

Payer Change for CPIDs 3271, 4939 MedCom

Claims currently exchanged with the following payer must use different CPIDs, effective June 11, 2026.

Payer Name: MedCom
Professional CPID: 3271
Institutional CPID: 4939
Remittance Available: No
Industry Standard Payer ID: 59231

Claims sent on or after June 11, 2026, must use the following:

Payer Name: American Correctional Healthcare
Professional CPID: 3750
Institutional CPID: 9042
Remittance Available: No
Industry Standard Payer ID: 26326
Claim Fee: N/A

CPIDs 3271 and 4939 MedCom, Payer ID 59231 will be terminated effective June 26, 2026.

Enrollment Requirements:
Claims:

Payer enrollment for electronic claims is not required.

Action Required:

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

6/10/2026

Payer Change for CPIDs 3271, 4939 MedCom

Claims currently exchanged with the following payer must use different CPIDs, effective June 11, 2026.

Payer Name: MedCom
Professional CPID: 3271
Professional Edit Master: PE_T007
Institutional CPID: 4939
Institutional Edit Master: HE9T007
Industry Standard Payer ID: 59231

Claims sent on or after June 11, 2026, must begin using the following:

CPIDs 3271 and 4939 MedCom, Payer ID 59231 will be terminated effective June 26, 2026.

Enrollment Requirements:
Claims:

Payer enrollment for electronic claims is not required.

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

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

6/10/2026

Update: Report Generation Delay for CPID 2234 Illinois Health Partners

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

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

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

Payer impacted:

CPID 2234 Illinois Health Partners

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 10320415.

6/10/2026

Electronic Routing Change for CPIDs 3750 and 9042 American Correctional Healthcare

Optum has changed electronic claims routing for the following payer, effective June 10, 2026:

Payer Name: American Correctional Healthcare
Professional CPID: 3750
Edit Master: PE_T007
Institutional CPID: 9042
Edit Master: HE9T007
Industry Standard Payer ID: 26326
Payer Claim Enrollment Required: No
Secondary Claims Accepted: No

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 name and CPIDs are not changing.
When a payer requires enrollment, forms must be submitted and approved from Enrollment Central.

6/10/2026

Electronic Routing Change for CPIDs 3750 and 9042 American Correctional Healthcare

Optum has changed electronic claims routing for the following payer, effective June 10, 2026:

Payer Name: American Correctional Healthcare
Professional CPID: 3750
Institutional CPID: 9042
Industry Standard Payer ID: 26326
Payer Claim Enrollment Required: No
Secondary Claims Accepted: No

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.

6/10/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: American Health Advantage of Florida
Institutional CPID: 7099
Professional CPID: 9712
Industry Standard Payer ID: 31150
Line of Business (LOB) Code: K3H
Payer Enrollment Required: Yes
Remittance Fee: N/A
Payer Location: Florida

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.

6/10/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: American Health Advantage of Florida
Institutional CPID: 7099
Professional CPID: 9712
Industry Standard Payer ID: 31150
Payer Enrollment Required: Yes
Remittance Fee: N/A
Payer Location: Florida

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.

6/10/2026

New Electronic Claims Connections Available

Optum has new electronic claims connections available:

Payer Name: Imperial Health Plan of the Southwest Exchange (Utah)
Professional CPID: 1732
Institutional CPID: 1608
Industry Standard Payer ID: IEXUT
Payer Claim Enrollment Required: No
Secondary Claims Accepted: No
Payer Location: Utah

Action Required:

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

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

6/10/2026

New Electronic Claims Connections Available

Optum has new electronic claims connections available:

Payer Name: Imperial Health Plan of the Southwest Exchange (Utah)
Professional CPID: 1732
Institutional CPID: 1608
Industry Standard Payer ID: IEXUT
Payer Enrollment Required: No
Secondary Claims Accepted: No
Payer Location: Utah
Claims Fee: $0.10

Action Required:

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

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

6/10/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: Missoula County Medical Benefits Plan
Institutional CPID: 7549
Professional CPID: 3446
Industry Standard Payer ID: 37275
Payer Enrollment Required: Yes
Remittance Fee: N/A
Payer Location: MT

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.

6/9/2026

Contra Costa Health Plan 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 June 5, 2026:

Payer Name: Contra Costa Health Plan
Industry Payer ID: CNTRA
IMN Real Time ID: CNTRA
Exchange Real Time ID: CNTRA
CPID(s): 6691, 6795
Optum IEDi Real Time ID: CNTRA
Payer Enrollment Required: No
Connection Type: X12

Search Options:

Subscriber

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

Action Required by customer:

6/9/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: Missoula County Medical Benefits Plan
Institutional CPID: 7549
Professional CPID: 3446
Industry Standard Payer ID: 37275
Line of Business (LOB) Code: E66
Payer Enrollment Required: Yes
Remittance Fee: N/A
Payer Location: MT

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.

6/9/2026

Delay in Remittance Advice (ERA) for Payer ID 80141

Due to a payer processing issue, there has been a delay in both Professional and Institutional Electronic Remittance Advice (ERA) for the following payer for the check date of May 31, 2026.

Payer ID 80141 Healthfirst of New York/New Jersey

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-000004932.

6/9/2026

Report Generation Delay for Multiple CPIDs

A payer intermediary is experiencing issues affecting Institutional and Professional report generation for some claims submitted on June 1, 2026.

Payers impacted:

CPID 9765 Central Valley Medical Providers
CPID 2081 Community Care IPA

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

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

If you have any questions, please contact Customer Support and refer to Case Number 10338157.

6/9/2026

Electronic Claims Payer ID Change for Anthem Blue Cross Blue Shield of Missouri

Effective July 10, 2026, claims currently exchanged with the following payer must use a different payer ID:

Payer Name: Anthem Blue Cross Blue Shield of Missouri
Payer ID: 00241
Claim Type: Institutional
Payer ID: 00241, SB741
Claim Type: Professional

Payer IDs 00241, SB741 will be terminated effective July 10, 2026.

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

Institutional Payer ID: 12B15
Professional Payer ID: MOBLS

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.

6/9/2026

Electronic Claims Payer ID Change for Anthem Blue Cross Blue Shield of Georgia

Effective July 10, 2026, claims currently exchanged with the following payer must use a different payer ID:

Payer Name: Anthem Blue Cross Blue Shield of Georgia
Payer ID: 3537I, 00601
Claim Type: Institutional
Payer ID: GABLS, 00601
Claim Type: Professional

Payer IDs 3537I, 00601, and GABLS will be terminated effective July 10, 2026.

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

Institutional Payer ID: 12015
Professional Payer ID: SB600

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.

6/9/2026

Electronic Claims Payer ID Change for Premera BCBS of Washington and Alaska

Effective July 10, 2026, claims currently exchanged with the following payer must use a different payer ID:

Payer Name: Premera Blue Cross Blue Shield of Washington and Alaska
Payer ID: 12B47
Claim Type: Institutional
Payer ID: 00430, 00934, AKBLS, WABLC, 12B27
Claim Type: Professional

Payer IDs 12B47, 00430, 00934, AKBLS, WABLC, 12B27 (Prof) will be terminated effective July 10, 2026.

Providers must begin using the following ID for electronic claims for Premera Blue Cross Blue Shield of Washington and Alaska:

Institutional Payer ID: 12B27
Professional Payer ID: SB930

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.

6/9/2026

Contra Costa Health Plan 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 June 5, 2026:

Search Options:
Subscriber

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

6/9/2026

Delay in Remittance Advice (ERA) for CPIDs 1854 and 1973 Healthfirst of New York/New Jersey

There has been a delay in Professional and Institutional Electronic Remittance Advice (ERA) for the following payer for check dates since May 31, 2026.

CPID 1854 Healthfirst of New York/New Jersey
CPID 1973 Healthfirst of New York/New Jersey

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

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

If you have any questions, please contact Customer Support and refer to Case Number 10338591.

6/9/2026

Edit Master for CPIDs 1036 and 7865 Colorado Community Health Alliance

Optum will change Edit Masters for the following payer, effective June 10, 2026:

Payer Name: Colorado Community Health Alliance
Professional CPID: 7865
Current Edit Master: PE_O007
New Edit Master: PE_T007
Institutional CPID: 1036
Current Edit Master: HE9O007
New Edit Master: HE9T007
Industry Standard Payer ID: COCHA

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.

6/9/2026

Report Generation Delay for CPID 1209 Regence Group Administrators

A payer intermediary is experiencing issues affecting Professional report generation for some claims submitted May 27, 2026 and May 28, 2026.

Payer impacted:

CPID 1209 Regence Group Administrators

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 10338352.

6/9/2026

Edit Master for CPIDs 8930 and 7275 Citrus Valley Physicians Group

Optum will be changing Edit Masters for the following payer, effective June 10, 2026:

Payer Name: Citrus Valley Physicians Group
Professional CPID: 7275
Current Edit Master: PE_O007
New Edit Master: PE_B800
Institutional CPID: 8930
Current Edit Master: HE9O007
New Edit Master: HE9B801
Industry Standard Payer ID: IP055

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.

6/9/2026

Update: Report Generation Delay for CPIDs 4068 and 8812 Maryland Physicians Care

Update: The payer intermediary has been unable to generate and deliver the reports for some claims submitted May 5, 2026.

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

Original notice sent May 20, 2026:
A payer intermediary is experiencing issues affecting Institutional and Professional report generation for some claims submitted since May 5, 2026.

Payer impacted:

CPID 4068 Maryland Physicians Care
CPID 8812 Maryland Physicians Care

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 10314852.

6/9/2026

New Electronic Claims and Remittance Connections Available

Optum has new electronic claims and remittance connections available:

Payer Name: Adventist White Memorial – Southland San Gabriel Valley
Institutional CPID: 1620
Professional CPID: 1811
Industry Standard Payer ID: MPM34
Line of Business (LOB) Code: E67
Payer Claim Enrollment Required: No
Payer Remittance Enrollment Required: Yes
Secondary Claims Accepted: No
Payer Location: California
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.

6/8/2026

New Electronic Claims and Remittance Connections Available

Optum has new electronic claims and remittance connections available:

Payer Name: Adventist White Memorial – Southland San Gabriel Valley
Institutional CPID: 1620
Professional CPID: 1811
Industry Standard Payer ID: MPM34
Payer Claim Enrollment Required: No
Payer Remittance Enrollment Required: Yes
Secondary Claims Accepted: No
Payer Location: California
Claims Fee: N/A
Remittance Fee: N/A

Action Required:

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

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

6/8/2026

Update: Report Generation Delay for CPID 7241 TransactRX Part D

Update: The payer intermediary has been unable to generate and deliver the reports for some claims submitted on May 25, 2026.

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

Original notice sent June 1, 2026:

A payer intermediary is experiencing issues affecting Professional report generation for some claims submitted on May 25, 2026.

Payer impacted:

CPID 7241 TransactRX Part D

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 10327954.

6/8/2026

Report Generation Delay for CPID 5676 Alliance Behavioral Healthcare

A payer intermediary is experiencing issues affecting Institutional report generation for some claims submitted May 30, 2026.

Payer impacted:

CPID 5676 Alliance Behavioral Healthcare

The payer intermediary has been unable to generate and deliver the reports for some claims submitted May 30, 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 10337454.

6/8/2026

Edit Master for CPIDs 6271, 3643 Custody Medical Services and CPIDs 1867, 3920 DHMN Preferred IPA Hospital Risk

Optum has changed Edit Masters for the following payers, effective June 8, 2026:

Payer Name: Custody Medical Services
Professional CPID: 6271
Current Edit Master: PE_O007
New Edit Master: PE_T007
Institutional CPID: 3643
Current Edit Master: HE9O007
New Edit Master: HE9T007
Industry Standard Payer ID: AMM03

Payer Name: DHMN Preferred IPA Hospital Risk
Professional CPID: 1867
Current Edit Master: PE_O007
New Edit Master: PE_T007
Institutional CPID: 3920
Current Edit Master: HE9O007
New Edit Master: HE9T007
Industry Standard Payer ID: DHM02

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.

6/8/2026

Electronic Claims Connection Suspended

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

Payer Name: Hollywood Presbyterian Medical Center - Global Care Medical
CPID(s): 2032, 8169
Industry Standard Payer ID: MPM29
Reason: Payer unavailable electronically.

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

6/8/2026

Report Generation Delay for CPID 3475 Memorial Hermann Health Network

A payer intermediary is experiencing issues affecting Professional report generation for some claims submitted May 26, 2026.

Payer impacted:

CPID 3475 Memorial Hermann Health 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 10336923.

6/8/2026

Payer Processing Issue for CPID 1468 Minnesota Medicaid

Due to a payer processing issue, some Professional claims transmitted to the payer listed below June 4, 2026 were not processed by the payer.

Payer impacted:

CPID 1468 Minnesota Medicaid

A resolution has been implemented and the claims were retransmitted to the payer June 8, 2026.

This delay affected claims released to Optum June 3, 2026, 10:00 p.m.-June 4, 2026, 10:00 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 10336778.

6/8/2026

Report Generation Delay for CPID 2414 NJ BCBS (Horizon)

A payer intermediary is experiencing issues affecting Professional report generation for some claims submitted on May 23, 2026 and May 25, 2026.

Payer impacted:

CPID 2414 NJ BCBS (Horizon)

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 10335286.

6/5/2026

Report Generation Delay for CPID 5440 Fox Valley Medicine

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

Payer impacted:

CPID 5440 Fox Valley Medicine

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

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

If you have any questions, please contact Customer Support and refer to Case Number 10335006.

6/5/2026

Update: Report Generation Delay for Multiple CPIDs

Update: The payer intermediary has been unable to generate and deliver the reports for some claims submitted between May 13, 2026 and May 15, 2026.

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

Original notice sent April 30, 2026:

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

Payers impacted:

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

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

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

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

6/5/2026

Report Generation Delay for CPID 1748 MVP Health Plan

A payer intermediary is experiencing issues affecting Professional report generation for some claims submitted on May 30, 2026.

Payer impacted:

CPID 1748 MVP Health Plan

The payer intermediary has been unable to generate and deliver the reports for some claims submitted on May 30, 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 10334790.

6/5/2026

Consumers Choice of South Carolina Claims Connection No Longer Available

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

Payer Name: Consumers Choice of South Carolina
Industry Standard Payer ID: 45321
Reason: Payer no longer offers an electronic connection to which Optum can connect.

Action Required: Please make any necessary system changes.

6/5/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: Diversified Benefit Administrators
Payer ID: DBA20
Payer Enrollment Required: Yes
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.

6/5/2026

PAR Status Change for Real Time Payers

The PAR Status will change for the following real time payers, effective July 1, 2026:

Bankers Fidelity
iEDI ID: BNKFL
Transaction: Eligibility
New PAR Status: Non Par

Clover Health
iEDI ID: CRPHP
Transaction: Eligibility
New PAR Status: Non Par

Standard Life and Accident Insurance Company
iEDI ID: 73099
Transaction: Claim Status
New PAR Status: Non Par

WeShare
iEDI ID: WESHR
Transaction: Eligibility
New PAR Status: Non Par

WeShare Legacy
iEDI ID: UHSM1
Transaction: Eligibility
New PAR Status: Non Par

Western Southern Life Group
iEDI ID: 31048
Transaction: Eligibility
New PAR Status: Non Par

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

6/5/2026

PAR Status Changes for Real Time Payers

The PAR Status will change for the following real time payers, effective July 1, 2026:

WeShare Legacy
IMN ID: UHSM1
Transaction: Eligibility
New PAR Status: Non Par

WeShare
IMN ID: WESHR
Transaction: Eligibility
New PAR Status: Non Par

Western Southern Life Group
IMN ID: 31048, WSTSL
Transaction: Eligibility
New PAR Status: Non Par

Delta Dental of New Jersey
IMN ID: 22189, DDNJY
Transaction: Eligibility
New PAR Status: Par

Imagine360 Administrators (GPA)
IMN ID: 48143, GPADM, GRPEN
Transaction: Claim Status
New PAR Status: Transitional

Island Home Insurance
IMN ID: ISLAH
Transaction: Eligibility
New PAR Status: Transitional

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

6/5/2026

Consumers Choice of South Carolina Claims Connection No Longer Available

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

Payer Name: Consumers Choice of South Carolina
Claims and Remittance CPIDs: 6814, 6994
Industry Standard Payer ID: 45321
Reason: Payer no longer offers an electronic connection to which Optum can connect.

Action Required: Please make any necessary system changes.

6/5/2026

PAR Status Change for Eligibility Payers

The PAR Status will change for the following eligibility payers, effective July 1, 2026:

WeShare Legacy
Exchange CPID(s): 9001, 3450
Exchange RT ID: UHSMN
New PAR Status: Non Par

WeShare
Exchange CPID(s): 9077, 3857
Exchange RT ID: WESHR
New PAR Status: Non Par

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

6/5/2026

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

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

78702 – Seminole Tribe of Florida
SDCAR – Sidecar Health
TH108 – Covenant Management Systems Employee Benefit Plan

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

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

6/5/2026

New Electronic Claims Connections Available

Optum has new electronic claims connections available:

Payer Name: Memorial Medical Center - Non Sutter
Payer ID: SC054
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: California

Action Required:

Add the payers to your system to begin using the new payer connection.
When a payer requires 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.

6/5/2026

Bright Health Plan 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: Bright Health Plan
Industry Payer ID: CB186
IMN Real Time ID: CB186
Exchange Real Time ID: BRITHP
CPIDs: 2562, 1187
Connection Type: X12

Reason: Payer no longer offers an electronic connection.

Action Required: None.

6/5/2026

Report Generation Delay for CPID 6671 HealthSun

A payer intermediary is experiencing issues affecting Institutional report generation for some claims submitted May 22, 2026.

Payer impacted:

CPID 6671 HealthSun

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

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

If you have any questions, please contact Customer Support and refer to Case Number 10334945.

6/5/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: Diversified Benefit Administrators
Institutional CPID: 3549
Professional CPID: 1819
Industry Standard Payer ID: DBA20
Payer Enrollment Required: Yes
Remittance Fee: N/A
Payer Location: National

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.

6/5/2026

New electronic remittance connections available

Optum has new electronic remittance connections available:

Payer Name: Diversified Benefit Administrators
Institutional CPID: 3549
Professional CPID: 1819
Industry Standard Payer ID: DBA20
Line of Business (LOB) Code: E65
Payer Enrollment Required: Yes
Remittance Fee: N/A
Payer Location: National

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.

6/5/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: Sidecar Health
Payer ID: SDCAR
Payer Enrollment Required: Yes
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.

6/4/2026

New Payer Edit for CPID 2150

The payer below has informed Optum of a new edit requirement effective immediately. In order to meet the new requirement, we will add the following edit on June 10, 2026:

PSV101B034: INVALID HCPCS/CPT-4 CODE - This HCPCS/CPT-4 Code conflicts with the Patient Age. Note: If this requirement does not apply to your billing situation, you can override the edit within the Error Text. LOOP 2400 SV101-2

Edit applies to:

CPID 2150 Florida Health Care Plans

Action Required: Please be aware of updated edit requirements.

6/4/2026

Report Generation Delay for CPID 5676 Alliance Behavioral Healthcare

A payer intermediary is experiencing issues affecting Institutional report generation for some claims submitted on May 27, 2026.

Payer impacted:

CPID 5676 Alliance Behavioral Healthcare

The payer intermediary has been unable to generate and deliver the reports for some claims submitted on May 27, 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 10333242.

6/4/2026

Report Generation Delay for CPID 5909 Carelon Behavioral Health

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

Payer impacted:

CPID 5909 Carelon Behavioral Health

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

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

If you have any questions, please contact Customer Support and refer to Case Number 10334031.

6/4/2026

Delay in Electronic Remittance Advice (ERA) for Payer ID 62308 Cigna Health

Due to a payer processing issue, there has been a delay in Professional and Institutional Electronic Remittance Advice (ERA) for the following payers for the check dates of May 20, 2026.

Payer ID 62308 Cigna Health Plans

Additional updates will be forwarded as more information becomes available.

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

If you have any questions, feel free to contact your Customer Support Team and refer to Case Number INC-000004908.

6/4/2026

Geisinger HP Gold Restored 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 June 2, 2026:

Payer Name: Geisinger Health Plan Gold
Industry Payer ID: 10612
IMN Real Time ID: 75273
Exchange Real Time ID: GHPG
Optum IEDI Real Time ID: 10612
Payer Enrollment Required: No
Connection Type: X12

Search Options:

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

6/4/2026

Edit Master for CPIDs 7271 and 8685 Choice Physicians Network

Optum has changed Edit Masters for the following payer, effective June 4, 2026:

Payer Name: Choice Physicians Network
Professional CPID: 7271
Current Edit Master: PE_O007
New Edit Master: PE_T007
Institutional CPID: 8685
Current Edit Master: HE9O007
New Edit Master: HE9T007
Industry Standard Payer ID: CPN01

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.

6/4/2026

Delay in Electronic Remittance Advice (ERA) for CPIDs 4509, 6405

Due to a payer processing issue, there has been a delay in Professional and Institutional Electronic Remittance Advice (ERA) for the following payers for the check dates of May 20, 2026.

CPID 4509 Cigna Health Plans
CPID 6405 Cigna Health Plans

Additional updates will be forwarded as more information becomes available.

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

If you have any questions, feel free to contact your Customer Support Team and refer to Case Number INC-000004908.

6/4/2026

New Electronic Eligibility Connections Available

Optum has new electronic eligibility connections available:

Payer Name: Great American Life Assurance Medicare Supplement
Connection Type: X12

Payer Name: Iowa Health Advantage
Connection Type: X12

Payer Name: KSKJ Life ENH
Connection Type: X12

Payer Name: The Alliance
Connection Type: X12

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

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

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

6/3/2026

Update: Electronic Claims Connection Suspended for CPIDs 5642 and 6273 LifePath Hospice

Update:

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

Payer Name: LifePath Hospice
CPIDs: 5642, 6273
Industry Standard Payer ID: 76870
Reason: Payer unavailable electronically.

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

Update sent 5/27/2026:

Effective May 28, 2026, Optum will be reactivating and changing electronic claims routing for the following payer:

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.

6/3/2026

Update: Electronic Claims Connection Suspended for CPIDs 5642 and 6273 LifePath Hospice

Update:

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

Payer Name: LifePath Hospice
CPIDs: 5642, 6273
Industry Standard Payer ID: 76870
Reason: Payer unavailable electronically.

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

Update sent 5/27/2026:

Effective May 28, 2026, Optum will be reactivating and changing electronic claims routing for the following payer:

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.

6/3/2026

New Real-Time Eligibility Transactions Available

Effective May 29th, 2026, Optum is pleased to announce the availability of Real-time Eligibility (270/271) transactions for the below payer:

Payer Name: KSKJ Life
Transaction Type: Eligibility
Payer ID: 10748
IEDI Payer ID: 10748
Exchange Payer ID: KSKJL

Action Required by customer:

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

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

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

6/3/2026

Payer Processing Issue for CPIDs 2017 and 8152 Altura MSO

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

Payer impacted:

CPID 2017 Altura MSO
CPID 8152 Altura MSO

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

This delay affected claims released to Optum between 2 a.m. CT on May 22, 2026 and 2 a.m. CT on May 25, 2026.

Action Required: Be aware of the processing issue above.

If you have any questions, please contact Customer Support and refer to Case Number 10331210.

6/3/2026

PAR Status Change for Claim Payers June 3, 2026

The PAR Status is changing for the following claim payers:

Affinity Medical Group
Exchange CPID(s): 5217, 9683
Transaction: Claims – Prof/Inst
New PAR Status: Non Par
Effective Date: July 1, 2026

Allstate
Exchange CPID(s): 8714, 3089
Transaction: Claims - Prof/Inst
New PAR Status: Non Par
Effective Date: July 1, 2026

American Postal Workers Union
Exchange CPID(s): 6436, 4503
Transaction: Claims - Prof/Inst
New PAR Status: Non Par
Effective Date: July 1, 2026

Benefit Coordinators Corporation
Exchange CPID(s): 3864
Transaction: Claims - Professional
New PAR Status: Non Par
Effective Date: July 1, 2026

Benefit Plan Administrators Roanoke Virginia
Exchange CPID(s): 8482, 7526
Transaction: Claims - Prof/Inst
New PAR Status: Non Par
Effective Date: July 1, 2026

IU Health Transplant
Exchange CPID(s): 8149, 2015
Transaction: Claims - Prof/Inst
New PAR Status: Non Par
Effective Date: July 1, 2026

Northwest Administrators
Exchange CPID(s): 6293
Transaction: Claims - Professional
New PAR Status: Transitional
Effective Date: June 1, 2026

Santa Clara County IPA HMO
Exchange CPID(s): 5279
Transaction: Claims - Professional
New PAR Status: Non Par
Effective Date: July 1, 2026

Summit Administration Services
Exchange CPID(s): 1114, 9524
Transaction: Claims – Prof/Inst
New PAR Status: Non Par
Effective Date: July 1, 2026

University Health Care Advantage
Exchange CPID(s): 7217, 8634
Transaction: Claims - Prof/Inst
New PAR Status: Transitional
Effective Date: July 1, 2026

Action Required: Please be aware of the PAR status changes.

6/3/2026

Electronic Claims Connection Suspended for LifePath Hospice

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

Payer Name: LifePath Hospice
Payer ID: 76870
Reason: Payer unavailable electronically.

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

6/3/2026

Payer Change for Cigna HealthSpring Tennessee/Alabama

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

Payer Name: Cigna HealthSpring Tennessee/Alabama
Remittance Available: Yes
Payer ID: 63092

Payer ID 63092 Cigna HealthSpring Tennessee/Alabama will be terminated effective July 9, 2026.

Providers must begin using the following ID for electronic claims and remittance:

Current Payer Name: Cigna HealthSpring Maryland/Pennsylvania
New Payer Name: HealthSpring Medicare Advantage
Remittance Available: Yes
Industry Standard Payer ID: 52192

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 Payer ID 52192 HealthSpring Medicare Advantage do not need to complete a new enrollment form.
- Providers not receiving electronic remittance through Optum for Payer ID 52192 HealthSpring Medicare Advantage 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 IEDI.

6/3/2026

Payer Change for Multiple Payers

Effective July 1, 2026, the payers listed below will no longer be available at Optum for claims processing. Claims must be submitted to Optum by June 30, 2026, 5:00 p.m. CT to ensure final transmission to the payer.

Payer Name: Anthem Blue Cross Blue Shield of Nevada EVV
Payer-assigned Payer ID: NVANT

Payer Name: EVV Health Plan Nevada UHC
Payer-assigned Payer ID: NVHPN

Payer Name: EVV Molina Health Plan Nevada
Payer-assigned Payer ID: NVMOL

Payer Name: EVV State of Nevada
Payer-assigned Payer ID: NVFFS

Reason: Payer IDs no longer supported.

Claims submitted after June 30, 2026, 5:00 p.m. CT must begin using the following:

Payer Name: Anthem Blue Cross Blue Shield of Nevada
Payer ID: 00265

Payer Name: Sierra Health and Life
Payer ID: 76342

Payer Name: Molina Healthcare of Nevada
Payer ID: MLNNV

Payer Name: Nevada Medicaid
Standard Payer ID: NVMED

Enrollment Requirements:
Claims:

Payer enrollment for electronic claims is not required for the following payers:
- Anthem Blue Cross Blue Shield of Nevada
- Sierra Health and Life
- Molina Healthcare of Nevada

Payer enrollment for electronic claims is required for the following payer:

Nevada Medicaid.
- Providers currently sending electronic claims through Optum for Payer ID NVMED 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 Payer IDs 76342, 00265, MLNNV, and NVMED do not need to complete a new enrollment form.
- Providers not receiving electronic remittance through Optum for Payer IDs 76342, 00265, MLNNV, and NVMED must complete a new enrollment form.
- New providers must complete a new enrollment form.

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

Modify any bridge routines based on edit masters.

6/3/2026

Payer Processing Issue for multiple CPIDs

Due to a payer processing issue, some Professional and Institutional claims transmitted to the payers listed below from May 29, 2026-June 2, 2026 were not processed by the payers.

Payers impacted:

CPID 8561 Avera Health Plans
CPID 1786 Avera Health Plans
CPID 9187 Avera-VA Claims
CPID 6035 Avera-VA Claims

A resolution has been implemented and the claims were retransmitted to the payers June 3, 2026.

This delay affected claims released to Optum May 28, 2026, 11:00-June 2, 2026, 11:00 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 10331983.

6/3/2026

Electronic Routing Change for CPIDs 7757 and 7547 New Jersey Manufacturers

Optum has changed electronic remittance routing for the following payer, effective June 3, 2026:

Payer Name: New Jersey Manufacturers
Professional CPID: 7757
Institutional CPID: 7547
Industry Standard Payer ID: 12122
Payer Remittance Enrollment Required: Yes

Enrollment Requirements:
Remittance:

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

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

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

6/3/2026

Electronic Routing Change for CPIDs 7757 and 7547 New Jersey Manufacturers

Optum has changed electronic remittance routing for the following payer, effective June 3, 2026:

Payer Name: New Jersey Manufacturers
Professional CPID: 7757
Institutional CPID: 7547
Industry Standard Payer ID: 12122
Line of Business Code (LOB): U9Q
Payer Remittance Enrollment Required: Yes

Enrollment Requirements:
Remittance:

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

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

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

6/3/2026

Report Generation Delay for CPID 1457 New Mexico Medicare

A payer intermediary is experiencing issues affecting Professional report generation for some claims submitted May 26, 2026.

Payer impacted:

CPID 1457 New Mexico Medicare

The payer intermediary has been unable to generate and deliver the reports for some claims submitted May 26, 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 10331253.

6/3/2026

Electronic Routing Change for CPIDs 1786 and 8561 Avera Health Plans

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

Payer Name: Avera Health Plans
Professional CPID: 1786
Institutional CPID: 8561
Industry Standard Payer ID: 46045
Payer Claim Enrollment Required: No
Payer Remittance Enrollment Required: Yes
Secondary Claims Accepted: Yes

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 do not need to complete a new enrollment form.
- New providers must complete a new enrollment form.
- Providers who have not received remittance since February 28, 2026, will need to complete a new enrollment form.

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.

6/2/2026

Electronic Routing Change for CPIDs 1786 and 8561 Avera Health Plans

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

Payer Name: Avera Health Plans
Professional CPID: 1786
Edit Master: PE_T007
Institutional CPID: 8561
Edit Master: HE9T007
Industry Standard Payer ID: 46045
Line of Business Code (LOB): J84
Payer Claim Enrollment Required: No
Payer Remittance Enrollment Required: Yes
Secondary Claims Accepted: Yes

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 do not need to complete a new enrollment form.
- New providers must complete a new enrollment form.
- Providers who have not received remittance since February 28, 2026, will need to complete a new enrollment form.

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 name and CPIDs are not changing.
When a payer requires enrollment, forms must be submitted and approved from Enrollment Central.

6/2/2026

Report Generation Delay for CPID 3509 Ohio Medicaid

A payer intermediary is experiencing issues affecting Institutional report generation for some claims submitted on May 27, 2026.

Payer impacted:

CPID 3509 Ohio Medicaid

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

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

If you have any questions, please contact Customer Support and refer to Case Number 10329910.

6/2/2026

PAR Status change for Claims payers June 2, 2026

The PAR Status will change for the following claim payers:

Affinity Medical Group
iEDI Payer ID: 46594
Transaction: Claims - Institutional
New PAR Status: Non Par
Effective Date: July 1, 2026

Allstate
iEDI Payer ID: C1037
Transaction: Claims - Professional
New PAR Status: Non Par
Effective Date: July 1, 2026

American Postal Workers Union
iEDI Payer ID: 44444
Transaction: Claims - Prof/Inst
New PAR Status: Non Par
Effective Date: July 1, 2026

Benefit Coordinators Corporation
iEDI Payer ID: 25145
Transaction: Claims - Professional
New PAR Status: Non Par
Effective Date: July 1, 2026

Benefit Plan Administrators Roanoke Virginia
iEDI Payer ID: 37118
Transaction: Claims - Prof/Inst
New PAR Status: Non Par
Effective Date: July 1, 2026

Global Care
iEDI Payer ID: 07689
Transaction: Claims - Prof/Inst
New PAR Status: Gateway
Effective Date: June 1, 2026

iCircle Care of New York
iEDI Payer ID: ICRCL
Transaction: Claims - Prof/Inst
New PAR Status: Transitional
Effective Date: July 1, 2026

IU Health Transplant
iEDI Payer ID: 47262
Transaction: Claims - Prof/Inst
New PAR Status: Non Par
Effective Date: July 1, 2026

Keystone First CHIP
iEDI Payer ID: 30070
Transaction: Claims - Prof/Inst
New PAR Status: Par
Effective Date: July 1, 2026

Northwest Administrators
iEDI Payer ID: NWADM
Transaction: Claims - Professional
New PAR Status: Transitional
Effective Date: June 1, 2026

ResourceOne Administrators
iEDI Payer ID: 66456
Transaction: Claims - Professional
New PAR Status: Non Par
Effective Date: July 1, 2026

Santa Clara County IPA HMO
iEDI Payer ID: 10378
Transaction: Claims - Professional
New PAR Status: Non Par
Effective Date: July 1, 2026

Summit Administration Services
iEDI Payer ID: 86083
Transaction: Claims - Institutional
New PAR Status: Non Par
Effective Date: July 1, 2026

TrueCare Mississippi Medicaid
iEDI Payer ID: MSCS1
Transaction: Claims - Professional
New PAR Status: Non Par
Effective Date: July 1, 2026

University Health Care Advantage
iEDI Payer ID: 46407
Transaction: Claims - Prof/Inst
New PAR Status: Transitional
Effective Date: July 1, 2026

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

6/2/2026

Edit Master for CPIDs 9456 and 7069 Choice Physicians Network Nivano Physicians

Optum has changed Edit Masters for the following payer, effective June 2, 2026:

Payer Name: Choice Physicians Network Nivano Physicians
Professional CPID: 9456
Current Edit Master: PE_O007
New Edit Master: PE_T007
Institutional CPID: 7069
Current Edit Master: HE9O007
New Edit Master: HE9T007
Industry Standard Payer ID: CPNNP

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.

6/2/2026

New Payer Edit for CPID 7518
The payer listed below has informed Optum of a new edit requirement effective immediately. In order to meet the new requirement, we will add the following edit June 8, 2026:

ICLM02A009: INVALID TOTAL CLAIM CHARGE AMT - When the Type of Bill is 32x, the Total Claim Charge Amount must be greater than zero. Note: If this requirement does not apply to your billing situation, you can override the edit within the Error Text. LOOP 2300 CLM02

Edit applies to:

CPID 7518 CareFirst Blue Cross Blue Shield of Maryland

Action Required: Please be aware of updated edit requirements.

6/2/2026

Delta Dental of Rhode Island 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: Delta Dental of Rhode Island
Industry Payer ID: 05029
IMN Real Time ID: 05029
Optum iEDI Real Time ID: 10734
Connection Type: X12

Reason: Payer no longer offers an electronic connection.

Action Required: None.

6/2/2026

Eligibility termination for payer ID 90551 on Revenue Performance Advisor

Real Time Eligibility 270/271 and Claim Status Inquiry 276/277 for the payer listed below is no longer available at Optum, on the Revenue Performance Advisor (RPA) system, effective immediately.

Payer Name: Collective Health
RPA Payer ID: 90551

Reason: Payer no longer offers an electronic connection.

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

6/2/2026

Eligibility Termination for Payer ID 36479 on Revenue Performance Advisor (RPA)

Real Time Eligibility 270/271 and Claim Status Inquiry 276/277 for the payer listed below is no longer available at Optum, on the Revenue Performance Advisor (RPA) system, effective immediately.

Payer Name: Collective Health
RPA Payer ID: 36479
Reason: Payer no longer offers an electronic connection.

Action Required:

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

6/2/2026

New Electronic Claims Connections Available

Optum has new electronic claims connections available:

Payer Name: Memorial Medical Center - Non Sutter
Professional CPID: 1760
Institutional CPID: 1614
Industry Standard Payer ID: SC054
Payer Claim Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: California

Action Required:

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

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

6/2/2026

New Electronic Claims Connections Available

Optum has new electronic claims connections available:

Payer Name: Memorial Medical Center - Non Sutter
Professional CPID: 1760
Institutional CPID: 1614
Industry Standard Payer ID: SC054
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: California
Claims Fee: $0.10

Action Required:

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

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

6/2/2026

Update: Remittance Changes for CPID 1750 Brown & Toland Physicians

Effective June 17, 2026, remit for CPID 1750 will no longer be processed.

Reminder:

Effective June 17, 2206, remit for CPID 1750 will no longer be processed.

Providers must login to Enrollment Central prior to June 17, 2026, to verify that they are enrolled for Brown & Toland Services, Payer ID BTSH1, CPIDs 6867 7645.

Original notification sent May 20, 2026

It has come to Optum’s attention that you are receiving electronic remittance for the terminated payer listed below. Effective June 17, 2026, Optum will no longer process electronic remittance for the following payer:

Payer Name: Brown & Toland Physicians
Professional CPID: 1750
Industry Standard Payer ID: BTHS1

In order to continue receiving electronic remittance, providers must login in to Enrollment Central prior to June 17, 2026, to verify they are enrolled with the payer listed below.

Payer Name: Brown & Toland Health Services
Professional CPID: 6867
Institutional CPID: 7645
Industry Standard Payer ID: BTSH1

Enrollment Requirements:

Remittance:

Payer enrollment for electronic remittance is required.
- Providers already enrolled for CPIDs 6867 or 7645 do not need to complete a new enrollment form.
- Providers who are not enrolled for CPIDs 6867 or 7645 must complete a new enrollment form prior to June 17, 2026.

Action Required:

Please make the necessary enrollment changes, before the effective date, to continue receiving electronic remittance.
When a payer requires enrollment, forms must be submitted and approved from Enrollment Central.

6/1/2026

Update: Remittance Changes for CPID 1750 Brown & Toland Physicians

Update:

Effective June 17, 2026, remit for CPID 1750 will no longer be processed.

Reminder:

Effective June 17, 2206, remit for CPID 1750 will no longer be processed.

Providers must login to Enrollment Central prior to June 17, 2026, to verify that they are enrolled for Brown & Toland Services, Payer ID BTSH1, CPIDs 6867 7645.

Original notification sent May 20, 2026

Payer Name: Brown & Toland Physicians
Professional CPID: 1750
Industry Standard Payer ID: BTHS1
Line of Business Code (LOB): J12

In order to continue receiving electronic remittance, providers must login in to Enrollment Central prior to June 17, 2026, to verify they are enrolled with the payer listed below.

Payer Name: Brown & Toland Health Services
Professional CPID: 6867
Institutional CPID: 7645
Industry Standard Payer ID: BTSH1
Line of Business Code (LOB): J12

Enrollment Requirements:

Remittance:

Payer enrollment for electronic remittance is required.
- Providers already enrolled for CPIDs 6867 or 7645 do not need to complete a new enrollment form.
- Providers who are not enrolled for CPIDs 6867 or 7645 must complete a new enrollment form prior to June 17, 2026.

Action Required:

Please make the necessary enrollment changes, before the effective date, to continue receiving electronic remittance.
When a payer requires enrollment, forms must be submitted and approved from Enrollment Central.

6/1/2026

Update: Remittance Changes for CPID 1750 Brown & Toland Physicians

Reminder:

Effective June 17, 2206, remit for CPID 1750 will no longer be processed.

Providers must login to Enrollment Central prior to June 17, 2026, to verify that they are enrolled for Brown & Toland Services, Payer ID BTSH1, CPIDs 6867 7645.

Original notification sent May 20, 2026

Payer Name: Brown & Toland Physicians
Professional CPID: 1750
Industry Standard Payer ID: BTHS1
Line of Business Code (LOB): J12

In order to continue receiving electronic remittance, providers must login in to Enrollment Central prior to June 17, 2026, to verify they are enrolled with the payer listed below.

Payer Name: Brown & Toland Health Services
Professional CPID: 6867
Institutional CPID: 7645
Industry Standard Payer ID: BTSH1
Line of Business Code (LOB): J12

Enrollment Requirements:

Remittance:

Payer enrollment for electronic remittance is required.
- Providers already enrolled for CPIDs 6867 or 7645 do not need to complete a new enrollment form.
- Providers who are not enrolled for CPIDs 6867 or 7645 must complete a new enrollment form prior to June 12, 2026.

Action Required:

Please make the necessary enrollment changes, before the effective date, to continue receiving electronic remittance.
When a payer requires enrollment, forms must be submitted and approved from Enrollment Central.

6/1/2026

Update: Remittance Changes for CPID 1750 Brown & Toland Physicians

Reminder:

Effective June 17, 2206, remit for CPID 1750 will no longer be processed.

Providers must login to Enrollment Central prior to June 17, 2026, to verify that they are enrolled for Brown & Toland Services, Payer ID BTSH1, CPIDs 6867 7645.

Original notification sent May 20, 2026

Payer Name: Brown & Toland Physicians
Professional CPID: 1750
Industry Standard Payer ID: BTHS1

In order to continue receiving electronic remittance, providers must login in to Enrollment Central prior to June 17, 2026, to verify they are enrolled with the payer listed below.

Payer Name: Brown & Toland Health Services
Professional CPID: 6867
Institutional CPID: 7645
Industry Standard Payer ID: BTSH1

Enrollment Requirements:
Remittance:

Payer enrollment for electronic remittance is required.
- Providers already enrolled for CPIDs 6867 or 7645 do not need to complete a new enrollment form.
- Providers who are not enrolled for CPIDs 6867 or 7645 must complete a new enrollment form prior to June 12, 2026.

Action Required:

Please make the necessary enrollment changes, before the effective date, to continue receiving electronic remittance.
When a payer requires enrollment, forms must be submitted and approved from Enrollment Central.

6/1/2026

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 May 15, 2026:

Payer Name: Johns Hopkins US Family Health Plan
Industry Payer ID: 52123
IMN Real Time ID: JHFHP
Exchange Real Time ID: JHFHP
CPID(s): 4959 & 4750
Optum IEDi Real Time ID: JHFHP
Payer Enrollment Required: No
Connection Type: X12

Search Options:

Subscriber

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

Dependent

Member ID, Dependent First Name, Dependent Last Name

Action Required by customer:

6/1/2026

Resolved: Invalid Error Message for Payer ID BCBSAZ, 53589, Blue Cross Blue Shield of Arizona

Resolved: This issue is now resolved. All affected claims have processed at the payer.

Original notify sent on: March 27, 2025

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

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

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

Payers affected:

Payer ID BCBSAZ Blue Cross Blue Shield of Arizona
Payer ID 53589 Blue Cross Blue Shield of Arizona

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

6/1/2026

New Electronic Claims Connections Available

Optum has new electronic claims connections available:

Payer Name: Choice Physicians Net First Choice
Professional CPID: 1794
Industry Standard Payer ID: CPNFC
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: California

Action Required:

Add the payers to your system to begin using the new payer connection.
When a payer requires 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.

6/1/2026

Edit Master for CPIDs 6852 and 7635 Clinicas Del Camino Real

Optum is changing Edit Masters for the following payer, effective June 1, 2026:

Payer Name: Clinicas Del Camino Real
Professional CPID: 6852
Current Edit Master: PE_O007
New Edit Master: PE_T007
Institutional CPID: 7635
Current Edit Master: HE9O007
New Edit Master: HE9T007
Industry Standard Payer ID: CDCR1

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.

6/1/2026

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 May 15, 2026:

Search Options:
Subscriber

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

Dependent

Member ID, Dependent First Name, Dependent Last Name

6/1/2026

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

Resolved: This issue is now resolved. All affected claims have processed at the payer.

Original notify sent March 27, 2025
Due to a payer processing issue, Professional and Institutional claims for the payer listed below may have received the following invalid error message on the Payer Claim Data Report (SR), Payer Claim Data Report (SE), Payer Report Data File (SF):

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

Payers affected:

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

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

6/1/2026

Edit Master for Children's Physicians Medical Group and Children's Specialists of San Diego

Optum is changing Edit Masters for the following payers, effective June 1, 2026:

Payer Name: Children's Physicians Medical Group
Professional CPID: 1145
Current Edit Master: PE_O007
New Edit Master: PE_T007
Industry Standard Payer ID: RCHN1

Payer Name: Children's Specialists of San Diego
Professional CPID: 1197
Current Edit Master: PE_O007
New Edit Master: PE_T007
Industry Standard Payer ID: CSSD2

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.

6/1/2026

Edit Master for CPIDs 5914 and 4221 CalOptima Direct

Optum is changing Edit Masters for the following payer, effective June 2, 2026:

Payer Name: CalOptima Direct
Professional CPID: 4221
Current Edit Master: PE_O007
New Edit Master: PE_T007
Institutional CPID: 5914
Current Edit Master: HE9O007
New Edit Master: HE9T007
Industry Standard Payer ID: CALOP

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.

6/1/2026

Reason: Payer IDs no longer supported.

Claims submitted after June 30, 2026, 5:00 p.m. CT must begin using the following:

Enrollment Requirements:
Claims:

Payer enrollment for electronic claims is not required for the following payers:
7496, 2906 Anthem Blue Cross Blue Shield of Nevada
3880, 1994 Sierra Health and Life
9247, 6086 Molina Healthcare of Nevada

Payer enrollment for electronic claims is required for the following payer:

7495, 2907 Nevada Medicaid.
Providers currently sending electronic claims through Optum for CPIDs 7495 and 2907 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 1994, 2906, 2907, 3880, 6086, 7495, 7496, and 9247 do not need to complete a new enrollment form.
- Providers not receiving electronic remittance through Optum for CPIDs 1994, 2906, 2907, 3880, 6086, 7495, 7496, and 9247 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:

Modify any bridge routines based on edit masters.
Modify related Payer Alias names to the new CPIDs.

6/1/2026

Payer Name: Anthem Blue Cross Blue Shield of Nevada EVV
Claim CPIDs: 1801, 2944
Industry Standard Payer ID: NVANT

Payer Name: EVV Health Plan Nevada UHC
Claim CPIDs: 1800, 2925
Industry Standard Payer ID: NVHPN

Payer Name: EVV Molina Health Plan Nevada
Claim CPIDs: 1799, 2922
Industry Standard Payer ID: NVMOL

Payer Name: EVV State of Nevada
Claim CPIDs: 1798, 2916
Industry Standard Payer ID: NVFFS

Reason: Payer IDs no longer supported.

Claims submitted after June 30, 2026, 5:00 p.m. CT must begin using the following:

Payer Name: Anthem Blue Cross Blue Shield of Nevada
Professional CPID: 7496
Institutional CPID: 2906
Remittance Available: Yes
Industry Standard Payer ID: 00265
Claim Fee: No

Payer Name: Molina Healthcare of Nevada
Professional CPID: 9247
Institutional CPID: 6086
Remittance Available: Yes
Industry Standard Payer ID: MLNNV
Claim Fee: No

Payer Name: Nevada Medicaid
Professional CPID: 7495
Institutional CPID: 2907
Remittance Available: Yes
Industry Standard Payer ID: NVMED
Claim Fee: No

Enrollment Requirements:
Claims:

Payer enrollment for electronic claims is not required for the following payers:
7496, 2906 Anthem Blue Cross Blue Shield of Nevada
3880, 1994 Sierra Health and Life
9247, 6086 Molina Healthcare of Nevada

Payer enrollment for electronic claims is required for the following payer:

7495, 2907 Nevada Medicaid.
Providers currently sending electronic claims through Optum for CPIDs 7495 and 2907 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 1994, 2906, 2907, 3880, 6086, 7495, 7496, and 9247 do not need to complete a new enrollment form.
- Providers not receiving electronic remittance through Optum for CPIDs 1994, 2906, 2907, 3880, 6086, 7495, 7496, and 9247 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 updates in your system.

6/1/2026

Report Generation Delay for CPID 5909 Carelon Behavioral Health

A payer intermediary is experiencing issues affecting Institutional report generation for some claims submitted on May 19, 2026.

Payer impacted:

CPID 5909 Carelon Behavioral Health

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

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

If you have any questions, please contact Customer Support and refer to Case Number 10326616.

6/1/2026

Report Generation Delay for CPID 7241 TransactRX Part D

A payer intermediary is experiencing issues affecting Professional report generation for some claims submitted on May 25, 2026.

Payer impacted:

CPID 7241 TransactRX Part D

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 10327954.

6/1/2026

Report Generation Delay for CPID 1558 Oklahoma Medicare

A payer intermediary is experiencing issues affecting Institutional report generation for some claims submitted on May 26, 2026.

Payer impacted:

CPID 1558 Oklahoma Medicare

The payer intermediary has been unable to generate and deliver the reports for some claims submitted on May 26, 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 10326515.

6/1/2026

Payer Change for Multiple payers

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

Payer Name: Cigna HealthSpring Tennessee/Alabama
Professional CPID: 2795
Institutional CPID: 1556
Remittance Available: Yes
Industry Standard Payer ID: 63092

Payer Name: Cigna Medicare
Professional CPID: 4742
Institutional CPID: 5694
Remittance Available: Yes
Industry Standard Payer ID: 52192

CPIDs 1556 and 2795 Cigna HealthSpring Tennessee/Alabama and CPIDs 5694 and 4742 Cigna Medicare will be terminated effective July 9, 2026.

Providers must begin using the following ID for electronic claims and remittance:

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 3839, 1978 HealthSpring Medicare Advantage do not need to complete a new enrollment form.
- Providers not receiving electronic remittance through Optum for CPIDs 3839, 1978 HealthSpring Medicare Advantage 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.

6/1/2026

Payer Change for Multiple payers

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

CPIDs 1556 and 2795 Cigna HealthSpring Tennessee/Alabama and CPIDs 5694 and 4742 Cigna Medicare will be terminated effective July 9, 2026.

Providers must begin using the following ID for electronic claims, remittance and eligibility:

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 3839, 1978 HealthSpring Medicare Advantage do not need to complete a new enrollment form.
- Providers not receiving electronic remittance through Optum for CPIDs 3839, 1978 HealthSpring Medicare Advantage must complete a new enrollment form.
- New providers must 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.

6/1/2026

Older Payer Updates

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

GET OLDER UPDATES

Payer Updates (June 2026)

June 2026

June Payer Processing Issues

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