May 2026

May 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 →

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: Sidecar Health
Institutional CPID: 8535
Professional CPID: 2139
Industry Standard Payer ID: SDCAR
Line of Business (LOB) Code: E64
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.

5/29/2026

Iowa Health Advantage New Real Time Transaction

Optum is pleased to announce the availability of Real-time (Eligibility Inquiry and Response 270/271 ) transactions for the below payer, effective May 26, 2026:

Iowa Health Advantage
Payer id: RP075

Action Required by customer:

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

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

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

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

5/29/2026

New Real-Time Eligibility and Claim Status Connection Available

Optum is pleased to announce the availability of Real-time Eligibility 270/271 & Claim Status Inquiry and Response 276/277 for the below payer, effective May 28, 2026:

Payer Name: Transamerica Life Insurance Company Little Rock, Arkansas
Industry Payer ID: TLINS
IMN Real Time ID: TLINS
Exchange Real Time ID: TRNAF
IEDI Real Time ID: TLINS
Payer Enrollment Required: No
Connection Type: X12

Search Options:

Special Note: Member ID in Search Options = Group Number + Payer Member ID

Eligibility Subscriber

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

Eligibility Dependent

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

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:

5/29/2026

Report Generation Delay for CPIDs 7056 and 9438 Shared Health Mississippi

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.

If you have any questions, please contact Customer Support and refer to Case Number 10326067.

5/29/2026

Electronic Routing Change for AmeriHealth Caritas North Carolina

Optum is changing electronic claims routing for the following payer, effective June 1, 2026:

Payer Name: AmeriHealth Caritas North Carolina
Payer ID: 81671
Payer Claim Enrollment Required: No
Secondary Claims Accepted: Yes
New Payer Type: Par

Enrollment Requirements:
Claims:

Payer enrollment for electronic claims is not required.

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

5/29/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

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.

5/29/2026

Iowa Health Advantage New Real Time Transaction

Optum is pleased to announce the availability of Real-time (Eligibility Inquiry and Response 270/271 ) transactions for the below payer, effective May 26, 2026:

Iowa Health Advantage
Payer id: RP075

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

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

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

5/29/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: Sidecar Health
Institutional CPID: 8535
Professional CPID: 2139
Industry Standard Payer ID: SDCAR
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.

5/29/2026

Report Generation Delay for multiple CPIDs

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

Payers impacted:

CPID 1467 Wisconsin Medicaid
CPID 5510 Wisconsin Medicaid
CPID 6764 Wisconsin Chronic Disease Program
CPID 5901 Wisconsin Chronic Disease Program
CPID 5671 Wisconsin Well Womens Program
CPID 6454 Wisconsin Well Womens Program

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 10326712.

5/29/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: Covenant Management Systems Employee Benefit Plan
Payer ID: CMSEB
Payer Enrollment Required: Yes
Payer Location: Texas

Payer Name: Seminole Tribe of Florida
Payer ID: 78702
Payer Enrollment Required: Yes
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.

5/29/2026

Report Generation Delay for CPID 2593 QualChoice of Arkansas

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

Payer impacted:

CPID 2593 QualChoice of Arkansas

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 10326593.

5/29/2026

Report Generation Delay for CPID 1403 Blue Cross Blue Shield of Oklahoma

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

Payer impacted:

CPID 1403 Blue Cross Blue Shield of Oklahoma

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 10326536.

5/29/2026

Report Generation Delay for CPID 7403 Blue Cross Blue Shield of New Mexico

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

Payer impacted:

CPID 7403 Blue Cross Blue Shield of New Mexico

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 10326517.

5/29/2026

Report Generation Delay for CPIDs 5508 and 1405 Blue Cross Blue Shield of Illinois

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

Payer impacted:

CPID 5508 Blue Cross Blue Shield of Illinois
CPID 1405 Blue Cross Blue Shield of Illinois

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 10326495.

5/29/2026

Report Generation Delay for CPIDs 5501 and 1406 Blue Cross Blue Shield of Texas

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

Payer impacted:

CPID 5501 Blue Cross Blue Shield of Texas
CPID 1406 Blue Cross Blue Shield of Texas

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 10326471.

5/29/2026

Report Generation Delay for CPID 9435 OhioRISE - Aetna Better Health

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

Payer impacted:

CPID 9435 OhioRISE - Aetna Better Health of Ohio

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

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

If you have any questions, please contact Customer Support and refer to Case Number 10326186.

5/29/2026

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:

31048 – Western Southern Life Group
36878 – Entrust
49984 – Business Administrators and Consultants
53011 – National Association of Letter Carriers
66456 – ResourceOne Administrators
85431 – EyeMed Vision Care
98481 – Innermark TPA
CCHP9 – Cook Childrens STAR Plan
MPM51 – Adventist Health Physicians Network

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.

5/29/2026

Mary Washington Health Plan Electronic Claims and Remittance Connections No Longer Available

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

Payer Name: Mary Washington Health Plan
Industry Standard Payer ID: 83269
Reason: Payer no longer offers an electronic connection. This plan was terminated Jan. 1, 2024.

Action Required: Please make any necessary system changes.

5/29/2026

New Electronic Claims Connections Available

Optum has new electronic claims connections available:

Payer Name: Choice Physicians Network All United Medical Group
Payer ID: CPNAU
Payer Enrollment Required: No
Secondary Claims Accepted: No
Payer Location: California

Payer Name: Connected Senior Care Advantage
Payer ID: AGL03
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: Texas

Payer Name: Crown City Medical Group (CCMG)
Payer ID: MPM35
Payer Enrollment Required: No
Secondary Claims Accepted: No
Payer Location: California

Payer Name: Eastern Iowa Community Healthcare
Payer ID: 23861
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: Iowa

Payer Name: Freedom Claims Management Inc
Payer ID: 67136
Payer Enrollment Required: No
Secondary Claims Accepted: No
Payer Location: National

Payer Name: HeadsUp Healthcare
Payer ID: RP067
Payer Enrollment Required: No
Secondary Claims Accepted: No
Payer Location: National

Payer Name: Hollywood Presbyterian Medical Center - St Vincent IPA
Payer ID: AMM19
Payer Enrollment Required: No
Secondary Claims Accepted: No
Payer Location: California

Payer Name: Inland Health Organization
Payer ID: IHORG
Transaction Type: Professional
Payer Enrollment Required: No
Secondary Claims Accepted: No
Payer Location: California

Payer Name: KB Medical Practice PC/Empire Medical Practice PC
Payer ID: 35463
Payer Enrollment Required: No
Secondary Claims Accepted: No
Payer Location: New York

Payer Name: KG Administrative Services
Payer ID: KGA15
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: National

Payer Name: Lower Kuskokwim School District
Payer ID: 56756
Payer Enrollment Required: No
Secondary Claims Accepted: No
Payer Location: Arkansas

Payer Name: MPOWERHealth
Payer ID: MPWR1
Payer Enrollment Required: No
Secondary Claims Accepted: No
Payer Location: National

Payer Name: Northern Health Plan
Payer ID: 3833N
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: Michigan

Payer Name: Occupational Eyewear Network
Payer ID: 50653
Transaction Type: Professional
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: National

Payer Name: Preferred Administrators Childrens Hospital
Payer ID: EPF11
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: Texas

Payer Name: Plan de Bienestar UTM-PRSSA
Payer ID: 66020
Transaction Type: Professional
Payer Enrollment Required: No
Secondary Claims Accepted: No
Payer Location: Puerto Rico

Payer Name: Poppins Health
Payer ID: 21814
Payer Enrollment Required: No
Secondary Claims Accepted: No
Payer Location: National

Payer Name: Stationary Engineers Local 670
Payer ID: 67011
Payer Enrollment Required: No
Secondary Claims Accepted: No
Payer Location: New York

Payer Name: Tribute/SelectCare of Oklahoma
Payer ID: 73117
Payer Enrollment Required: No
Secondary Claims Accepted: No
Payer Location: Oklahoma

Payer Name: TCC Benefits Administrator
Payer ID: TCC93
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: South Carolina

Payer Name: The Health Plan of Western Illinois
Payer ID: 29018
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: Illinois

Payer Name: UCS BASI Tenowo Inc.
Payer ID: 89245
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: National

Payer Name: UCS Coeur Connectivity Source
Payer ID: 76451
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: Arizona

Payer Name: UCS Coeur Leonard Holding Company
Payer ID: 84365
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: Arizona

Payer Name: Vantage Medical Group Encounters
Payer ID: PPM02
Transaction Type: Professional
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: California

Payer Name: Vxtra Health
Payer ID: 99915
Payer Enrollment Required: No
Secondary Claims Accepted: No
Payer Location: National

Payer Name: WorldWide Medical Assurance LTD Corp
Payer ID: 98473
Payer 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 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.

5/29/2026

Electronic Routing Change for CPIDs 9477 and 7076 WelbeHealth

Optum is changing electronic remittance routing for the following payer, effective May 29, 2026:

Payer Name: WelbeHealth
Professional CPID: 9477
Institutional CPID: 7076
Industry Standard Payer ID: WBHCA
Payer Remittance Enrollment Required: Yes

Enrollment Requirements:
Remittance:

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

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

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

5/29/2026

Electronic Routing Change for CPIDs 9477 and 7076 WelbeHealth

Optum is changing electronic remittance routing for the following payer, effective May 29, 2026:

Payer Name: WelbeHealth
Professional CPID: 9477
Institutional CPID: 7076
Industry Standard Payer ID: WBHCA
Line of Business Code (LOB): E49
Payer Remittance Enrollment Required: Yes

Enrollment Requirements:
Remittance:

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

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

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

5/29/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: Seminole Tribe of Florida
Institutional CPID: 4008
Professional CPID: 8733
Industry Standard Payer ID: 78702
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.

5/28/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: Seminole Tribe of Florida
Institutional CPID: 4008
Professional CPID: 8733
Industry Standard Payer ID: 78702
Line of Business (LOB) Code: E63
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.

5/28/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: Covenant Management Systems Employee Benefit Plan
Institutional CPID: 2572
Professional CPID: 1195
Industry Standard Payer ID: UMSEB / CMSEB
Payer Enrollment Required: Yes
Remittance Fee: N/A
Payer Location: Texas

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.

5/28/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: Covenant Management Systems Employee Benefit Plan
Institutional CPID: 2572
Professional CPID: 1195
Industry Standard Payer ID: UMSEB / CMSEB
Line of Business (LOB) Code: H3W
Payer Enrollment Required: Yes
Remittance Fee: N/A
Payer Location: Texas

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.

5/28/2026

Edit Master for Choice Physicians Net First Choice and Choice Physicians Network All United Medical Group

Optum is changing Edit Masters for the following payer, effective May 28, 2026:

Payer Name: Choice Physicians Net First Choice
Institutional CPID: 8661
Current Edit Master: HE9O007
New Edit Master: HE9T007
Industry Standard Payer ID: CPNFC

Payer Name: Choice Physicians Network All United Medical Group
Professional CPID: 1836
Current Edit Master: PE_O007
New Edit Master: PE_T007
Institutional CPID: 3649
Current Edit Master: HE9O007
New Edit Master: HE9T007
Industry Standard Payer ID: CPNAU

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.

5/28/2026

Health Net National 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 5/26/2026:

Payer Name: Health Net National
Industry Payer ID: HNNC
IMN Real Time ID: XHNNC
Exchange Real Time ID: HLTHNT
Optum IEDI Real Time ID: 10385
Payer Enrollment Required: No
Connection Type: X12

Search Options:

Claim Status Inquiry Subscriber: Member ID, First Name, Last Name, Date of Birth, Total Claim Charge Amount
Optional additional elements: Payer Claim Number

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.

5/28/2026

Edit Master for CPIDs 9741 and 8024 Chaffey Medical Group

Effective May 28, 2026, Optum will be changing Edit Masters for the following payer:

Payer Name: Chaffey Medical Group
Professional CPID: 9741
Current Edit Master: PE_O007
New Edit Master: PE_T007
Institutional CPID: 8024
Current Edit Master: HE9O007
New Edit Master: HE9T007
Industry Standard Payer ID: 49533

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.

5/28/2026

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

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.

5/28/2026

Eligibility and Claim Status Inquiry termination for payer ID 77701 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: Primewell Health Services
RPA Payer ID: 77701

Reason: Payer went out of business.

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.

5/28/2026

Report Generation Delay for CPIDs 1573 and 3802 AvMed

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.

5/28/2026

Report Generation Delay for CPID 1460 Louisiana Medicare

A payer intermediary is experiencing issues affecting Professional report generation for some claims submitted May 20, 2026-May 22, 2026.

Payer impacted:

CPID 1460 Louisiana Medicare

The payer intermediary has been unable to generate and deliver the reports for some claims submitted May 20, 2026-May 22, 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 10320977.

5/28/2026

Report Generation Delay for CPID 1449 Colorado Medicare

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

Payer impacted:

CPID 1449 Colorado Medicare

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

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

If you have any questions, please contact Customer Support and refer to Case Number 10321758.

5/28/2026

Update: Report Generation Delay for CPID 3706 Cenpatico

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

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

Original notice sent May 12, 2026:
A payer intermediary is experiencing issues affecting Professional report generation for some claims submitted April 28, 2026.

Payer impacted:

CPID 3706 Cenpatico

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 10303956.

5/28/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: Business Administrators and Consultants
Institutional CPID: 9019
Professional CPID: 3496
Industry Standard Payer ID: 49984
Payer Enrollment Required: Yes
Remittance Fee: N/A
Payer Location: Ohio

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.

5/27/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: Business Administrators and Consultants
Institutional CPID: 9019
Professional CPID: 3496
Industry Standard Payer ID: 49984
Line of Business (LOB) Code: H3I
Payer Enrollment Required: Yes
Remittance Fee: N/A
Payer Location: Ohio

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.

5/27/2026

Resolved: Delay in Claim Processing for CPID 3807, CHAMPVA

Resolved: This issue is now resolved. All affected claims have processed at the payer.

Original Notify sent May 18, 2026:

Due to a payer processing issue, there has been a delay in Professional claim processing for some claims submitted April 29, 2026.

Payer affected:

CPID 3807 CHAMPVA – HAC

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

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

5/27/2026

Resolved: Delay in Claim Processing for Payer ID 84146, CHAMPVA

This issue is now resolved. All affected claims have processed at the payer.

Original Notify sent May 19, 2026:

Due to a payer processing issue, there has been a delay in Professional claim processing for some claims submitted April 29, 2026.

Payer affected:

Payer ID 84146 CHAMPVA – HAC

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

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

5/27/2026

Payer Consolidation for UMC Health Plan - Reminder

e differences in the payer reports you receive.

Enrollment Requirements:
Claims:

Payer enrollment for electronic claims is not required.

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

Make any necessary system changes.

5/27/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: Business Administrators and Consultants
Payer ID: 49984
Payer Enrollment Required: Yes
Payer Location: Ohio

Payer Name: Texas Independence Health Plan Inc.
Payer ID: 31403
Payer Enrollment Required: Yes
Payer Location: Texas

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.

5/27/2026

Edit Master for CPIDs 4276 and 5553 Cardiovascular Care Providers

Effective May 27, 2026, Optum will be changing Edit Masters for the following payer:

Payer Name: Cardiovascular Care Providers
Professional CPID: 4276
Current Edit Master: PE_O007
New Edit Master: PE_T007
Institutional CPID: 5553
Current Edit Master: HE9O007
New Edit Master: HE9T007
Industry Standard Payer ID: GCVCP

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.

5/27/2026

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

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

Original notify sent on: March 27, 2025

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

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

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

Payers affected:

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

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

5/27/2026

Update: Invalid Error Message for Payer ID BCBSAZ, 53589, Blue Cross Blue Shield of Arizona

Original notify sent on: March 27, 2025

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:

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.

5/27/2026

Electronic Claims Connection Reactivation for CPIDs 5642 and 6273 LifePath Hospice

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

Payer Name: LifePath Hospice
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.

Original notice sent April 8, 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.

5/27/2026

New Payer Edit for CPID 5844
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 2, 2026:

PDTP03C450: INVALID SERVICE LINE FROM DATE - This payer is not accepting claims with a Service Line From Date on or after Jan. 1, 2026. LOOP 2400 DTP03

Edit applies to:

CPID 5844 Community Care Associates

Action Required: Please be aware of updated edit requirements.

5/27/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: Texas Independence Health Plan Inc.
Institutional CPID: 3068
Professional CPID: 8471
Industry Standard Payer ID: 31403
Line of Business (LOB) Code: K2D
Payer Enrollment Required: Yes
Remittance Fee: N/A
Payer Location: Texas

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.

5/27/2026

New Electronic Claims Connections Available

Optum has new electronic claims connections available:

Payer Name: Preferred Administrators Childrens Hospital
Institutional CPID: 1607
Professional CPID: 1717
Industry Standard Payer ID: EPF11
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: Texas

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.

5/27/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: Texas Independence Health Plan Inc.
Institutional CPID: 3068
Professional CPID: 8471
Industry Standard Payer ID: 31403
Payer Enrollment Required: Yes
Remittance Fee: N/A
Payer Location: Texas

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.

5/27/2026

New Electronic Eligibility Connections Available

Optum has new electronic eligibility connections available:

Payer Name: Auxiant Midwest Health Partners
Connection Type: X12
Payer Name: HealthFirst TPA Tyler TX Imagine360
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.

5/27/2026

New Payer Edit for CPID 3809

The payer listed below has informed Optum of a new edit requirement effective immediately. In order to meet the new requirement, we will add the following edit on June 02, 2026:

PPRV03A001: MISSING REND PROV TAXONOMY CODE - When the Rendering Provider NPI is present, the Rendering Provider Taxonomy Code is required. Exceptions: 1. When the CPID is 2822, 3445, 7265, or 7737, and the Rendering Provider NPI is equal to the Billing Provider NPI, this requirement does not apply. 2. When the CPID is 7497 and Medicare is the primary payer, this requirement does not apply. Note: If this requirement does not apply to your billing situation, you can override the edit in the Edit/Error Severity application or within the Error Text. LOOP 2310B PRV03

 Edit applies to: 

CPID 3809 Community First Health Plan

Action Required: Please be aware of updated edit requirements.

5/26/2026

New Payer Edit for CPID 4969

The payer listed below has informed Optum of a new edit requirement effective immediately. In order to meet the new requirement, we will add the following edit on June 02, 2026:

IDTP03A147: MISSING ADMISSION DATE - When the Type of Bill is 22x, the Admission Date is required. LOOP 2300 DTP03

 Edit applies to: 

CPID 4969 ConnectiCare VIP Medicare Advantage

Action Required: Please be aware of updated edit requirements.

5/26/2026

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 May 06, 2026:

Payer Name: First Medical Network
Industry ID: 10916
IMN Real Time ID: 10916
Exchange Real Time ID: FMDNW
Optum IEDI Real Time ID: 10916
Payer Enrollment Required: NO
Connection Type: X12

Search Options:

Eligibility Subscriber

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

Action Required by customer:

5/26/2026

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 May 21, 2026:

Payer Name: Georgia Medicaid
Industry Payer ID: 77034
IMN Real Time ID: SKGA0
Exchange Real Time ID: GACAID
CPID(s): 3538 (I), 1494 (P)
IEDI Real Time ID: 77034
Payer Enrollment Required: No
Connection Type: X12

Search Options:

Claim Status Inquiry subscriber

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

Optional additional elements:

Payer claim number, Total submitted charges

Action Required by customer:

5/26/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: Adventist Health Physicians Network
Payer ID: MPM51
Payer Enrollment Required: Yes
Payer Location: California

Payer Name: Western Southern Life Group
Payer ID: 31048
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.

5/26/2026

New Electronic Claims Connections Available

Optum has new electronic claims connections available:

Payer Name: Aspirion
Payer ID: ASU01
Payer Claim Enrollment Required: No
Secondary Claims Accepted: No
Payer Location: National

Payer Name: Complete Senior Care
Payer ID: R3485
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: New York

Payer Name: VAFSC/ICE Health Service Corps
Payer ID: VAICE
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.

5/26/2026

Claims Reactivation for Arizona Priority Care Plus, Payer ID AZPCP

Optum recently restored electronic claims connectivity for the following payer:

Payer Name: Arizona Priority Care Plus
Industry Standard Payer ID: AZPCP

Payer ID 27154 will no longer be accepted by the payer effective June 19, 2026.

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.

5/26/2026

Update: Electronic Claims Connection Reactivation for CPIDs 5642 and 6273 LifePath Hospice

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

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.

Original notice sent April 8, 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.

5/26/2026

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.

Original notice sent April 8, 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.

5/26/2026

Update: Delay in Claim Processing for CPID 3807, CHAMPVA – HAC

Update: This issue is still under active review with the payer. Additional notifications will be sent as updates become available.

Original Notify sent May 18, 2026:

Due to a payer processing issue, there has been a delay in Professional claim processing for some claims submitted April 29, 2026.

Payer affected:

CPID 3807 CHAMPVA – HAC

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

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

5/26/2026

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 May 20, 2026:

Payer Name: The Alliance / ALLIANCE (THE)
IMN Real Time ID: 88461
Exchange Real Time ID: TALNC
CPID(s): 1935 (I), 2712 (P)
Optum IEDI Real Time ID: 88461
Payer Enrollment Required: NO
Connection Type: X12

Search Options:

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

Action Required by customer:

5/26/2026

Report Generation Delay for CPID 9057 Sentara PACE

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

Payer impacted:

CPID 9057 Sentara PACE

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

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

If you have any questions, please contact Customer Support and refer to Case Number 10320371.

5/26/2026

Update: Report Generation Delay for CPID 5943 Evernorth Behavioral Health, Inc.

Update: The payer intermediary has been unable to generate and deliver the reports for some claims submitted on May 11, 2026..

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

Original notice sent May 14, 2026:

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

Payer impacted:

CPID 5943 Evernorth Behavioral Health, Inc

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 10307135.

5/26/2026

Update: Delay in Claim Processing for Payer ID 84146, CHAMPVA – HAC

Update: This issue is still under active review with the payer. Additional notifications will be sent as updates become available.

Original Notify sent May 19, 2026:
Due to a payer processing issue, there has been a delay in Professional claim processing for some claims submitted April 29, 2026.

Payer affected:

Payer ID 84146 CHAMPVA – HAC

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

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

5/26/2026

Report Generation Delay for CPID 3579 Louisiana Medicare

A payer intermediary is experiencing issues affecting Institutional report generation for some claims submitted May 20, 2026.

Payer impacted:

CPID 3579 Louisiana Medicare

The payer intermediary has been unable to generate and deliver the reports for some claims submitted May 20, 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 10320220.

5/26/2026

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 May 21, 2026:

Search Options:
Claim Status Inquiry subscriber

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

Optional additional elements:

Payer claim number, Total submitted charges

5/26/2026

Report Generation Delay for CPID 2234 Illinois Health Partners

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.

5/26/2026

The Loomis Company 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: The Loomis Company
Industry Payer ID: 23223
Exchange Real Time ID: LOOMS1
CPIDs: 5541, 5444
Connection Type: Portal

Reason: Payer no longer offers an electronic connection.

Action Required: None.

5/26/2026

Payer impacted:

CPID 7403 Blue Cross Blue Shield of New Mexico

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 10320350.

5/26/2026

Update: Report Generation Delay for CPIDs 5568 and 1258 Global Healthcare Alliance

Update: The payer intermediary has been unable to generate and deliver the reports for some claims submitted from April 14, 2026-April 24, 2026.

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

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

Payer impacted:

CPID 5568 Global Healthcare Alliance
CPID 1258 Global Healthcare Alliance

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

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

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

5/26/2026Effective immediately, claims currently exchanged with the following payer must use a different Payer ID.

Payer Name: University Medical Center
Payer ID: 11149

Claims must begin using the following:

Payer Name: UMC Health Plan
Payer ID: 75130

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

Enrollment Requirements:
Claims:

Payer enrollment for electronic claims is not required.

Action Required:

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

5/27/2026

Payer Consolidation for Affiliated Doctors of Orange County- Reminder

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

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

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

Providers must begin using the following ID for electronic claims:

Payer ID: ADOCS
Claim Enrollment Required: No
Secondary Claims Accepted: No

Report Changes:
You may see some

Payer Processing Issue for CPID 1568 Minnesota Medicaid

Due to a payer processing issue, some Institutional claims transmitted to the payer listed below May 14, 2026-May 15, 2026 were not processed by the payer.

Payer impacted:

CPID 1568 Minnesota Medicaid

A resolution has been implemented and the claims were retransmitted to the payer May 26, 2026.

This delay affected claims released to Optum May 13, 2026,10:00 p.m.-May 15, 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 10320174.

5/26/2026

The Loomis Company Electronic Remittance Connection No Longer Available

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

Payer Name: The Loomis Company
Industry Payer ID: 23223
IMN Real Time ID: 23223
Exchange Real Time ID: LOOMCO
CPIDs: 5541, 5444
Optum iEDI Real Time ID: LOOMS
Connection Type: X12

Reason: Payer no longer offers an electronic connection.

Action Required: None.

5/22/2026

Mary Washington Health Plan Electronic Claims and Remittance Connections No Longer Available

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

Payer Name: Mary Washington Health Plan
Claims and Remittance CPIDs: 8294, 3045
Industry Standard Payer ID: 83269
Reason: Payer no longer offers an electronic connection. This plan was terminated on January 1, 2024.

5/22/2026

Payer Name: Mary Washington Health Plan
Claims and Remittance CPIDs: 8294, 3045
Line of Business (LOB) Code: J5O
RTE Payer ID: MRYWSH
Industry Standard Payer ID: 83269
Reason: Payer no longer offers an electronic connection. This plan was terminated January 1, 2024.

Payer will no longer accept paper claims.

Action Required: Please make any necessary system changes.

Real Time transactions are no longer available for Assurance Reimbursement Management submitters when claim connections are terminated.

5/22/2026

Electronic Claim Status Connection Suspended

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

Payer Name: Sana Benefits
Industry Standard Payer ID: 50114
IMN Real Time ID: 50114
Exchange Real Time ID: SANAB
Optum IEDI Real Time ID: 50114

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

5/22/2026

New Electronic Claims Connections Available

Optum has new electronic claims connections available:

Payer Name: Aspirion
Institutional CPID: 1606
Professional CPID: 1714
Industry Standard Payer ID: 999990ASU
Payer Claim 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 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.

5/22/2026

New Electronic Claims Connections Available

Optum has new electronic claims connections available:

Action Required:

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

5/22/2026

Resolved: Delay in Electronic Remittance Advice (ERA) for File Date May 21, 2026

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

Original Notice sent May 21, 2026:
Due to an internal processing issue, there has been a delay in Professional and Institutional Electronic Remittance Advice (ERA) for the file date of May 21, 2026.

This issue began May 21, 2026, and we are actively working to resolve this issue. 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 file date above.

If you have any questions, feel free to contact your Customer Support Team and refer to Case Number INC-000004833.

5/22/2026

AmeriHealth Caritas VIP Care/PA Community Health Choices - Payer Name Change

Payer Name changed effective May 18, 2026:

Old Payer Name: AmeriHealth Caritas VIP Care PA CommHealthChoices
New Payer Name: AmeriHealth Caritas VIP Care/PA Community Health Choices
Industry Payer ID: 77062
IMN Real Time ID: 77062
Exchange Real Time ID: AMCHC
Payer Enrollment Required: No
Connection Type: X12

Action Required by Customer:
Please update your system to take advantage of this Payer transaction.

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

5/21/2026

Report Generation Delay for CPIDs 7567 and 7499 Sentara Health Plan

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

Payer impacted:

CPID 7567 Sentara Health Plans
CPID 7499 Sentara Health Plans

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

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

If you have any questions, please contact Customer Support and refer to Case Number 10317350.

5/21/2026

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: Canopy
CPID(s): 3790, 9056
Industry Standard Payer ID: CNPY1
Reason: Payer unavailable electronically.

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

5/21/2026

Edit Master for CPID 9487 CarePlus Encounters and CPID 7701 Center IPA

Optum will be changing Edit Masters for the following payers, effective May 21, 2026:

Payer Name: CarePlus Encounters
Professional CPID: 9487
Current Edit Master: PE_O007
New Edit Master: PE_T007
Industry Standard Payer ID: 95093

Payer Name: Center IPA
Professional CPID: 7701
Current Edit Master: PE_O007
New Edit Master: PE_T007
Industry Standard Payer ID: POP01

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.

5/21/2026

Par Status change

The PAR Status change for the below payer for Claim Status (276/277) has changed, effective May 13, 2026.

Payer Name: GRAVIE INC
Industry ID: GRV01
IMN Real Time ID: GRV01
Exchange CPID(s): 7058 (I), 9439 (P)
Exchange Real Time ID: GRAVIE
Optum IEDI Real Time ID: GRV01
Transactions: Claim Status
Old PAR Status: TRANS
New PAR Status: NON-PAR

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.

5/21/2026

Report Generation Delay for CPID 5912 Delaware Medicare

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

Payer impacted:

CPID 5912 Delaware Medicare

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 10316558.

5/21/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: Adventist Health Physicians Network
Institutional CPID: 7055
Professional CPID: 9437
Industry Standard Payer ID: MPM51
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.

5/21/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: Adventist Health Physicians Network
Institutional CPID: 7055
Professional CPID: 9437
Industry Standard Payer ID: MPM51
Line of Business (LOB) Code: H3H
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.

5/21/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: Western Southern Life Group
Institutional CPID: 3979
Professional CPID: 5415
Industry Standard Payer ID: 31048
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.

5/21/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: Western Southern Life Group
Institutional CPID: 3979
Professional CPID: 5415
Industry Standard Payer ID: 31048
Line of Business (LOB) Code: H44
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.

5/21/2026

Report Generation Delay for CPIDs 4068 and 8812 Maryland Physicians Care

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.

5/21/2026

Activate CLM for Complete Senior Care

Optum has new electronic claims connections available:

Payer Name: Complete Senior Care
Professional CPID: 1433
Institutional CPID: 1596
Industry Standard Payer ID: R3485
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: New York

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.

5/21/2026

Remittance Changes for CPID 1750 Brown & Toland Physicians

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
Line of Business Code (LOB): J12

In order to continue receiving electronic remittance, providers must login in to Enrollment Central prior to June 10, 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.

5/20/2026

Update: Report Generation Delay for CPIDs 4465 and 4935 Tall Tree Administrators

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

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

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

Original notice sent May 14, 2026:

A payer intermediary is experiencing issues affecting Institutional and Professional report generation for some claims submitted on May 5, 2026.

Payer impacted:

CPID 4465 Tall Tree Administrators
CPID 4935 Tall Tree 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 10307228.

5/20/2026

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

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

5/20/2026

Report Generation Delay for CPID 3933 MPE Employee Benefit Services

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

Payer impacted:

CPID 3933 MPE Employee Benefit Services

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 10314713.

5/20/2026

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

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

Original notify sent March 27, 2025

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.

5/20/2026

Remittance Changes for CPID 1750 Brown & Toland Physicians

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 10, 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.

5/20/2026

Update: Report Generation Delay for CPIDs 4465 and 4935 Tall Tree Administrators

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

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

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

Original notice sent May 14, 2026:

A payer intermediary is experiencing issues affecting Institutional and Professional report generation for some claims submitted on May 5, 2026.

Payer impacted:

CPID 4465 Tall Tree Administrators
CPID 4935 Tall Tree 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 10307228.

5/20/2026

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

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

5/20/2026

Report Generation Delay for CPID 3933 MPE Employee Benefit Services

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

Payer impacted:

CPID 3933 MPE Employee Benefit Services

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 10314713.

5/20/2026

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

Original notify sent March 27, 2025

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.

5/20/2026

Remittance Changes for CPID 1750 Brown & Toland Physicians

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 10, 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.

5/20/2026

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

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

Original notify sent 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.

5/20/2026

Update: Invalid Error Message for Payer ID BCBSAZ, 53589, Blue Cross Blue Shield of Arizona

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

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:

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.

5/20/2026

Edit Master updates for CPIDs 5874 and 8688 Bella Vista Medical Group

Optum is changing Edit Masters for the following payer, effective May 20, 2026:

Payer Name: Bella Vista Medical Group
Professional CPID: 5874
Current Edit Master: PE_O007
New Edit Master: PE_T007
Institutional CPID: 8688
Current Edit Master: HE9O007
New Edit Master: HE9T007
Industry Standard Payer ID: MPM10

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.

5/20/2026

Resolved: Invalid Error Message for Mandatory Data Element Missing

Resolved: This issue has been resolved as of May 19, 2026, 5:15 p.m. CT. You may resubmit any impacted claims at this time.

Original Notice sent May 19, 2026:
Due to an Optum processing issue, Professional API claims may have received the following invalid error message:

ErrorDescription: Mandatory Data Element Missing
Loop: 2400
Segment: SV1

This issue began May 13, 2026, and we are working to resolve this invalid error message in our system. Additional updates will be forwarded as more information becomes available.

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

5/20/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: Cook Childrens STAR Plan
Payer ID: CCHP9
Payer Enrollment Required: Yes
Payer Location: Texas

Payer Name: Innermark TPA
Payer ID: 98481
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.

5/20/2026

New Electronic Claims Connections Available

Optum has new electronic claims connections available:

Payer Name: VAFSC/ICE Health Service Corps
Institutional CPID: 1598
Professional CPID: 1479
Industry Standard Payer ID: VAICE
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.

5/20/2026

New Electronic Claims Connections Available

Optum has new electronic claims connections available:

Action Required:

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

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

5/20/2026

Edit Master for CPIDs 2079 and 8224 Beverly Hospital

Effective May 20, 2026, Optum will be changing Edit Masters for the following payer:

Payer Name: Beverly Hospital
Professional CPID: 8224
Current Edit Master: PE_O007
New Edit Master: PE_T007
Institutional CPID: 2079
Current Edit Master: HE9O007
New Edit Master: HE9T007
Industry Standard Payer ID: MPM42

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.

5/20/2026

New Electronic Eligibility Connections Available

Optum has new electronic eligibility connections available:

Payer Name: Auxiant Midwest Health Partners
Connection Type: X12

Payer Name: Keenan and Associates
Connection Type: X12

Payer Name: Kitsap Physicians Services
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.

5/19/2026

New Real Time Transaction Available - Kitsap Physician Services

Effective May 13th 2026, Optum is pleased to announce the availability of Real-time Eligibility transactions for the below payer:

Payer name: Kitsap Physician Services
Transaction type: Eligibility
IMN: 10341
IEDI: 10341
Exchange: KITSAP

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.

5/19/2026

Edit Master for CPIDs 7806 and 8580 CALMED Global

Effective May 19, 2026, Optum will be changing Edit Masters for the following payer:

Payer Name: CALMED Global
Professional CPID: 7806
Current Edit Master: PE_O007
New Edit Master: PE_T007
Institutional CPID: 8580
Current Edit Master: HE9O007
New Edit Master: HE9T007
Industry Standard Payer ID: MPM27

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.

5/19/2026

ANTHEM BCBS OF NH 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 May 19, 2026:

Payer Name: ANTHEM BLUE CROSS BLUE SHIELD OF NEW HAMPSHIRE
Industry Payer ID: 00270
IMN Real Time ID: SB770
Exchange Real Time ID: NHBCBS
Optum IEDI Real Time ID: NHBLS
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

Claim Status Inquiry Dependent

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

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

5/19/2026

New Payer Edit for CPID 1039

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 May 26, 2026:

ICL103A038: INVALID PATIENT STATUS - When the Type of Bill is xx1 or xx4, the Patient Status must not be 30. Exception: When the CPID is 1942 and the Type of Bill is xx4, this requirement does not apply. LOOP 2300 CL103

Edit applies to:

CPID 1039 South Country Health Alliance

Action Required: Please be aware of updated edit requirements.

5/19/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: Cook Childrens STAR Plan
Institutional CPID: 9580
Professional CPID: 4752
Industry Standard Payer ID: CCHP9
Payer Enrollment Required: Yes
Remittance Fee: N/A
Payer Location: Texas

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.

5/19/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: Cook Childrens STAR Plan
Institutional CPID: 9580
Professional CPID: 4752
Industry Standard Payer ID: CCHP9
Line of Business (LOB) Code: J62
Payer Enrollment Required: Yes
Remittance Fee: N/A
Payer Location: Texas

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.

5/19/2026

Report Generation Delay for CPIDs 4949 and 3211 Wellcare Health Plans Encounters

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

Payer impacted:

CPID 4949 Wellcare Health Plans Encounters
CPID 3211 Wellcare Health Plans Encounters

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

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

If you have any questions, please contact Customer Support and refer to Case Number 10313154.

5/19/2026

Invalid Error Message for Mandatory Data Element Missing

Due to an Optum processing issue, Professional API claims may have received the following invalid error message:

ErrorDescription: Mandatory Data Element Missing
Loop: 2400
Segment: SV1

This issue began May 13, 2026, and we are working to resolve this invalid error message in our system. Additional updates will be forwarded as more information becomes available.

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

5/19/2026

Edit Master for CPIDs 3839 and 1978 Cigna HealthSpring Maryland/Pennsylvania

Optum will be changing Edit Masters for the following payer, effective May 28, 2026, 5:00 pm CT:

Payer Name: Cigna HealthSpring Maryland/Pennsylvania
Professional CPID: 3839
Current Edit Master: PE_B800
New Edit Master: PE_T007
Institutional CPID: 1978
Current Edit Master: HE9B801
New Edit Master: HE9T007
Industry Standard Payer ID: 52192

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.

5/19/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: Innermark TPA
Institutional CPID: 8093
Professional CPID: 2888
Industry Standard Payer ID: 98481
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.

5/19/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: Innermark TPA
Institutional CPID: 8093
Professional CPID: 2888
Industry Standard Payer ID: 98481
Line of Business (LOB) Code: J17
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.

5/19/2026

Update: Report Generation Delay for CPIDs 2431 and 1643 Colorado Access

Update: The payer intermediary has been unable to generate and deliver the reports for some claims submitted April 22, 2026-April 23, 2026.

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

Original notice sent April 28, 2026:
A payer intermediary is experiencing issues affecting Professional and Institutional report generation for some claims submitted since April 22, 2026.

Payer impacted:

CPID 2431 Colorado Access
CPID 1643 Colorado Access

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

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

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

5/19/2026

Kern Health Systems Electronic Eligibility Connection No Longer Available

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

Payer Name: Kern Health Systems
Industry Payer ID: 77039
Exchange Real Time ID: KERN1
CPIDs: 9500, 3803
Connection Type: Portal

Reason: Payer no longer offers an electronic connection.

Action Required: None

5/18/2026

Delay in Claim Processing for Payer ID 84146, CHAMPVA – HAC

Due to a payer processing issue, there has been a delay in Professional claim processing for some claims submitted April 29, 2026.

Payer affected:

CPID 3807 CHAMPVA – HAC

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

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

5/18/2026

Delay in Claim Processing for Payer ID 84146, CHAMPVA – HAC

Due to a payer processing issue, there has been a delay in Professional claim processing for some claims submitted April 29, 2026.

Payer affected:

Payer ID 84146 CHAMPVA – HAC

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

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

5/18/2026

New Payer Edit for CPID 4292 Health Plan of San Mateo

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 May 21, 2026:

PREF02A034:MISSING PRIOR AUTHORIZATION - For a Primary claim, the Prior Authorization Number is required. Exceptions: 1. When the associated Place of Service is 23, this requirement does not apply. 2. When the associated HCPCS/CPT-4 Code is V2600, V2610, or V2615 and the Service Line Charge Amount is less than 100.00, this requirement does not apply. 3. When the HCPCS/CPT-4 Code is J1950 and the ICD-10-CM Diagnosis Code is D250-D259, E301, F640-F649, N800-N809, or Z87890, this requirement does not apply. Note: If this requirement does not apply to your billing situation, you can override the edit within the Error Text. LOOP 2300 REF02

Edit applies to:

CPID 4292 HEALTH PLAN OF SAN MATEO

Action Required: Please be aware of updated edit requirements.

5/18/2026

New Electronic Remittance Connections Available - Christus Health - USFHP

Optum has new electronic remittance connections available:

Payer Name: Christus Health - USFHP
Payer ID: 90551
Payer Enrollment Required: Yes
Payer Location: Louisiana, Texas

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.

5/18/2026

Electronic Routing Change for CPIDs 4083 and 8859 AmeriHealth Caritas North Carolina

Effective May 28, 2026, Optum will be changing electronic claims routing for the following payer:

Payer Name: AmeriHealth Caritas North Carolina
Professional CPID: 8859
Edit Master: PE_T007
Institutional CPID: 4083
Edit Master: HE9T007
Industry Standard Payer ID: 81671
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.

5/18/2026

Electronic Routing Change for CPIDs 4083 and 8859 AmeriHealth Caritas North Carolina

Effective May 28, 2026, Optum will be changing electronic claims routing for the following payer:

Payer Name: AmeriHealth Caritas North Carolina
Professional CPID: 8859
Institutional CPID: 4083
Industry Standard Payer ID: 81671
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.

5/18/2026

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

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

Payer impacted:

CPID 5568 Global Healthcare Alliance
CPID 1258 Global Healthcare Alliance

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

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

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

5/18/2026

Update: Clear Spring Health Electronic Claims and Remittance Connection No Longer Available

Update: Please disregard this termination notice. This payer will NOT be terminated.

Original Message sent May 18, 2026:
Effective immediately, the payer listed below will no longer be available at Optum for claims and remittance processing.

Payer Name: Clear Spring Health
Claims and Remittance CPIDs: 5043, 8889
Line of Business (LOB) Code: H3S
Industry Standard Payer ID: 85468
Reason: Payer no longer offers an electronic connection.

Action Required: Please make any necessary system changes.

5/18/2026

Update: Clear Spring Health Electronic Claims and Remittance Connection No Longer Available

Update: Please disregard this termination notice. This payer will NOT be terminated.

Original Message sent May 18, 2026:
Effective immediately, the payer listed below will no longer be available at Optum for claims and remittance processing.

Payer Name: Clear Spring Health
Claims and Remittance CPIDs: 5043, 8889
Industry Standard Payer ID: 85468
Reason: Payer no longer offers an electronic connection.

Action Required: Please make any necessary system changes.

5/18/2026

Report Generation Delay for CPID 6732 McLaren Health Plan Medicaid

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

Payer impacted:

CPID 6732 McLaren Health Plan Medicaid

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

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

If you have any questions, please contact Customer Support and refer to Case Number 10311165.

5/18/2026

Edit Master for CPID 6141 Advantage Care IPA

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

Payer Name: Advantage Care IPA
Professional CPID: 6141
Current Edit Master: PE_O007
New Edit Master: PE_T007
Industry Standard Payer ID: ACIPA

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.

5/18/2026

BCBS of Florida 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 May 15, 2026:

Payer Name: Blue Cross Blue Shield of Florida
Industry Payer ID: 00590
IMN Real Time ID: SB590
Exchange Real Time ID: FLBCBS
Optum IEDI Real Time ID: FLBLS, 10031
Payer Enrollment Required: No
Connection Type: X12

Search Options:
Claim Status Inquiry subscriber

Member id, first name, last name, date of birth
Optional additional elements: Payer claim number; Total submitted charges

Claim Status Inquiry Dependent

Member ID, dep first name, dep last name, dep date of birth, subscriber last name
Optional additional elements: Payer claim number, Total submitted charges

5/18/2026

Clear Spring Health Electronic Claims and Remittance Connection No Longer Available

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

Payer Name: Clear Spring Health
Claims and Remittance CPIDs: 5043, 8889
Industry Standard Payer ID: 85468
Reason: Payer no longer offers an electronic connection.

Action Required: Please make any necessary system changes.

5/18/2026

Clear Spring Health Electronic Claims and Remittance Connection No Longer Available

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

Action Required: Please make any necessary system changes.

5/18/2026

New Electronic Eligibility & Claim Status Connection

Optum is pleased to announce the availability of Real-time Eligibility 270/271 & Claim Status Inquiry and Response 276/277 for the below payer, effective May 15, 2026:

Payer Name: Auxiant fka Midwest Health Partners

IMN Real Time ID: 76079

Exchange Real Time ID: AUXANT

CPID(s): 9520 (I), 1108 (P)

IEDI Real Time ID: 76079

Payer Enrollment Required: No

Connection Type: X12

Search Options:

Eligibility Subscriber

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

Eligibility Dependent

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

Claim Status Inquiry subscribe:

Member ID, First name, Last name, date of birth, Patient Account number

Optional additional elements:

Payer claim number, Total submitted charges

Action Required by customer:

5/18/2026

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

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.

5/15/2026

Payer Consolidations - Multiple Payers (Reminder)

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

Payer Name: Healthcare Highways Health Plan

Payer ID: HCH01

Claim Type: Institutional and Professional

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

Providers must begin using the following ID for electronic claims:

Payer ID: HCHHP

Payer Name: Hollywood Presbyterian Medical Center - Preferred IPA

Payer ID: AMM18, MPM29

Claim Type: Institutional and Professional

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

Providers must begin using the following ID for electronic claims:

Payer ID: 10910

Payer Name: Indian Health Services

Payer ID: 12X75

Claim Type: Institutional

Payer ID: SX171

Claim Type: Professional

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

Providers must begin using the following ID for electronic claims:

Payer ID: 00290

Payer Name: Primewell Health Services

Payer ID: 72128

Claim Type: Professional

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

Providers must begin using the following ID for electronic claims:

Payer ID: 77701

Payer Name: Quartz ASO

Payer IDs: 66705, 46571, 39156

Claim Type: Institutional and Professional

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

Providers must begin using the following ID for electronic claims:

Payer ID: 39180

Payer Name: Sutter Gould Medical Foundation

Payer ID: 77302, IP091

Claim Type: Institutional and Professional

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

Providers must begin using the following ID for electronic claims:

Payer ID: SC003

Payer Name: Umpqua Health Alliance

Payer ID: 77502, 77503

Claim Type: Institutional and Professional

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

Providers must begin using the following ID for electronic claims:

Payer ID: 77505

Enrollment Requirements:

Claims:

Payer enrollment for electronic claims is not required.

Action Required:

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

5/15/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: ResourceOne Administrators
Payer ID: 66456
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.

5/15/2026

Electronic Claims Connection Suspended

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

Payer Name: Emanate Health Med Center PDT MSO
Industry Standard Payer ID: MPM47
Reason: Payer unavailable electronically.

Payer Name: Emanate Health Med Center NMM
Industry Standard Payer ID: MPM46
Reason: Payer unavailable electronically.

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

5/15/2026

Updated Electronic Eligibility Connection Available

Optum would like to announce an update for the following payer:

Claims and ERAs were previously discontinued; therefore, the CPID no longer applies and has been removed. The IMN Payer ID has also been updated.

These changes apply effective May 12, 2026.

Transaction: Real-time Eligibility Inquiry and Response (270/271)

Payer Name: MetLife Dental Family
IMN Real Time ID: 65978
iEDI Real Time ID: 10134
Exchange Real Time ID: MLDNTL
CPID(s): N/A
Payer Enrollment Required: No
Connection Type: X12

Search Options:

Subscriber

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

Dependent

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

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.

5/15/2026

New 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 May 14, 2026:

Payer Name: Tricare Overseas Program
IMN Real Time ID: SX163
Exchange Real Time ID: OVRSEA
CPID(s): 1238, 6565
Optum IEDI Real Time ID: 10947
Payer Enrollment Required: No
Connection Type: X12

Search Options:

Claim Status Inquiry subscriber:

Member id, first name, last name, date of birth
- Optional additional elements: Payer claim number; Total submitted charges

Action Required by customer:

5/15/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: ResourceOne Administrators
Institutional CPID: 4929
Professional CPID: 3257
Industry Standard Payer ID: 66456
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.

5/15/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: ResourceOne Administrators
Institutional CPID: 4929
Professional CPID: 3257
Industry Standard Payer ID: 66456
Line of Business (LOB) Code: N51
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.

5/15/2026

Report Generation Delay for CPID 4516 Cigna Select Great-West Healthcare

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

Payer impacted:

CPID 4516 Cigna Select Great-West Healthcare

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

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

If you have any questions, please contact Customer Support and refer to Case Number 10308695.

5/15/2026

UnitedHealthcare 270/271 Transaction Responses for Members with Coordination of Benefits (COB)

Effective June 4, 2026, UnitedHealthcare will update Electronic Data Interchange (EDI) 270/271 transaction responses for members with Coordination of Benefits (COB).

WHAT IS CHANGING:

Currently, if you submit a 270 EDI eligibility inquiry for a patient with Coordination of Benefits (COB), the 271 EDI response only lists primary coverage for the COB policies/plan. After the enhancement, the primary/secondary coverage qualifier will also be reflected for UHC policies/plans.

Sample 271 EDI Responses for members with additional coverages (Coordination of Benefits)

Current Before Enhancement:

Subscriber Benefit Related Entity Name (2110C) Identifies UHC only as a payer without indicating whether it is primary, secondary or tertiary.

NM1*PR*2*UNITEDHEALTHCARE*****PI*87726~

Subscriber Eligibility or Benefit Information (2110C) Identifies COB primary, secondary or tertiary.

EB*R**30~
NM1*PRP*2*MEDICARE PART A & B~

After Enhancement effective June 4, 2026:

Subscriber Benefit Related Entity Name (2110C) When the COB policy is identified as Primary Payer, the UHC policy is now identified as the secondary payer.

NM1*SEP*2*UNITEDHEALTHCARE*****PI*87726~

Subscriber Eligibility or Benefit Information (2110C) Identifies COB primary, secondary or tertiary.
EB*R**30~
DTP*636*D8*20241218~ COB last updated date shows with COB policy
LS*2120~
NM1*PRP*2*MEDICARE PART A & B~
LE*2120~

If you have questions, please contact UnitedHealthcare EDI Support by sending an email to [email protected] or by completing the EDI Transaction Support Form EDI Transaction Support Form.

5/15/2026

Empire Physician's Medical Group Electronic Claims Connection No Longer Available

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

Payer Name: Empire Physician's Medical Group
Industry Standard Payer ID: EMP01
Reason: Payer no longer offers an electronic connection to which Optum can connect.

Action Required: Please make any necessary system changes.

5/15/2026

Electronic Payer ID Change for Group Benefit Service

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

Payer Name: Group Benefit Service
Payer ID: CB951

Claims must begin using the following:
Payer Name: Group Benefit Services
Payer ID: 80241
Payer ID CB951 was terminated effective May 15, 2026.

Enrollment Requirements:
Claims:

Payer enrollment for electronic claims is not required.

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

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

Make any necessary system changes.

5/15/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: Christus Health - USFHP
Institutional CPID: 4952
Professional CPID: 4493
Industry Standard Payer ID: 90551
Payer Enrollment Required: Yes
Remittance Fee: N/A
Payer Location: Louisiana, Texas

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.

5/15/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: Christus Health - USFHP
Institutional CPID: 4952
Professional CPID: 4493
Industry Standard Payer ID: 90551
Line of Business (LOB) Code: H3G
Payer Enrollment Required: Yes
Remittance Fee: N/A
Payer Location: Louisiana, Texas

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.

5/15/2026

New Electronic Claims Connections Available - Multiple Payers

Optum has new electronic claims connections available:

Payer Name: Accelerated Claims, Inc.
Payer ID: 90748
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: National

Payer Name: Altrua HealthShare
Payer ID: 12175
Payer Enrollment Required: No
Secondary Claims Accepted: No
Payer Location: National

Payer Name: Bay Bridge Administrators Supplemental Health Plan
Payer ID: 89486
Payer Enrollment Required: No
Secondary Claims Accepted: No
Payer Location: National

Payer Name: Boulder Administration Services
Payer ID: 18768
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: Montana

Payer Name: Bywater
Payer ID: 12090
Payer Enrollment Required: No
Secondary Claims Accepted: No
Payer Location: National

Payer Name: Cedar Valley Community Healthcare
Payer ID: 42558
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: Iowa

Payer Name: Custody Medical Services
Payer ID: AMM03
Payer Enrollment Required: No
Secondary Claims Accepted: No
Payer Location: California

Payer Name: Denver Health Medical Plan, Inc
Payer ID: 65456
Payer Enrollment Required: No
Secondary Claims Accepted: No
Payer Location: Colorado

Payer Name: Diversified Benefit Administrators
Payer ID: DBA20
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: National

Payer Name: Esurance Insurance Company
Payer ID: 25712
Payer Enrollment Required: No
Secondary Claims Accepted: No
Payer Location: National

Payer Name: Good Samaritan Hospital
Payer ID: GSH01
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: California

Payer Name: HealthCosmos of New Mexico LLC
Payer ID: COSNM
Payer Enrollment Required: No
Secondary Claims Accepted: No
Payer Location: New Mexico

Payer Name: Health Network Solutions Blue Cross Blue Shield of North Carolina
Payer ID: HBC01
Transaction Type: Professional
Payer Enrollment Required: No
Secondary Claims Accepted: No
Payer Location: North Carolina

Payer Name: Health Network Solutions Select Health South Carolina
Payer ID: HSH02
Transaction Type: Professional
Payer Enrollment Required: No
Secondary Claims Accepted: No
Payer Location: South Carolina

Payer Name: Health Special Risk
Payer ID: 65449
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: National

Payer Name: Idaho Womens Health Check
Payer ID: IDWH1
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: Idaho

Payer Name: IncentiCare
Payer ID: 18151
Payer Enrollment Required: No
Secondary Claims Accepted: No
Payer Location: National

Payer Name: INDECS, A Homestead Company
Payer ID: L0929
Payer Enrollment Required: No
Secondary Claims Accepted: No
Payer Location: National

Payer Name: Kuspuk School District
Payer ID: 57610
Payer Enrollment Required: No
Secondary Claims Accepted: No
Payer Location: Alaska

Payer Name: Louisiana Medicaid Ambulance
Payer ID: LACAM
Transaction Type: Professional
Payer Enrollment Required: Yes
Secondary Claims Accepted: Yes
Payer Location: Louisiana

Payer Name: Louisiana Medicaid Home Health
Payer ID: 12K94
Transaction Type: Institutional
Payer Enrollment Required: Yes
Secondary Claims Accepted: Yes
Payer Location: Louisiana

Payer Name: Preferred Medicare Choice (PMC)
Payer ID: 66059
Payer Enrollment Required: Yes
Secondary Claims Accepted: No
Payer Location: Puerto Rico

Payer Name: Midwest Operating Engineers Fringe Benefit Funds
Payer ID: 45979
Transaction Type: Professional
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: Illinois

Payer Name: New Jersey Charity Care Outpatient
Payer ID: 00012
Transaction Type: Institutional
Payer Enrollment Required: Yes
Secondary Claims Accepted: Yes
Payer Location: New Jersey

Payer Name: New York Life Long Term Care
Payer ID: NYL11
Transaction Type: Professional
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: National

Payer Name: Podiatry Plan
Payer ID: PODIA
Transaction Type: Professional
Payer Enrollment Required: No
Secondary Claims Accepted: No
Payer Location: California

Payer Name: Premier Care IPA
Payer ID: PCMSO
Transaction Type: Professional
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: California

Payer Name: Premier Physician Alliance
Payer ID: 65482
Transaction Type: Professional
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: California

Payer Name: Premier Physician Network
Payer ID: MPM22
Transaction Type: Institutional
Payer Enrollment Required: No
Secondary Claims Accepted: No
Payer Location: California

Payer Name: Santa Barbara Select IPA
Payer ID: SBIPA
Transaction Type: Professional
Payer Enrollment Required: No
Secondary Claims Accepted: No
Payer Location: California

Payer Name: Santa Monica Unite Here Health Benefit Fund
Payer ID: DBA02
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: California

Payer Name: SureGo Administrative Services
Payer ID: 89207
Payer Enrollment Required: No
Secondary Claims Accepted: No
Payer Location: National

Payer Name: UCS Cement Masons
Payer ID: 34924
Payer Enrollment Required: No
Secondary Claims Accepted: No
Payer Location: Oregon

Payer Name: Universal HealthShare
Payer ID: 53684
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: National

Payer Name: Utah Medicaid Crossover
Payer ID: SKUT1
Payer Enrollment Required: Yes
Secondary Claims Accepted: Yes
Payer Location: Utah

Payer Name: Washington National Insurance Company
Payer ID: 70319
Transaction Type: Professional
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.

5/15/2026

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.

5/15/2026

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:

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.

5/15/2026

Electronic Claims Connection Suspended

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

Payer Name: Emanate Health Med Center NMM
CPIDs: 2036, 8174
Industry Standard Payer ID: MPM46
Reason: Payer unavailable electronically.

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

5/15/2026

Electronic Claims Connection Suspended

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

Payer Name: Emanate Health Med Center PDT MSO
CPIDs: 2037, 8175
Industry Standard Payer ID: MPM47
Reason: Payer unavailable electronically.

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

5/15/2026

Report Generation Delay for CPID 6221 OrthoNet US Family Health Plan

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

Payer impacted:

CPID 6221 OrthoNet US Family Health Plan

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

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

If you have any questions, please contact Customer Support and refer to Case Number 10307948.

5/14/2026

Electronic Routing and Industry Payer ID Change for CPIDs 1131 and 2515 Valir PACE

Effective May 14, 2026, Optum will be changing the Industry Payer ID and electronic claims and remittance routing for the following payer:

Payer Name: Valir PACE
Professional CPID: 1131
Institutional CPID: 2515
Current Industry Standard Payer ID: 48123
New Industry Standard Payer ID: R3463
Payer Claim Enrollment Required: No
Payer Remittance Enrollment Required: Yes
Secondary Claims Accepted: Yes

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

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 must complete a new enrollment form.

New providers must complete a new enrollment form.

Report Changes:

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

Action Required: Please 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.

5/14/2026

Electronic Routing and Industry Payer ID Change for CPIDs 1131 and 2515 Valir PACE

Effective May 14, 2026, Optum will be changing the Industry Payer ID and electronic claims and remittance routing for the following payer:

Payer Name: Valir PACE

Professional CPID: 1131

Current Edit Master: PE_E049

New Edit Master: PE_T007

Institutional CPID: 2515

Current Edit Master: HE9E049

New Edit Master: HE9T007

Current Industry Standard Payer ID: 48123

New Industry Standard Payer ID: R3463

Line of Business Code (LOB): H4R

Payer Claim Enrollment Required: No

Payer Remittance Enrollment Required: Yes

Secondary Claims Accepted: Yes

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

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 must complete a new enrollment form.

New providers must complete a new enrollment form.

Report Changes:

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

Action Required: Please make the following 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.

5/14/2026

Report Generation Delay for CPIDs 4465 and 4935 Tall Tree Administrators

We would like to give you awareness of a payer processing issue that could potentially impact your business. A payer intermediary is experiencing issues affecting Institutional and Professional report generation for some claims submitted on May 5, 2026.

Payer impacted:

CPID 4465 Tall Tree Administrators
CPID 4935 Tall Tree 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 10307228.

5/14/2026

Report Generation Delay for CPID 5943 Evernorth Behavioral Health, Inc.

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

Payer impacted:

CPID 5943 Evernorth Behavioral Health, Inc

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 10307135.

5/14/2026

Payer Processing Issue for CPID 1468 Minnesota Medicaid

Due to a payer processing issue, some Professional claims transmitted to the payer listed below on May 11, 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 on May 14, 2026.

This delay affected claims released to Optum between 10 p.m. CT on May 8, 2026 and 10 p.m. CT on May 11, 2026.

Action Required: Be aware of the processing issue above.

If you have any questions, please contact Customer Support and refer to Case Number 10307203.

5/14/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: National Association of Letter Carriers
Institutional CPID: 8640
Professional CPID: 7224
Industry Standard Payer ID: 53011
Line of Business (LOB) Code: H6Y
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

5/14/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: National Association of Letter Carriers
Institutional CPID: 8640
Professional CPID: 7224
Industry Standard Payer ID: 53011
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.

5/14/2026

Report Generation Delay for CPID 4516 Cigna Select Great-West Healthcare

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

Payer impacted:

CPID 4516 Cigna Select Great-West Healthcare

The payer intermediary has been unable to generate and deliver the reports for some claims submitted on May 13, 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 10307161.

5/14/2026

Claims Reactivation for CPIDs 4695, 6220 Arizona Priority Care Plus

Optum recently restored electronic claims connectivity for the following payer:

Payer Name: Arizona Priority Care Plus
Professional CPID: 6220
Institutional CPID: 4695
Industry Standard Payer ID: AZPCP

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.

5/14/2026

Edit Master for CPID 7120 Avante Health

Optum is changing Edit Masters for the following payer, effective May 14, 2026:

Payer Name: Avante Health
Professional CPID: 7120
Current Edit Master: PE_O007
New Edit Master: PE_T007
Industry Standard Payer ID: AH001

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.

5/14/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: Entrust
Standard Payer ID: 36878
Payer Enrollment Required: Yes
Payer Location: Texas

Payer Name: National Association of Letter Carriers
Payer ID: 53011
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.

5/14/2026

Electronic Claims Connection Suspended - Arizona Priority Care Plus

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

Payer Name: Arizona Priority Care Plus
Industry Standard Payer ID: 27154
Reason: Payer unavailable electronically.

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

5/14/2026

22344 – Exceedent LLC
90753 – Liberty Healthshare
HARBR – Harbor Health

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

5/14/2026

New Electronic Claims Connections Available on Revenue Performance Advisor

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

00886 – Blue Cross Blue Shield of South Carolina Planned Administrators, Inc. (PAI)
21614 – PACE Greater New Orleans
70023 – West Virginia Senior Advantage
71070 – Healthchoice Select
81397 – Independent Living Systems
84320 – Astiva Health
AMDC1 – Advanced Medical Doctors of California
CPNCO – Choice Physicians Network Coachellamed
CTPL1 – California IPA
DVMC1 – Desert Valley Medical Group
FRN01 – Franciscan Health Hammond
MPM33 – Adventist White Memorial - Crown City Medical Group
MPM36 – Adventist Health Hanford AHP
MPM37 – Adventist Health Plan
R3473 – Capital Health LIFE

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

00886 – Blue Cross Blue Shield of South Carolina Planned Administrators, Inc. (PAI)
21614 – PACE Greater New Orleans
70023 – West Virginia Senior Advantage
71070 – Healthchoice Select
81397 – Independent Living Systems
84320 – Astiva Health
AMDC1 – Advanced Medical Doctors of California
CPNCO – Choice Physicians Network Coachellamed
CTPL1 – California IPA
FRN01 – Franciscan Health Hammond
MPM33 – Adventist White Memorial - Crown City Medical Group
MPM37 – Adventist Health Plan
R3473 – Capital Health LIFE
UVCAR – Unity Vision

5/14/2026

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: Arizona Priority Care Plus
CPIDs: 4695, 6220
Industry Standard Payer ID: 27154
Reason: Payer unavailable electronically.

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

5/14/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: Entrust
Institutional CPID: 8603
Professional CPID: 5827
Industry Standard Payer ID: 36878
Payer Enrollment Required: Yes
Remittance Fee: N/A
Payer Location: Texas

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.

5/14/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: Entrust
Institutional CPID: 8603
Professional CPID: 5827
Industry Standard Payer ID: 36878
Line of Business (LOB) Code: E61
Payer Enrollment Required: Yes
Remittance Fee: N/A
Payer Location: Texas

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.

5/14/2026

Payer Processing Issue for CPID 2554 Louisiana Medicaid Medicare Advantage Crossovers

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

Payer impacted:

CPID 2554 Louisiana Medicaid Medicare Advantage Crossovers

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

This delay affected claims released to Optum between 7 p.m. CT on May 7, 2026 and 7 a.m. CT on May 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 10307081.

5/14/2026

Report Generation Delay for CPID 2712 The Alliance

A payer intermediary is experiencing issues affecting Professional report generation for some claims submitted on May 8, 2026.

Payer impacted:

CPID 2712 The Alliance

The payer intermediary has been unable to generate and deliver the reports for some claims submitted on May 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 10307052.

5/14/2026

Report Generation Delay for CPID 5676 Alliance Behavioral Healthcare

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

Payer impacted:

CPID 5676 Alliance Behavioral Healthcare

The payer intermediary has been unable to generate and deliver the reports for some claims submitted on May 6, 2026.

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

If you have any questions, please contact Customer Support and refer to Case Number 10307047.

5/14/2026

Empire Physician's Medical Group Electronic Claims Connection No Longer Available

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

Payer Name: Empire Physician's Medical Group
Claims CPID: 2146
Industry Standard Payer ID: EMP01
Reason: Payer no longer offers an electronic connection to which Optum can connect.

Action Required: Please make any necessary system changes.

5/13/2026

New Electronic Claims Connections Available

Optum has new electronic claims connections available:

Payer Name: Altrua HealthShare
Institutional CPID: 1590
Professional CPID: 1276
Industry Standard Payer ID: 12175
Payer 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 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.

5/13/2026

Edit Master for CPIDs 8686 and 7272 Axminster Medical Group

Effective May 14, 2026, Optum will be changing Edit Masters for the following payer:

Payer Name: Axminster Medical Group
Professional CPID: 7272
Current Edit Master: PE_O007
New Edit Master: PE_B800
Institutional CPID: 8686
Current Edit Master: HE9O007
New Edit Master: HE9B801
Industry Standard Payer ID: AXM01

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.

5/13/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: Ambetter of Delaware
Payer ID: 68069
Payer Enrollment Required: Yes
Payer Location: Delaware

Payer Name: Ambetter of Oklahoma
Payer ID: 68069
Payer Enrollment Required: Yes
Payer Location: Oklahoma

Payer Name: EyeMed Vision Care
Transaction Type: Professional
Payer ID: 31165
Payer Enrollment Required: Yes
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.

5/13/2026

CareSource NV Medicaid 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 May 12, 2026:

Payer Name: CareSource Nevada Medicaid
Industry Payer ID: NVMCDCS1
IMN Real Time ID: NVCSM
Exchange Real Time ID: NVCSM
Optum IEDI Real Time ID: NVCSM
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

5/13/2026

Electronic Routing Change for CPIDs 7224 and 8640 National Association of Letter Carriers
Optum is changing electronic claims routing for the following payer, effective May 13, 2026:

Payer Name: National Association of Letter Carriers
Professional CPID: 7224
Edit Master: PE_T007
Institutional CPID: 8640
Edit Master: HE9T007
Industry Standard Payer ID: 53011
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.

5/13/2026

Electronic Routing Change for CPIDs 7224 and 8640 National Association of Letter Carriers

Optum is changing electronic claims routing for the following payer, effective May 13, 2026:

Enrollment Requirements:
Claims:

Payer enrollment for electronic claims is not required.

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

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

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.

5/13/2026

Idaho BS (Regence) 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 May 11, 2026:

Payer Name: Idaho Blue Shield (Regence)
Industry Payer ID: 00611
IMN Real Time ID: IDBCS
Exchange Real Time ID: IDBCS
Optum IEDI Real Time ID: IDBLS
Payer Enrollment Required: No
Connection Type: X12

Search Options:

Claim Status Inquiry subscriber
Member id, first name, last name, date of birth
Optional additional elements: Payer claim number; Total submitted charges

Claim Status Inquiry Dependent

Member ID, dep first name, dep last name, dep date of birth, subscriber last name
Optional additional elements: Payer claim number, Total submitted charges

5/13/2026

Eligibility termination for payer ID COCHP on RPA

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

Payer Name: Friday Health Plans
RPA Payer ID: COCHP
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.

5/13/2026

999 Payer Batch Rejections for CPID 3801 Fallon Community Health

Professional claims transmitted to the payer listed below from Optum on May 5, 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 on May 13, 2026.

Action Required: None.

If you have any questions, please contact Customer Support and refer to Case Number 10305028.

5/13/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: Ambetter of Delaware
Institutional CPID: 8536
Professional CPID: 3235
Industry Standard Payer ID: 68069
Line of Business (LOB) Code: J06
Payer Enrollment Required: Yes
Remittance Fee: $0.0045
Payer Location: Delaware

Payer Name: Ambetter of Oklahoma
Institutional CPID: 7051
Professional CPID: 9433
Industry Standard Payer ID: 68069
Line of Business (LOB) Code: J06
Payer Enrollment Required: Yes
Remittance Fee: $0.0045
Payer Location: Oklahoma

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.

5/13/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: Ambetter of Delaware
Institutional CPID: 8536
Professional CPID: 3235
Industry Standard Payer ID: 68069
Payer Enrollment Required: Yes
Remittance Fee: $0.0045
Payer Location: Delaware

Payer Name: Ambetter of Oklahoma
Institutional CPID: 7051
Professional CPID: 9433
Industry Standard Payer ID: 68069
Payer Enrollment Required: Yes
Remittance Fee: $0.0045
Payer Location: Oklahoma

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.

5/13/2026

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

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

Original notice sent April 28, 2026:
There has been a delay in Professional and Institutional Electronic Remittance Advice (ERA) for the following payer for check dates since March 24, 2026.

CPID 3275 Paramount Health
CPID 5977 Paramount Health

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

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

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

5/12/2026

Resolved: 835 Delay for UnitedHealthcare CPIDs 3429, 3550, 1431, 8598, 2240, 3929

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

Original Notice Sent May 11, 2026:
We would like to give you awareness of a payer processing issue that could potentially impact your business.

Some 835s for UnitedHealthcare CPIDs 3429, 3550, 1431, 8598, 2240, 3929 are delayed at the payer for payment date May 7, 2026. A ticket has been opened with the payer for further research.

Affected CPIDs:

CPID 3429 UnitedHealthcare
CPID 3550 UnitedHealthcare
CPID 1431 Medica
CPID 8598 Medica
CPID 2240 Preferred Partners
CPID 3929 Preferred Partners

Action Required: Please be aware of a delay in the delivery of ERA for check dates above. No action is currently required. An additional notice will be sent once the 835s are received and posted out to trading partners. If the provider receives EFTs, copies of the 835s can be downloaded online at http://optum.com/optumpay.

Please direct any questions to the Support Team at 1-866-OptumGo and reference incident #INC-000004767.

5/12/2026

Resolved: All missing 835s for UnitedHealthcare payer IDs 87726, 94265, 65088

Resolved: All missing 835s for UnitedHealthcare payer IDs 87726, 94265, 65088 with a payment date of May 7, 2026 have been received and processed. Please allow up to 24 hours for posting to complete.

Original Notice Sent May 11, 2026:
We would like to give you awareness of a payer processing issue that could potentially impact your business.

Some 835s for UnitedHealthcare payer IDs 87726, 94265, 65088 are delayed at the payer for payment date May 7, 2026. A ticket has been opened with the payer for further research.

Affected Payer IDs:

Payer ID 87726 UnitedHealthcare
Payer ID 94265 Medica
Payer ID 65088 Preferred Partners

Please direct any questions to the Support Team at 1-866-OptumGo and reference incident #INC-000004767.

5/12/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: EyeMed Vision Care
Professional CPID: 5817
Industry Standard Payer ID: 31165
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.

5/12/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: EyeMed Vision Care
Professional CPID: 5817
Industry Standard Payer ID: 31165
Line of Business (LOB) Code: N19
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.

5/12/2026

New Electronic Claims Connections Available

Optum has new electronic claims connections available:

Payer Name: INDECS, A Homestead Company
Institutional CPID: 1587
Professional CPID: 1264
Industry Standard Payer ID: L0929
Payer 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 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.

5/12/2026

Report Generation Delay for CPID 3706 Cenpatico

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

Payer impacted:

CPID 3706 Cenpatico

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 10303956.

5/12/2026

Edit Master for CPIDs 9292 and 7010 Arrowhead Regional Medical Center

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

Payer Name: Arrowhead Regional Medical Center
Professional CPID: 9292
Current Edit Master: PE_O007
New Edit Master: PE_T007
Institutional CPID: 7010
Current Edit Master: HE9O007
New Edit Master: HE9T007
Industry Standard Payer ID: ARMC1

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.

5/12/2026

Electronic Routing Change for CPIDs 1295 and 6560 Imperial Health Holdings Medical Group

Optum is changing electronic remittance routing for the following payer, effective May 12, 2026:

Payer Name: Imperial Health Holdings Medical Group
Professional CPID: 1296
Institutional CPID: 6560
Industry Standard Payer ID: IHHMG
Line of Business Code (LOB): H9L
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.

5/12/2026

Electronic Routing Change for CPIDs 1295 and 6560 Imperial Health Holdings Medical Group

Optum is changing electronic Remittance routing for the following payer, effective May 12, 2026:

Payer Name: Imperial Health Holdings Medical Group
Professional CPID: 1296
Institutional CPID: 6560
Industry Standard Payer ID: IHHMG
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.

5/12/2026

Payer Processing Issue for CPIDs 1474 and 3501 Indiana Medicaid

Due to a payer processing issue, some Professional and Institutional claims transmitted to the payer listed below May 7, 2026 were not processed by the payer.

Payer impacted:

CPID 1474 Indiana Medicaid
CPID 3501 Indiana Medicaid

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

This delay affected claims released to Optum May 6, 2026, 2:00 p.m.-May 7, 2026, 2:00 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 10303607.

5/12/2026

Payer Processing Issue for CPID 2487 Neighborhood Health Plan of Rhode Island

Due to a payer processing issue, some Professional claims transmitted to the payer listed below May 11, 2026 were not processed by the payer.

Payer impacted:

CPID 2487 Neighborhood Health Plan of Rhode Island

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

This delay affected claims released to Optum May 8, 2026, 2:00 p.m.-May 11, 2026, 2:00 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 10303580.

5/12/2026

Electronic Claims Connection No Longer Available

Effective May 14, 2026, the payer listed below will no longer be available at Optum for claims processing.

Payer Name: Rush Prudential Health Plans (HMO Only)
Industry Standard Payer ID: 36389
Reason: Payer no longer offers an electronic connection.

Payer will no longer accept paper claims.

Action Required: Please make any necessary system changes.

Original notice sent April 10, 2026:

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

Payer Name: Rush Prudential Health Plans (HMO Only)
Industry Standard Payer ID: 36389
Reason: Payer unavailable electronically. 

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

5/11/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: Harbor Health
Payer ID: HARBR
Payer Enrollment Required: Yes
Payer Location: Texas

Payer Name: RIS Rx
Payer ID: RISRX
Payer Enrollment Required: Yes
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.

5/11/2026

New Payer Edit for CPID 1075

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 May 18, 2026:

IREF02A033: INVALID DOCUMENT CONTROL NUMBER - When entered for an electronic claim, the Document Control Number must be in the following format: 1. First character is the year (X=2024, Y=2025, Z=2026). 2. Next three characters are the current Julian date (001-365). 3. Next is the plan/state (TX, MS, SC, etc.). 4. The seventh character is the format (E = electronic, P or a number is paper). 5. And the last five characters are the claim number. Exception: When the first character is X, 366 is also allowed as a valid Julian date. Note: If this requirement does not apply to your billing situation, you can override the edit within the Error Text. LOOP 2300 REF02

Edit applies to:

CPID 1075 ALLWELL WESTERN SKY COMM CARE

Action Required: Please be aware of updated edit requirements.

5/11/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: RIS Rx
Institutional CPID: 2568
Professional CPID: 1776
Industry Standard Payer ID: RISRX
Line of Business (LOB) Code: U30
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.

5/11/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: RIS Rx
Institutional CPID: 2568
Professional CPID: 1776
Industry Standard Payer ID: RISRX
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.

5/11/2026

Report Generation Delay for CPID 6405 Cigna Health Plans

A payer intermediary is experiencing issues affecting Professional report generation for some claims submitted on May 8, 2026.

Payer impacted:

CPID 6405 Cigna Health Plans

The payer intermediary has been unable to generate and deliver the reports for some claims submitted on May 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 10301494.

5/11/2026

Update: Report Generation Delay for CPID 5440 Fox Valley Medicine

Update: The payer intermediary has been unable to generate and deliver the reports for some claims submitted from April 7, 2026 through April 20, 2026.

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

Original notice sent April 24, 2026:

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

Payer impacted:

CPID 5440 Fox Valley Medicine

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

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

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

5/11/2026

Payer Processing Issue for CPID 4576 Kaiser Foundation Health Plan

Due to a payer processing issue, some Institutional claims transmitted to the payer listed below May 7, 2026 were not processed by the payer.

Payer impacted:

CPID 4576 Kaiser Foundation Health Plan of Southern California Region

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

This delay affected claims released to Optum May 6, 2026, 5:00 a.m.-May 7, 2026, 5 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 10301455.

5/11/2026

835 Delay for UnitedHealthcare CPIDs 3429, 3550, 1431, 8598, 2240, 3929

Some 835s for UnitedHealthcare CPID's 3429, 3550, 1431, 8598, 2240, 3929 are delayed at the payer for payment date May 7, 2026. A ticket has been opened with the payer for further research.

Affected CPIDs:

CPID 3429 UnitedHealthcare
CPID 3550 UnitedHealthcare
CPID 1431 Medica
CPID 8598 Medica
CPID 2240 Preferred Partners
CPID 3929 Preferred Partners

Please direct any questions to the Support Team at 1-866-OptumGo and reference incident #INC-000004767.

5/11/2026

New Clearance Payer Connections May 11, 2026

Optum has new electronic eligibility connections available:

Payer Name: Blue Cross Community Centennial
Connection Type: X12

Payer Name: East West Administrators
Connection Type: X12

Payer Name: Network Administrators
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.
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.

5/11/2026

New Clearance Payer Connections May 11, 2026

Optum has a new electronic authorization connection available:

Payer Name: Connecticare Medicaid
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.

5/11/2026

835 Delay for UnitedHealthcare Payer ID's 87726, 94265, 65088

Some 835s for UnitedHealthcare payer ID 87726, 94265, 65088 are delayed at the payer for payment date May 7, 2026. A ticket has been opened with the payer for further research.

Affected Payer ID:

Payer ID 87726 UnitedHealthcare
Payer ID 94265 Medica
Payer ID 65088 Preferred Partners

Please direct any questions to the Support Team at 1-866-OptumGo and reference incident #INC-000004767.

5/11/2026

Report Generation Delay for CPID 5676 Alliance Behavioral Healthcare

A payer intermediary is experiencing issues affecting Institutional report generation for some claims submitted May 1, 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 1, 2026.

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

If you have any questions, please contact Customer Support and refer to Case Number 10301391.

5/11/2026

Report Generation Delay for CPID 5586 Montana Medicaid

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

Payer impacted:

CPID 5586 Montana Medicaid

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

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

If you have any questions, please contact Customer Support and refer to Case Number 10301367.

5/11/2026

Payer Update for Passport Health Plan

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

Payer Name: Passport Health Plan DOS prior to 1/1/21
Professional CPID: 1281
Professional Edit Master: PE_E049
Institutional CPID: 6528
Institutional Edit Master: HE9E049
Industry Standard Payer ID: 61325

Claims sent must begin using the following:

Payer Name: Passport Health Plan by Molina Healthcare
Professional CPID: 8863
Professional Edit Master: PE_C051
Institutional CPID: 5015
Institutional Edit Master: HE9C051
Industry Standard Payer ID: 61325

CPIDs 1281 and 6528 Passport Health Plan DOS prior to 1/1/21 will be terminated effective May 18, 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 CPIDs 8863, 5015 Passport Health Plan by Molina Healthcare do not need to complete a new enrollment form.
- Providers not receiving electronic remittance through Optum for CPIDs CPIDs 8863, 5015 Passport Health Plan by Molina Healthcare must complete a new enrollment form.
- New providers must complete a new enrollment form.

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

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

5/8/2026

Payer Update for Passport Health Plan

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

Payer Name: Passport Health Plan DOS prior to 1/1/21
Professional CPID: 1281
Institutional CPID: 6528
Remittance Available: No
Industry Standard Payer ID: 61325

Claims sent must begin using the following:

Payer Name: Passport Health Plan by Molina Healthcare
Professional CPID: 8863
Institutional CPID: 5015
Remittance Available: Yes
Industry Standard Payer ID: 61325
Claim Fee: NA

CPIDs 1281 and 6528 Passport Health Plan DOS prior to 1/1/21 will be terminated effective May 18, 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 CPIDs 8863, 5015 Passport Health Plan by Molina Healthcare do not need to complete a new enrollment form.
- Providers not receiving electronic remittance through Optum for CPIDs CPIDs 8863, 5015 Passport Health Plan by Molina Healthcare 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.

5/8/2026

New Payer Name

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

Previous Payer Name: NHI Billing Services
New Payer Name: Elevate PFS
Industry Standard Payer ID: 14043

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

5/8/2026

New Electronic Claims and Remittance Connections Available

Optum has new electronic claims and remittance connections available:

Payer Name: WyoBlue Advantage
Payer ID: WYBA0
Claims Enrollment Required: No
Secondary Claims Accepted: Yes
Remittance Enrollment Required: Yes
Payer Location: Texas

Previously we announced the claims payer ID to be WYBA. That ID will terminated on May 29, 2026. WYBA0 is the go forward Payer ID.

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.

5/8/2026

New Electronic Claims Connections Available

Optum has new electronic claims connections available:

Payer Name: 374 Franciscan CNPT
Payer ID: FRN02
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: Indiana, Illinois, Michigan

Payer Name: Christian Health Aid
Payer ID: 98628
Payer Enrollment Required: No
Secondary Claims Accepted: No
Payer Location: National

Payer Name: Clinicas Del Camino Real
Payer ID: CDCR1
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: California

Payer Name: Employee Benefit Services, Inc
Payer ID: 60221
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: National

Payer Name: Employer Direct Healthcare
Payer ID: 48888
Payer Enrollment Required: No
Secondary Claims Accepted: No
Payer Location: National

Payer Name: Florida Health Administrators Inc
Payer ID: 86753
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: Florida

Payer Name: Gemcare IPA
Payer ID: 27133
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: California

Payer Name: Golden Physicians Medical Group
Payer ID: MPM43
Payer Enrollment Required: No
Secondary Claims Accepted: No
Payer Location: California

Payer Name: Gulf Guaranty
Payer ID: 99943
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: National

Payer Name: Lucent Government Operations
Payer ID: 17380
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: National

Payer Name: Louisiana Medicaid Long Term Care
Payer ID: SKLA4
Transaction: Institutional
Payer Enrollment Required: Yes
Secondary Claims Accepted: Yes
Payer Location: Louisiana

Payer Name: Merchant Benefit Administration (Repriced Claims Only)
Payer ID: MBAM1
Payer Enrollment Required: No
Secondary Claims Accepted: No
Payer Location: National

Payer Name: New Jersey Charity Care Inpatient
Payer ID: 00012
Transaction: Institutional
Payer Enrollment Required: Yes
Secondary Claims Accepted: Yes
Payer Location: New Jersey

Payer Name: OSU Humana Healthy Horizons
Payer ID: OSUHU
Transaction Type: Professional
Payer Enrollment Required: Yes
Secondary Claims Accepted: Yes
Payer Location: Oklahoma

Payer Name: OSU SoonerCare
Payer ID: 76619
Transaction Type: Professional
Payer Enrollment Required: Yes
Secondary Claims Accepted: No
Payer Location: Oklahoma

Payer Name: Physician Healthcare Integration IPA
Payer ID: POP10
Transaction: Professional
Payer Enrollment Required: No
Secondary Claims Accepted: No
Payer Location: California

Payer Name: Redlands Yucaipa Medical Group DOS after 01/01/26
Payer ID: RYMG1
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: California

Payer Name: Serendib Healthways
Payer ID: 4YC01
Payer Enrollment Required: No
Secondary Claims Accepted: No
Payer Location: California

Payer Name: SolarteHealth
Payer ID: SLRT1
Transaction Type: Professional
Payer Enrollment Required: No
Secondary Claims Accepted: No
Payer Location: National

Payer Name: Southland San Gabriel Valley Medical Group
Payer ID: PHM11
Transaction Type: Professional
Payer Enrollment Required: No
Secondary Claims Accepted: No
Payer Location: California

Payer Name: Sutter Senior Care
Payer ID: SC028
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: California

Payer Name: TPAC/ USPCPS/ Amerivantage
Payer ID: RP023
Transaction: Professional
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: National

Payer Name: Torrance Memorial Medical Center
Payer ID: TMMC1
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: California

Payer Name: UHP Management
Payer ID: UHP01
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: National

Payer Name: Verda Healthcare
Payer ID: VERTX
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: Texas

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.

5/8/2026

Update: Rush Prudential Health Plans (HMO Only) Electronic Claims Connection No Longer Available

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

Payer Name: Rush Prudential Health Plans (HMO Only)
CPIDs: 4144, 7949
Industry Standard Payer ID: 36389
Reason: Payer no longer offers an electronic connection.

Action Required: Please make any necessary system changes.

Original notice sent April 10, 2026:

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

Payer Name: Rush Prudential Health Plans (HMO Only)
CPIDs: 4144, 7949
Industry Standard Payer ID: 36389
Reason: Payer unavailable electronically.

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

5/8/2026

Update: Rush Prudential Health Plans (HMO Only) Electronic Claims Connection No Longer Available

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

Payer Name: Rush Prudential Health Plans (HMO Only)
CPIDs: 4144, 7949
Industry Standard Payer ID: 36389
Reason: Payer no longer offers an electronic connection.

Payer will no longer accept paper claims.

Action Required: Please make any necessary system changes.

Original notice sent April 10, 2026:

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

Payer Name: Rush Prudential Health Plans (HMO Only)
CPIDs: 4144, 7949
Industry Standard Payer ID: 36389
Reason: Payer unavailable electronically. 

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

5/8/2026

Update: Erisa Administrative Services Electronic Claims Connection No Longer Available

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

Payer Name: Erisa Administrative Services
Claim CPID: 5879
Industry Standard Payer ID: 74234
Reason: Payer no longer offers an electronic connection to which Optum can connect.

Action Required: Please make any necessary system changes.

Original notice sent April 14, 2026:

Electronic Claims Connection Suspended

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

Payer Name: Erisa Administrative Services
CPID: 5879
Industry Standard Payer ID: 74234
Reason: Payer unavailable electronically.

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

5/8/2026

New Payer Name

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

Previous Payer Name: NHI Billing Services
New Payer Name: Elevate PFS
Professional CPID: 9112
Professional Edit Master: PE_T007
Institutional CPID: 3699
Institutional Edit Master: HE9T007
Industry Standard Payer ID: 14043

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

Action Required:

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

5/8/2026

Update: Erisa Administrative Services Electronic Claims Connection No Longer Available

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

Payer Name: Erisa Administrative Services
Claim CPID: 5879
Industry Standard Payer ID: 74234
Reason: Payer no longer offers an electronic connection.

Payer will no longer accept paper claims.

Action Required: Please make any necessary system changes.

Original notice sent April 14, 2026:

Electronic Claims Connection Suspended

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

Payer Name: Erisa Administrative Services
CPID: 5879
Industry Standard Payer ID: 74234
Reason: Payer unavailable electronically.

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

5/8/2026

New Payer Name

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

Previous Payer Name: NHI Billing Services
New Payer Name: Elevate PFS
Professional CPID: 9112
Institutional CPID: 3699
Industry Standard Payer ID: 14043

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

5/8/2026

Payer Processing Issue for CPID 2554 Louisiana Medicaid Medicare Advantage Crossovers

Due to a payer processing issue, some Institutional claims transmitted to the payer listed below on May 5, 2026 were not processed by the payer.

Payer impacted:

CPID 2554 Louisiana Medicaid Medicare Advantage Crossovers

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

This delay affected claims released to Optum between 10 a.m. CT on May 5, 2026 and 7 p.m. CT on May 5, 2026.

Action Required: Be aware of the processing issue above.

If you have any questions, please contact Customer Support and refer to Case Number 10297987.

5/8/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: Harbor Health
Institutional CPID: 9058
Professional CPID: 3798
Industry Standard Payer ID: HARBR
Payer Enrollment Required: Yes
Remittance Fee: N/A
Payer Location: Texas

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.

5/8/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: Harbor Health
Institutional CPID: 9058
Professional CPID: 3798
Industry Standard Payer ID: HARBR
Line of Business (LOB) Code: U2M
Payer Enrollment Required: Yes
Remittance Fee: N/A
Payer Location: Texas

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.

5/8/2026

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:

12B60 – Highmark Blue Cross Blue Shield of Western Pennsylvania

PSN22 – Paysign

SNMIS – Iowa Medicaid SNMIS

WYBAX – WyoBlue Advantage

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.

5/8/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: Cannon Cochran Management Services (CCMSI Workers Comp)
Payer ID: WR322
Payer Enrollment Required: Yes
Payer Location: National

Payer Name: Capital Health LIFE
Payer ID: R3473
Payer Enrollment Required: Yes
Payer Location: New Jersey

Payer Name: Exceedent
Payer ID: 22344
Payer Enrollment Required: Yes
Payer Location: National

Payer Name: Liberty HealthShare
Payer ID: 90753
Payer Enrollment Required: Yes
Payer Location: National

Payer Name: Paysign
Payer ID: PSN22
Payer Enrollment Required: Yes
Payer Location: National

Payer Name: Southland Benefit Solutions
Payer ID: SBS01
Payer Enrollment Required: Yes
Payer Location: Alabama

Payer Name: The Hanover Insurance Company
Payer ID: WP927
Payer Enrollment Required: Yes
Payer Location: National

Payer Name: Western Health Advantage
Payer ID: 68039
Payer Enrollment Required: Yes
Payer Location: California

Payer Name: WyoBlue Advantage
Industry Standard Payer ID: WYBA0
Payer Enrollment Required: Yes
Payer Location: Wyoming

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.

5/8/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: Exceedent
Institutional CPID: 9681
Professional CPID: 7732
Industry Standard Payer ID: 22344
Line of Business (LOB) Code: H05
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.

5/8/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: Exceedent
Institutional CPID: 9681
Professional CPID: 7732
Industry Standard Payer ID: 22344
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.

5/8/2026

Payer Change for CPID 4705 Sutter Connect - East Bay Medical Foundation

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

Payer Name: Sutter Connect - East Bay Medical Foundation
Professional CPID: 4705
Remittance Available: No
Industry Standard Payer ID: 94269

Claims must begin using the following:

Payer Name: Sutter Connect - East Bay Medical Foundation
Professional CPID: 4274
Remittance Available: No
Industry Standard Payer ID: 94269
Claim Fee: N/A

CPID 4705 will be terminated effective May 21, 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.

5/8/2026

Update: Blue Cross Community Centennial Real Time Transactions

Effective May 7, 2026, Optum is pleased to announce that clients may resume sending Real-Time Eligibility Inquiry and Response (270/271) and Claim Status Inquiry and Response (276/277) transactions for the following payer:

BLUE CROSS COMMUNITY CENTENNIAL

Transaction types: Eligibility, Claims Status

IMN: MC721
IEDI: 14296
Exchange: 4570, 1243

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.

5/8/2026

New Electronic Claims Connections Available

Optum has new electronic claims connections available:

Payer Name: Sutter Senior Care
Institutional CPID: 1552
Industry Standard Payer ID: SC028
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.

5/8/2026

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:

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.

5/7/2026

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.

5/7/2026

Reminder: Electronic Payer ID Change for High Desert PACE

Optum changed electronic claims payer ID and routing for the following payer, effective April 27, 2026.

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

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

Enrollment Requirements:
Claims:

Payer enrollment for electronic claims is not required.

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

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

Make any necessary system changes.

5/7/2026

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: Emanate Health Center - EHIPA/NMM
CPID(s): 1752, 1952
Industry Standard Payer ID: MPM65
Reason: Payer unavailable electronically.

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

5/7/2026

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 May 1, 2026:

Payer Name: WESTERN SOUTHERN FINANCIAL GROUP
Industry Payer ID: 31048
IMN Real Time ID: 31048
Exchange Real Time ID: WSTSL
CPID(s): 3979 (I), 5415 (P)
Optum IEDI Real Time ID: 31048
Payer Enrollment Required: NO
Connection Type: X12

Search Options:
Eligibility Subscriber

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

5/7/2026

Report Generation Delay for CPIDs 5596 and 2416 Blue Cross Blue Shield of Arkansas

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

Payer impacted:

CPID 5596 Blue Cross Blue Shield of Arkansas
CPID 2416 Blue Cross Blue Shield of Arkansas

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 10296849.

5/7/2026

Routing Change Sutter Senior Care

Optum will be changing electronic claims routing for the following payer, effective May 11, 2026:

Payer Name: Sutter Senior Care
Professional CPID: 6813
Current Edit Master: PE_O007
New Edit Master: PE_T007
Industry Standard Payer ID: SC028
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 is not changing.
When a payer requires enrollment, forms must be submitted and approved from Enrollment Central.

5/7/2026

Report Generation Delay for CPID 4110 Bollinger Inc

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

Payer impacted:

CPID 4110 Bollinger Inc

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 10296102.

5/7/2026

Update: Report Generation Delay for CPID 3089 Allstate

Update: The payer intermediary has been unable to generate and deliver the reports for some claims submitted April 21, 2026 and April 24, 2026.

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

Original notice sent April 27, 2026:
A payer intermediary is experiencing issues affecting Institutional report generation for some claims submitted since April 13, 2026.

Payer impacted:

CPID 3089 Allstate

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

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

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

5/7/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: Liberty HealthShare
Institutional CPID: 9614
Professional CPID: 7291
Industry Standard Payer ID: 90753
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.

5/7/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: Liberty HealthShare
Institutional CPID: 9614
Professional CPID: 7291
Industry Standard Payer ID: 90753
Line of Business (LOB) Code: N44
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.

5/7/2026

New Electronic Claims Connections Available

Optum has new electronic claims connections available:

Payer Name: 374 Franciscan CNPT
Institutional CPID: 1535
Professional CPID: 1235
Industry Standard Payer ID: FRN02
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: Indiana, Illinois, Michigan

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.

5/7/2026

New Payer Edit for CPID 8637

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 May 13, 2026:

IPRV03A000: MISSING BILL PROV TAXONOMY CODE - When the Attending Provider Taxonomy Code is not present, the Billing Provider Taxonomy Code is required. LOOP 2000A PRV03

Edit applies to: 

CPID 8637 AETNA BETTER HEALTH MICHIGAN

Action Required: Please be aware of updated edit requirements.

5/6/2026

Claim Submission for AARP CPIDs 5271/8940

We have been informed the payers listed below have been receiving a high volume of paper claims. As an electronic submission option is available for this payer, we encourage all future claims are submitted electronically.

Payers Affected:

CPID 5271 AARP
CPID 8940 AARP

Action Required: If possible, please ensure that claims are submitted electronically to these payers.

If you have any questions, please contact Customer Support.

5/6/2026

Correction Exch PAR Status Changes May 5, 2026

UPDATE: Please note the corrections below for the notification originally sent April 30, 2026. We apologize for any confusion or inconvenience this may have caused.

Effective June 1, 2026 the PAR Status will change for the following payers:

Payer Name: Aetna Better Health of Illinois Medicaid (no longer an active real time connection)
Industry ID: 68024
Exchange CPID(s): 5013, 8861
Exchange Real Time ID: ABHILL
Transactions: Eligibility, Claim Status
New PAR Status: Non Par

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

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

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

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

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

Payer Name: Las Vegas Firefighters Health and Welfare Trust
Industry ID: 77684
Exchange CPID(s): 6017, 9164
Transactions: Claims
New PAR Status: Non Par

Payer Name: Luminare Health Kansas City
Industry ID: 48117
Exchange CPID(s): 4568, 5492
Exchange Real Time ID: CSFMH
Transactions: Eligibility, Claim Status
New PAR Status: Gateway

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

Payer Name: WeShare Legacy
Industry ID: UHSM1
Exchange CPID(s): 9001, 3450
Exchange Real Time ID: UHSMN
Transactions: Eligibility
New PAR Status: Gateway

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

5/6/2026

Update: Real Time Payer BLUE CROSS COMMUNITY CENTENNIAL

This message serves as an update to a previous communication regarding BLUE CROSS COMMUNITY CENTENNIAL Eligibility and Claim Status transactions.

Please disregard the prior notification related to this payer’s Real-Time transactions. A revised notice will be distributed within the next 24–48 hours. Thank you for your attention to this update.

5/6/2026

Friday Health Plans 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: Friday Health Plans
Industry Payer ID: H0657
IMN Real Time ID: COCHP
Exchange Real Time ID: COCHP, COCHP1, COCHP2
CPIDs: 7634, 6851
Connection Type: X12 and Portal

Reason: Payer no longer offers an electronic connection.

Action Required: None.

5/5/2026

New Electronic Claims Connections Available

Optum has new electronic claims connections available:

Payer Name: Redlands Yucaipa Medical Group DOS after 01/01/26
Institutional CPID: 1926
Professional CPID: 2794
Industry Standard Payer ID: RYMG1
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: CA

Action Required:

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

5/5/2026

Electronic Routing Change for CPIDs 6163 and 4644 Integrated Medical Solutions

Effective May 5, 2026, Optum will be changing electronic claims routing for the following payer:

Payer Name: Integrated Medical Solutions
Professional CPID: 6163
Institutional CPID: 4644
Industry Standard Payer ID: 20050
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.

5/5/2026

Electronic Routing Change for CPIDs 6163 and 4644 Integrated Medical Solutions

Optum is changing electronic claims routing for the following payer, effective May 5, 2026:

Payer Name: Integrated Medical Solutions
Professional CPID: 6163
Edit Master: PE_C051
Institutional CPID: 4644
Edit Master: HE9C051
Industry Standard Payer ID: 20050
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.

5/5/2026

New Electronic Claims and Remittance Connections Available Iowa Medicaid SNMIS

Optum has new electronic claims and remittance connections available:

Payer Name: Iowa Medicaid SNMIS
Payer ID: SNMIS
Payer Claim Enrollment Required: Yes
Payer Remittance Enrollment Required: Yes
Secondary Claims Accepted: Yes
Payer Location: Iowa

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.

5/5/2026

New Electronic Claims Connections Available

Optum has new electronic claims connections available:

Payer Name: Choice Physicians Network - Live Well
Payer ID: CPNLW
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: California

Payer Name: WeShare
Payer ID: WESHR
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: National

Payer Name: Access IPA
Payer ID: ACC01
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: California

Payer Name: AdventHealth Transplant Institute
Payer ID: RP090
Payer Enrollment Required: No
Secondary Claims Accepted: No
Payer Location: Florida

Payer Name: Adventist Health Hanford AHP
Payer ID: MPM36
Transaction Type: Institutional
Payer Enrollment Required: No
Secondary Claims Accepted: No
Payer Location: California

Payer Name: Adventist Health Plan
Payer ID: MPM37
Payer Enrollment Required: No
Secondary Claims Accepted: No
Payer Location: California

Payer Name: Adventist White Memorial - Crown City Medical Group
Payer ID: MPM33
Payer Enrollment Required: No
Secondary Claims Accepted: No
Payer Location: California

Payer Name: Aligned Community Physicians
Payer ID: ACP17
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: California

Payer Name: Allstate
Payer ID: C1037
Payer Enrollment Required: No
Secondary Claims Accepted: No
Payer Location: National

Payer Name: Always Care Benefits
Payer ID: STR01
Transaction Type: Professional
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: Louisiana

Payer Name: VitalCore Millette
Payer ID: MAI58
Payer 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.

5/5/2026

New Real-time Eligibility and Claim Status Transactions Available

Effective May 1, 2026, Optum is pleased to announce the availability of Real-time Eligibility Inquiry and Response and Claim Status Inquiry and Response transactions for the below payer:

Payer name: BLUE CROSS COMMUNITY CENTENNIAL
Transaction types: Eligibility, Claims Status
IMN: 14296
IEDI: 14296
Exchange: BCCCS

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

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

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

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

5/5/2026

Spohn Health Electronic Claims Connection No Longer Available

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

Payer Name: Spohn Health
Claims CPID: 3991
Industry Standard Payer ID: 12T63
Reason: Payer no longer offers an electronic connection to which Optum can connect.

Action Required: Please make any necessary system changes.

5/5/2026

PAR Status change for Real Time payers

Effective June 1, 2026, the PAR Status will change for the following real time payers:

Independence Administrators
iEDI ID: 10417
Transaction: Eligibility
New PAR Status: Non Par

Integrated Mental Health Services
iEDI ID: 10585
Transaction: Eligibility, Claim Status
New PAR Status: Non Par

JAI Medical Systems
iEDI ID: 11147
Transaction: Eligibility
New PAR Status: Non Par

JVHL Priority Health
iEDI ID: PRHTH
Transaction: Eligibility
New PAR Status: Non Par

Kempton Group Administrators
iEDI ID: 73100
Transaction: Eligibility
New PAR Status: Non Par

Lincoln Heritage Life Insurance Company
iEDI ID: 10749
Transaction: Eligibility
New PAR Status: Non Par

Luminare Health Kansas City
iEDI ID: 48117
Transaction: Eligibility, Claim Status
New PAR Status: Gateway

Medstar Family Choice District of Columbia
iEDI ID: 10844
Transaction: Eligibility, Claim Status
New PAR Status: Non Par

New York Independent Health Assoc (IHA) – Western
iEDI ID: 10536
Transaction: Eligibility
New PAR Status: Non Par

Nippon Life Insurance Company of America
iEDI ID: 81264
Transaction: Eligibility, Claim Status
New PAR Status: Gateway

Royal Neighbors of America
iEDI ID: 10751
Transaction: Eligibility
New PAR Status: Non Par

San Francisco Health Plan
iEDI ID: 10849
Transaction: Eligibility
New PAR Status: Non Par

Self Insured Services Company (SISCO)
iEDI ID: 11129
Transaction: Eligibility
New PAR Status: Non Par

Senior Whole Health, LLC DBA Molina Healthcare
iEDI ID: 10962
Transaction: Eligibility, Claim Status
New PAR Status: Non Par

Shared Health Mississippi
iEDI ID: 14435
Transaction: Eligibility
New PAR Status: Non Par

Sutter and Aetna Insurance Company
iEDI ID: 60624
Transaction: Eligibility
New PAR Status: Non Par

Univera
iEDI ID: 10535
Transaction: Eligibility
New PAR Status: Non Par

Washington National Insurance Company
iEDI ID: 10853
Transaction: Eligibility
New PAR Status: Non Par

WeShare Legacy
iEDI ID: UHSM1
Transaction: Eligibility
New PAR Status: Gateway

Zing Health
iEDI ID: 83248
Transaction: Eligibility, Claim Status
New PAR Status: Non Par

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

5/4/2026

PAR Status change for Real Time payers

Effective June 1, 2026, the PAR Status will change for the following real time payers:

Administrative Concepts
iEDI ID: 22384
Transaction: Eligibility, Claim Status
New PAR Status: Non Par

Aetna Better Health of Illinois – Medicaid
iEDI ID: 10892
Transaction: Eligibility, Claim Status
New PAR Status: Non Par

Alliant Health Plans
iEDI ID: 58234
Transaction: Eligibility, Claim Status
New PAR Status: Non Par

Aspire Health Plan
iEDI ID: 46156
Transaction: Eligibility
New PAR Status: Non Par

Aspirus Medicare Advantage
iEDI ID: 36483
Transaction: Eligibility
New PAR Status: Non Par

BayCare Plus Medicare Advantage
iEDI ID: 81079
Transaction: Eligibility
New PAR Status: Non Par

CareSource of Georgia
iEDI ID: GACS1
Transaction: Eligibility, Claim Status
New PAR Status: Non Par

CareSource of Indiana
iEDI ID: INCS1
Transaction: Eligibility, Claim Status
New PAR Status: Non Par

Centivo
iEDI ID: 45564
Transaction: Eligibility, Claim Status
New PAR Status: Non Par

Christus Health Plan Health Insurance Exchange
iEDI ID: CHPTX
Transaction: Eligibility, Claim Status
New PAR Status: Non Par

Community Health First Medicare Advantage
iEDI ID: 10421
Transaction: Eligibility
New PAR Status: Non Par

Cook Childrens Star Plan
iEDI ID: 10610
Transaction: Eligibility
New PAR Status: Non Par

Farm Bureau Health Plans
iEDI ID: 62045
Transaction: Eligibility, Claim Status
New PAR Status: Transitional

Farm Bureau Health Plans MAPD
iEDI ID: RP061
Transaction: Eligibility, Claim Status
New PAR Status: Transitional

FirstCare Health Plans
iEDI ID: 10870
Transaction: Eligibility
New PAR Status: Non Par

GEMCare – Kern County
iEDI ID: 11065
Transaction: Eligibility
New PAR Status: Non Par

Great American Life Insurance Medicare Supplement
iEDI ID: 80705
Transaction: Eligibility, Claim Status
New PAR Status: Non Par

Health Choice Pathway
iEDI ID: 62180
Transaction: Eligibility, Claim Status
New PAR Status: Non Par

Health Plans, Inc.
iEDI ID: 10802
Transaction: Eligibility
New PAR Status: Non Par

Hometown Health
iEDI ID: 10335
Transaction: Eligibility
New PAR Status: Non Par

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

5/4/2026

PAR Status change for Claim payers

Effective June 1, 2026, the PAR Status will change for the following claim payers:

Curative Health Plan
iEDI ID: CURTV
Transaction: Claims - Prof/Inst
New PAR Status: Transitional

Las Vegas Firefighters Health and Welfare Trust
iEDI ID: 77684
Transaction: Claims - Prof/Inst
New PAR Status: Non Par

Cigna Health Plans
iEDI ID: 62308
Transaction: Claims – Dental
New PAR Status: Non Par

Guardian Life
iEDI ID: 64246
Transaction: Claims – Dental
New PAR Status: Non Par

Kaiser Foundation Health Plan of the Northwest
iEDI ID: RP073
Transaction: Claims – Dental
New PAR Status: Non Par

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

5/4/2026

New Electronic Claims and Remittance Connections Available

Optum has new electronic claims and remittance connections available:

Payer Name: Iowa Medicaid SNMIS
Institutional CPID: 9027
Professional CPID: 3707
Industry Standard Payer ID: SNMIS
Payer Claim Enrollment Required: Yes
Payer Remittance Enrollment Required: Yes
Secondary Claims Accepted: Yes
Payer Location: Iowa
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.

5/4/2026

New Electronic Claims and Remittance Connections Available

Optum has new electronic claims and remittance connections available:

Payer Name: Iowa Medicaid SNMIS
Institutional CPID: 9027
Professional CPID: 3707
Industry Standard Payer ID: SNMIS
Line of Business (LOB) Code: D28
Payer Claim Enrollment Required: Yes
Payer Remittance Enrollment Required: Yes
Secondary Claims Accepted: Yes
Payer Location: Iowa
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.

5/4/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: WyoBlue Advantage
Institutional CPID: 9085
Professional CPID: 3870
Industry Standard Payer ID: WYBA
Line of Business (LOB) Code: H4B
Payer Enrollment Required: Yes
Remittance Fee: N/A
Payer Location: Wyoming

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.

5/4/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: WyoBlue Advantage
Institutional CPID: 9085
Professional CPID: 3870
Industry Standard Payer ID: WYBA
Payer Enrollment Required: Yes
Remittance Fee: N/A
Payer Location: Wyoming

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.

5/4/2026

New Electronic Eligibility Connection Available

Optum is pleased to announce the availability of Real-time Eligibility Inquiry and Response 270/271 for the below payer, effective April 28, 2026:

Payer Name: Network Administrators
IMN Real Time ID: IHS26
iEDI Real Time ID: IHS26
Exchange Real Time ID: NETAD
CPID(s): 3659 (I), 1839 (P)
Payer Enrollment Required: No
Connection Type: X12

Search Options:

Subscriber

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

Dependent

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

5/4/2026

New Electronic Eligibility Connection Available

Optum is pleased to announce the availability of Real-time Eligibility Inquiry and Response 270/271 for the below payer, effective April 28, 2026:

Payer Name: East West Administrators
IMN Real Time ID: EWACA
iEDI Real Time ID: EWACA
Exchange Real Time ID: EWACA
CPID(s): 3659 (I), 1839 (P)
Payer Enrollment Required: No
Connection Type: X12

Search Options:

Subscriber

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

Dependent

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

Action Required by customer:

5/4/2026

Report Generation Delay for CPID 9057 Sentara PACE

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

Payer impacted:

CPID 9057 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 10291564.

5/4/2026

Multiple Payers Electronic Eligibility Connections No Longer Available

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

Payer Name: Christian Care Ministries
Industry Payer ID: 59355
Exchange Real Time ID: CCMIN1
CPIDs: 8638, 7154
Connection Type: Portal

Payer Name: Clover Health
Industry Payer ID: 13285
Exchange Real Time ID: CLOVE1
CPIDs: 5666, 6433
Connection Type: Portal

Payer Name: Common Ground Healthcare Cooperative
Industry Payer ID: 77170
Exchange Real Time ID: CGHC1
CPIDs: 6674, 6778
Connection Type: Portal

Reason: Payer no longer offers an electronic connection.

Action Required: None.

5/4/2026

Update: Report Generation Delay for multiple CPIDs

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

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

Original notice sent April 17, 2026:
A payer intermediary is experiencing issues affecting Professional report generation for some claims submitted April 3, 2026.

Payers impacted:

CPID 4272 Absolute Total Care
CPID 7776 Allwell from Buckeye Health Plan
CPID 7769 Allwell from Peach State Health Plan
CPID 7785 Allwell from Superior Health Plan
CPID 6755 Ambetter from Sunshine 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 10268517.

5/4/2026

21st Century Insurance and Financial Services Electronic Claims Connection No Longer Available

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

Payer Name: 21st Century Insurance and Financial Services
Claims CPIDs: 9094, 2170
Industry Standard Payer ID: 51028
Reason: Payer no longer offers an electronic connection to which Optum can connect.

Action Required: None.

5/4/2026

Action Required: None.

5/4/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: Southland Benefit Solutions
Professional CPID: 9265
Industry Standard Payer ID: SBS01
Line of Business (LOB) Code: H3F
Payer Enrollment Required: Yes
Remittance Fee: N/A
Payer Location: Alabama

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.

5/4/2026

Brand New Day Electronic Eligibility Connection No Longer Available

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

Payer Name: Brand New Day
Industry Payer ID: UC001
Exchange Real Time ID: BRAND1
CPIDs: 1044, 7871
Connection Type: Portal

Reason: Payer no longer offers an electronic connection.

Action Required: None.

5/4/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: Southland Benefit Solutions
Professional CPID: 9265
Industry Standard Payer ID: SBS01
Payer Enrollment Required: Yes
Remittance Fee: N/A
Payer Location: Alabama

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.

5/4/2026

Update: Multiple Payers Electronic Claims and Remittance Connections No Longer Available

Update:
Optum has confirmed that the payers listed below will continue to accept claims electronically.

In-network claims: Timely filing is 90 days from the date of service for dates prior to Jan. 1, 2026.
Out-of-network claims: Timely filing is 180 days from the date of service for dates prior to Jan. 1, 2026.

Please be aware that for any claims submitted on or after Jan. 1, 2026, claims that exceed these timely filing limits may be rejected.

Optum has reconnected the claim connections so providers may continue sending claims.

Action Required

Review all pending and future claims to ensure they meet applicable timely filing requirements.

Original notice sent April 23, 2026:
Effective April 30, 2026, the payers listed below will no longer be available at Optum for claims and remittance processing.

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

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

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

Payers will no longer accept paper claims.

A payer notification was sent to providers announcing this change. Additional information can be found on their website https://www.mdwise.org/mdwise/mdwise-for-providers

Action Required: Please make any necessary system changes.

5/1/2026

68039 – Western Health Advantage
FRN01 – Franciscan Health Hammond
R3473 – Capital Health LIFE

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

5/1/2026

Update: Multiple Payers Electronic Claims and Remittance Connections No Longer Available

Update: Optum has confirmed that the payers listed below will continue to accept claims electronically.

In-network claims: Timely filing is 90 days from the date of service for dates prior to Jan. 1, 2026.
Out-of-network claims: Timely filing is 180 days from the date of service for dates prior to Jan. 1, 2026.

Please be aware that for any claims submitted on or after Jan. 1, 2026, claims that exceed these timely filing limits may be rejected.

Optum will reconnect the claim connections May 4, 2026. Providers may resume sending claims effective May 5, 2026.

Action Required

Review all pending and future claims to ensure they meet applicable timely filing requirements.

Original notice sent April 23, 2026:
Effective April 30, 2026, the payers listed below will no longer be available at Optum for claims and remittance processing.

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

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

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

Payers will no longer accept paper claims.

A payer notification was sent to providers announcing this change. Additional information can be found on their website https://www.mdwise.org/mdwise/mdwise-for-providers

Action Required: Please make any necessary system changes.

5/1/2026

Update: Multiple Payers Electronic Claims and Remittance Connections No Longer Available

Update: Optum has confirmed that the payers listed below will continue to accept claims electronically.

In-network claims: Timely filing is 90 days from the date of service for dates prior to Jan. 1, 2026.
Out-of-network claims: Timely filing is 180 days from the date of service for dates prior to Jan. 1, 2026.

Please be aware that for any claims submitted on or after Jan. 1, 2026, claims that exceed these timely filing limits may be rejected.

Optum will reconnect the claim connections May 4, 2026. Providers may resume sending claims effective May 5, 2026

Action Required

Review all pending and future claims to ensure they meet applicable timely filing requirements.

Original notice sent April 23, 2026:
Effective April 30, 2026, the payers listed below will no longer be available at Optum for claims and remittance processing.

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

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

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

Payers will no longer accept paper claims.

A payer notification was sent to providers announcing this change. Additional information can be found on their website https://www.mdwise.org/mdwise/mdwise-for-providers

Action Required: Please make any necessary system changes.

5/1/2026

PAR Status Changes Effective June 1, 2026

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

Payer Name: Integrated Mental Health Services
IMN ID: CBHTX
Transactions: Claim Status, Eligibility
New PAR Status: Non Par

Payer Name: JAI Medical Systems
IMN ID: JAI01
Transactions: Eligibility
New PAR Status: Non Par

Payer Name: Kempton Group Administrators
IMN ID: 73100
Transactions: Eligibility
New PAR Status: Non Par

Payer Name: Kempton Group Administrators
IMN ID: 73100
Transactions: Eligibility, Claim Status
New PAR Status: Non Par

Payer Name: Lincoln Heritage Life Insurance Company
IMN ID: LCNHG
Transactions: Eligibility
New PAR Status: Non Par

Payer Name: Luminare Health AZ, IL, IN, MD, MN, NC, PA
IMN ID: 48117
Transactions: Claim Status, Eligibility
New PAR Status: Gateway

Payer Name: Manhattan Life
IMN ID: MNHTN
Transactions: Eligibility
New PAR Status: Non Par

Payer Name: Medstar Family Choice District of Columbia
IMN ID: RP062
Transactions: Eligibility
New PAR Status: Non Par

Payer Name: Medstar Family Choice District of Columbia
IMN ID: RP062
Transactions: Eligibility, Claim Status
New PAR Status: Non Par

Payer Name: New York Independent Health Assoc (IHA) - Western
IMN ID: SX073
Transactions: Eligibility
New PAR Status: Non Par

Payer Name: Nippon Life Insurance Company of America
IMN ID: 81264
Transactions: Claim Status, Eligibility
New PAR Status: Gateway

Payer Name: Priority Health of Michigan
IMN ID: 38217
Transactions: Eligibility
New PAR Status: Non Par

Payer Name: Royal Neighbors of America
IMN ID: RYLNB
Transactions: Eligibility
New PAR Status: Non Par

Payer Name: San Francisco Health Plan
IMN ID: SFHP1
Transactions: Eligibility
New PAR Status: Non Par

Payer Name: Secure Health Plans of Georgia
IMN ID: 28530
Transactions: Eligibility
New PAR Status: Non Par

Payer Name: Self Insured Services Company (SISCO)
IMN ID: SISCO
Transactions: Eligibility
New PAR Status: Non Par

Payer Name: Senior Whole Health, LLC DBA Molina Healthcare
IMN ID: SWHMA
Transactions: Claim Status, Eligibility
New PAR Status: Non Par

Payer Name: Shared Health Mississippi
IMN ID: SHMS1
Transactions: Eligibility
New PAR Status: Non Par

Payer Name: Sutter and Aetna Insurance Company
IMN ID: 60624
Transactions: Eligibility
New PAR Status: Non Par

Payer Name: Thrivent Financial
IMN ID: THRIV
Transactions: Eligibility
New PAR Status: Non Par

Payer Name: Triple-S Advantage
IMN ID: 973MA
Transactions: Eligibility
New PAR Status: Non Par

Payer Name: Univera
IMN ID: SX086
Transactions: Eligibility
New PAR Status: Non Par

Payer Name: Washington National Insurance Company
IMN ID: 70319
Transactions: Eligibility
New PAR Status: Non Par

Payer Name: WeShare Legacy
IMN ID: UHSM1
Transactions: Eligibility
New PAR Status: Gateway

Payer Name: Yamhill County CCO Physical Health
IMN ID: 77946
Transactions: Eligibility
New PAR Status: Non Par

Payer Name: Zing Health
IMN ID: 83248
Transactions: Claim Status, Eligibility
New PAR Status: Non Par
Message Verbiage Plain Text

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

5/1/2026

PAR Status Changes Effective June 1, 2026

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

Payer Name: Administrative Concepts
IMN ID: 22384
Transactions: Claim Status, Eligibility
New PAR Status: Non Par

Payer Name: Aetna Better Health of Illinois - Medicaid
IMN ID: 26337
Transactions: Claim Status, Eligibility
New PAR Status: Non Par

Payer Name: Allied Benefit Systems
IMN ID: 37308
Transactions: Eligibility
New PAR Status: Non Par

Payer Name: Alliant Health Plans
IMN ID: 58234
Transactions: Claim Status, Eligibility
New PAR Status: Non Par

Payer Name: Aspire Health Plan
IMN ID: 46156
Transactions: Eligibility
New PAR Status: Non Par

Payer Name: Aspirus Medicare Advantage
IMN ID: 36483
Transactions: Eligibility
New PAR Status: Non Par

Payer Name: BayCare Plus Medicare Advantage
IMN ID: 81079
Transactions: Eligibility
New PAR Status: Non Par

Payer Name: CareSource of Georgia
IMN ID: GACS1
Transactions: Claim Status, Eligibility
New PAR Status: Non Par

Payer Name: CareSource of Indiana
IMN ID: INCS1
Transactions: Claim Status, Eligibility
New PAR Status: Non Par

Payer Name: Centivo
IMN ID: 45564
Transactions: Claim Status, Eligibility
New PAR Status: Non Par

Payer Name: Christus Health Plan Health Insurance Exchange
IMN ID: CHPTX
Transactions: Claim Status, Eligibility
New PAR Status: Non Par

Payer Name: Cigna Select Great-West Healthcare
IMN ID: 80705
Transactions: Claim Status, Eligibility
New PAR Status: Non Par

Payer Name: Community Health First Medicare Advantage
IMN ID: CHFMA
Transactions: Eligibility
New PAR Status: Non Par

Payer Name: CompBenefits
IMN ID: CX021
Transactions: Claim Inquiry, Eligibility
New PAR Status: Non Par

Payer Name: Cook Childrens Star Plan
IMN ID: CCHP9
Transactions: Eligibility
New PAR Status: Non Par

Payer Name: Farm Bureau Health Plans
IMN ID: 62045
Transactions: Claim Status, Eligibility
New PAR Status: Transitional

Payer Name: Farm Bureau Health Plans MAPD
IMN ID: RP061
Transactions: Claim Status, Eligibility
New PAR Status: Transitional

Payer Name: First United American Insurance Company
IMN ID: FUNAI
Transactions: Eligibility
New PAR Status: Non Par

Payer Name: FirstCare Health Plans
IMN ID: 94999
Transactions: Eligibility
New PAR Status: Non Par

Payer Name: GEMCare - Kern County
IMN ID: MCS03
Transactions: Eligibility
New PAR Status: Non Par

Payer Name: Health Choice Pathway
IMN ID: HCGEN
Transactions: Claim Status, Eligibility
New PAR Status: Non Par

Payer Name: Health Plans, Inc.
IMN ID: 44273
Transactions: Eligibility
New PAR Status: Non Par

Payer Name: Hometown Health
IMN ID: HMETH
Transactions: Eligibility
New PAR Status: Non Par

Payer Name: Independence Administrators
IMN ID: TA720
Transactions: Eligibility
New PAR Status: Non Par

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

5/1/2026

Older Payer Updates

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

GET OLDER UPDATES

Payer Updates (May 2026)

May 2026

May Payer Processing Issues

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