Providence Preferred PPO Electronic Claims Connection No Longer Available

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

Payer Name: Providence Preferred PPO
Claim CPIDs: 2403, 1915
Payer-assigned Payer ID: PHP0U, PHP00
Reason: Payer no longer offers an electronic connection to which Optum can connect. 

10/31/2025

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Error Message for CPID 3237, 1595 Insurance Administrators of America

Optum has received information that the payer below does accept secondary claims. Claims for the payer listed below may have received the following error message:

PSBR0135:INVALID PAYER RESP SEQ NUM CODE

This issue began on October 21, 2025, and was resolved on October 30, 2025. If you believe you received this message in error, you may resubmit your claims.

10/31/2025

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Providence Preferred PPO Electronic Claims Connection No Longer Available

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

Payer Name: Providence Preferred PPO
Claims CPIDs: 2403, 1915
Payer-assigned Payer ID: PHP0U, PHP00
Reason: Payer no longer offers an electronic connection to which Optum can connect. 

Action Required:
Please make the following changes to accommodate the payer no longer offering an electronic connection. 

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

10/31/2025

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Electronic Claims Connection Suspended

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

Payer Name: Trilogy Health Network
CPID(s): 3624, 5835
Payer ID: 62777
Reason: Payer unavailable electronically 

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

10/31/2025

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Division of Immigration Health Services Electronic Claims and Remittance Connections No Longer Available

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

Payer Name: Division of Immigration Health Services
Claim and Remittance CPIDs: 4790, 9581
Remittance LOB: U7H
Payer-assigned Payer ID: VAICE
Reason: Payer no longer offers an electronic connection to which Optum can connect. 

Payer will no longer accept paper claims. 

Action Required: None. 

10/31/2025

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Division of Immigration Health Services Electronic Claims and Remittance Connections No Longer Available

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

Payer Name: Division of Immigration Health Services
Claim and Remittance CPIDs: 4790, 9581
Payer-assigned Payer ID: VAICE 

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

Payer will no longer accept paper claims. 

Action Required: None. 

10/31/2025

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Covenant Administrator Real Time Eligibility No Longer Available

Effective 10/30/2025, Real Time Eligibility 270/271 for the payer listed below will no longer be available at Optum.

Payer Name: Covenant Administrators
Industry Payer ID: 58102
IMN Real Time ID: 58102
Exchange Real Time ID: COVENT
CPID(s): 3828, 1575
Optum IEDi Real Time ID: 10880
Connection Type: X12

Reason: Payer no longer offers an electronic connection

10/31/2025

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New Electronic Claims Connections Available

Optum has new electronic claims connections available:  

Payer Name: Texas Childrens Health Plan (Medicaid Managed Care)
Institutional CPID: 9049
Professional CPID: 3776
Payer-assigned Payer ID: 76048MC
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: Texas
Claims Fee: N/A 

Payer Name: Texas Childrens Health Plan (Star Medicaid) (Medicaid Managed Care)
Institutional CPID: 9050
Professional CPID: 3779
Payer-assigned Payer ID: 75228MC
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: Texas
Claims Fee: N/A 

Action Required: 

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

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

10/30/2025

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Eligibility & Claim Status payer termination

Effective Nov. 10, 2025, Real Time Eligibility 270/271, and Claim Status 276/277 for the payer listed below will no longer be available at Optum.

Payer Name: United American Insurance Company
Industry Payer ID: 92916
IMN Real Time ID: UNAMN
Exchange Real Time ID: UNTDA/UNTDA1 (Portal)
CPID(s): 5084 / 8179
Optum IEDi Real Time ID: 14298
Connection Type: X12/ Portal

Reason: Payer no longer offers an electronic connection.

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

10/30/2025

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Report Generation Delay for CPIDs 4908 and 5832 Cannon Cochran Management Services

A payer is experiencing issues affecting Professional and Institutional report generation for some claims submitted since Oct. 27, 2025.

Payer impacted: 

• CPID 4908 Cannon Cochran Management Services
• CPID 5832 Cannon Cochran Management Services

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

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

If you have any questions, please contact Customer Support and refer to Case Number 09745540.

10/30/2025

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New Payer Name

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

Previous Payer Name: UHSM
New Payer Name: WeShare Legacy
Professional CPID: 3450
Professional Edit Master: PE_T007
Institutional CPID: 9001
Institutional Edit Master: HE9T007

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.

10/29/2025

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New Payer Name

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

Previous Payer Name: UHSM
New Payer Name: WeShare Legacy
Professional CPID: 3450
Institutional CPID: 9001

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

10/29/2025

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999 Payer Batch Rejections for CPID 2845 SVCMC USFHP

Some Professional claims transmitted to the payer listed below from Optum Oct. 27, 2025 were not processed by the payer due to a 999 Batch Rejection.

• CPID 2845 SVCMC USFHP

A resolution has been implemented and the claims were retransmitted to the payer Oct. 29, 2025.

Action Required: None.

If you have any questions, please contact Customer Support and refer to Case Number 09749954.

10/29/2025

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999 Payer Batch Rejections for CPID 2438 Tufts Health Plan

Professional claims transmitted to the payer listed below from Optum Oct. 21, 2025 were not processed by the payer due to a 999 Batch Rejection.

• CPID 2438 Tufts Health Plan

A resolution has been implemented and the claims were retransmitted to the payer Oct. 28, 2025.

Action Required: None.

If you have any questions, please contact Customer Support and refer to Case Number 09750158.

10/28/2025

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Payer Change for CPIDs 3238, 8905 BoldAge PACE Kentucky Owensboro and CPIDs 2873, 8585 BoldAge PACE Indiana Evansville

Effective October 29, 2025, claims currently exchanged with the following payer must use different CPIDs.

Payer Name: BoldAge PACE Kentucky Owensboro
Professional CPID: 3238
Professional Edit Master: PE_C051
Institutional CPID: 8905
Institutional Edit Master: HE9C051
Payer-assigned Payer ID: 65435

Claims must begin using the following:

Previous Payer Name: BoldAge PACE Indiana Evansville
New Payer Name: BoldAge PACE
Professional CPID: 2873
Current Professional Edit Master: PE_C051
New Professional Edit Master: PE_T007
Institutional CPID: 8585
Current Institutional Edit Master: HE9C051
New Institutional Edit Master: HE9T007
Current Payer-assigned Payer ID: 65433
New Payer-assigned Payer ID: BOLD1

CPIDs 3238 and 8905 BoldAge PACE Kentucky Owensboro will be terminated effective November 11, 2025.

Enrollment Requirements:

Claims:

• Payer enrollment for electronic claims is not required.

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: Please make the following updates to accommodate these payer changes for new payer name BoldAge PACE and new Payer ID BOLD1:

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

10/28/2025

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Payer Change for CPIDs 3238, 8905 BoldAge PACE Kentucky Owensboro and CPIDs 2873, 8585 BoldAge PACE Indiana Evansville

Effective October 29, 2025, claims currently exchanged with the following payer must use different CPIDs.

Payer Name: BoldAge PACE Kentucky Owensboro
Professional CPID: 3238
Institutional CPID: 8905
Payer-assigned Payer ID: 65435

Claims must begin using the following:

Previous Payer Name: BoldAge PACE Indiana Evansville
New Payer Name: BoldAge PACE
Professional CPID: 2873
Institutional CPID: 8585
Current Payer-assigned Payer ID: 65433
New Payer-assigned Payer ID: BOLD1
Claim Fee: N/A

CPIDs 3238 and 8905 BoldAge PACE Kentucky Owensboro will be terminated effective November 11, 2025.

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 for new payer name BoldAge PACE and new Payer ID BOLD1.

10/28/2025

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999 Payer Batch Rejections for CPID 1844 Wellcare Health Plans

Professional claims transmitted to the payer listed below from Optum on Oct. 27, 2025 were not processed by the payer due to a 999 Batch Rejection. 

• CPID 1844 Wellcare Health Plans

A resolution has been implemented and the claims were retransmitted to the payer on Oct. 28, 2025.

Action Required: None.

If you have any questions, please contact Customer Support and refer to Case Number 09748845.

10/28/2025

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Electronic Routing Change for CPID 3552 KAMG Hospital

Effective Oct. 28, 2025, Optum is changing electronic claims routing for the following payer: 

Payer Name: KAMG Hospital
Institutional CPID: 3552
Payer-assigned Payer ID: GSH02
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 are receiving. 

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. 

10/28/2025

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Report Generation Delay for CPID 6671 HealthSun

A payer intermediary is experiencing issues affecting Institutional report generation for some claims submitted since Oct. 15, 2025.

Payer impacted: 

• CPID 6671 HealthSun

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

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

If you have any questions, please contact Customer Support and refer to Case Number 09748953.

10/28/2025

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Report Generation Delay for CPIDs 2950 and 2807 Professional Benefit Administrators

A payer intermediary is experiencing issues affecting Institutional and Professional report generation for some claims submitted since Oct. 15, 2025.

Payer impacted: 

• CPID 2950 Professional Benefit Administrators (Oakbrook, Illinois)
• CPID 2807 Professional Benefit Administrators (Oakbrook, 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 09748879.

10/28/2025

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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 Oct. 24, 2025 :

Payer Name: Ace Property and Casualty Insurance Company
Industry Payer ID: 14367
IMN Real Time ID: 14367
Exchange Real Time ID: ACEPC
CPID(s): N/A
Payer Enrollment Required: No
Connection Type: X12

Search Options
Subscriber:

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

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

10/27/2025

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VA payer professional claim edit change

It has come to our attention that some professional claims for Veterans Administration (payer ID 84146) with place of service 32 were incorrectly rejected for missing admission date (error NPV101). This edit has been corrected.

If you have had professional claims reject for this error for the Veterans Administration, payer CHAMPVA-HAC, please resubmit the claims.

10/27/2025

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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 Oct. 24, 2025:

Payer Name: Senior Dimensions
Industry Payer ID: 11023
IMN Real Time ID: 11023
Exchange Real Time ID: SNRDM
CPID(s): N/A
Payer Enrollment Required: No
Connection Type: X12

Search Options
Subscriber:

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

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

10/27/2025

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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 Oct. 24, 2025:

Payer Name: United States Fire Insurance Company
Industry Payer ID: 14327
IMN Real Time ID: 14327
Exchange Real Time ID: USFIC
CPID(s): N/A
Payer Enrollment Required: No
Connection Type: X12

Search Options:
Subscriber

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

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

10/27/2025

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Report Generation Delay for CPID 4270 Resurrection Physicians Provider Group

A payer intermediary is experiencing issues affecting Professional report generation for some claims submitted since Oct. 15, 2025.

Payer impacted: 

• CPID 4270 Resurrection Physicians Provider Group

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

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

If you have any questions, please contact Customer Support and refer to Case Number 09747501.

10/27/2025

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Report Generation Delay for CPIDs 6619 and 6899 Ravenswood Physician Associates

A payer intermediary is experiencing issues affecting Institutional and Professional report generation for some claims submitted since Oct. 15, 2025.

Payer impacted: 

• CPID 6619 Ravenswood Physician Associates
• CPID 6899 Ravenswood Physician Associates

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 09747436.

10/27/2025

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Claims Rejection - Texas Childrens Health Plan 75228

Due to a potential transmission issue, Texas Childrens Health Plan Medicaid claims are rejecting for the below payer ID with the following message:

• ELEMENT SV111 IS USED. IT MAY BE USED ON MEDICAID CLAIMS ONLY. SEGMENT SV1 IS DEFINED IN THE GUIDELINE.

Payer: Texas Childrens Health Plan        
Payer ID: 75228]

We are currently researching internally. Additional updates will be forwarded as more information becomes available.

Action Required: None at this time. Please note Commercial Texas Childrens Health Plan are not receiving this rejection.

10/27/2025

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Report Generation Delay for CPID 5838 Preferred Administrators

A payer intermediary is experiencing issues affecting Professional report generation for some claims submitted Oct. 13, 2025 and Oct. 14, 2025.

Payer impacted:

• CPID 5838 Preferred 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 09747317.

10/27/2025

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999 Payer Batch Rejections for CPID 2845 SVCMC USFHP

Some Professional claims transmitted to the payer listed below from Optum Oct. 23, 2025 were not processed by the payer due to a 999 Batch Rejection.

• CPID 2845 SVCMC USFHP

A resolution has been implemented and the claims were retransmitted to the payer Oct. 27, 2025.

Action Required: None.

If you have any questions, please contact Customer Support and refer to Case Number 09747183.

10/27/2025

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Report Generation Delay for multiple CPIDs

A payer intermediary is experiencing issues affecting Professional and Institutional report generation for some claims submitted since Oct. 21, 2025.

Payers impacted:

• CPID 1491 Pennsylvania Medicaid
• CPID 5509 Pennsylvania Medicaid
• CPID 1605 Pennsylvania Medicaid Long Term 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 09747121.

10/27/2025

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New Electronic Remittance (ERA) Connections Available on RPA

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

73275 – Perlman Medical Group
75300 – Insurance Administrative Solution
84323 – Banner Medicare Advantage Prime
IHS11 – Centurion, LLC
IHHMG – Imperial Health Holdings Medical Group
MPM28 – Dignity HCLA

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

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

10/24/2025

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New Electronic Claims Connections Available on RPA

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

PAYER ID PAYER NAME

00019 – Cox Health Plans (Prof)
31057 – Medcore HP
43160 – YesCare
64088 – Mississippi Select Healthcare
94998 – FirstCare STAR Medicaid MCO/FirstCare & FirstCare Advantage HMO
FDNYU – Fire Department City of New York (Inst)
FSHW1 – Franciscan Senior Health & Wellness
PCACZ – Primary Care Associates of California
R3498 – Sunrise PACE

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

PAYER ID PAYER NAME

43160 – YesCare
64088 – Mississippi Select Healthcare (aka Select Administrative Services)
94998 – FirstCare STAR Medicaid MCO/FirstCare & FirstCare Advantage HMO
FDNYP – Fire Department City of New York (Prof)
FSHW1 – Franciscan Senior Health & Wellness
HRYA1 – Heraya Health
OLRMC – OLOLRMC Uninsured Patient Services Program
R3498 – Sunrise PACE

10/24/2025

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New Real Time Connections Available on RPA

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

41212 – Freedom Health
41822 – Dean Health Plan By Medica

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

SB510 – Blue Cross Blue Shield of Alabama
SKDE0 – Delaware Medicaid
SKMT0 – Montana Medicaid
SKNY0 – New York Medicaid
SKSC0 – South Carolina Medicaid
WELM2 – WellMed

10/24/2025

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Report Generation Delay for CPID 7241 TransactRX Part D

The payer listed below is experiencing issues affecting Professional report generation for some claims submitted on Oct. 14, 2025.

Payer impacted: 

• CPID 7241 TransactRX Part D

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 09745428.

10/24/2025

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CVS Accountable Care Electronic Remittance Connection No Longer Available

The payer listed below is no longer available at Optum for remittance processing, effective Oct. 24, 2025

Payer Name: CVS Accountable Care
Remittance CPID: 3258
Remittance LOB: K4V
Payer-assigned Payer ID: CVSACO
Reason: Payer no longer offers an electronic connection to which Optum can connect. 

Action Required: None.

10/24/2025

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CVS Accountable Care Electronic Remittance Connection No Longer Available
The payer listed below is no longer available at Optum for remittance processing, effective Oct. 24, 2025.

Payer Name: CVS Accountable Care
Remittance CPID: 3258
Payer-assigned Payer ID: CVSACO

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

Action Required: None.

10/24/2025

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Report Generation Delay for CPID 6284 Trillium Health Resources

The payer listed below is experiencing issues affecting Professional report generation for some claims submitted Aug. 27,2025-Oct. 20, 2025.

Payer impacted:

• CPID 6284 Trillium Health Resources

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

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

If you have any questions, please contact Customer Support and refer to Case Number 09745142.

10/24/2025

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Update: Report Generation Delay for CPIDs 5523 and 1482 Washington Medicaid

Update: The payer intermediary has been unable to generate and deliver the reports for claims submitted Oct. 13, 2025 and Oct. 20, 2025.

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

Original notice sent Oct. 22, 2025:

A payer intermediary is experiencing issues affecting Institutional and Professional report generation for claims submitted Oct. 13, 2025 and Oct. 20, 2025.

Payer impacted:

• CPID 1482 Washington Medicaid
• CPID 5523 Washington Medicaid

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

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

If you have any questions, please contact Customer Support and refer to Case Number 09730570.

10/24/2025

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Report Generation Delay for CPID 4410 Educators Mutual Insurance

A payer is experiencing issues affecting Professional report generation for some claims submitted Oct. 7, 2025.

Payer impacted:  

• CPID 4410 Educators Mutual Insurance

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 09745180.

10/24/2025

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New Electronic Claims Connections Available

Optum has new electronic claims connections available:

Payer Name: Judi Health
Payer ID: JUDIH
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: National
Claims Fee: N/A

Action Required: 

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

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

1024/2025

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Delay in Electronic Remittance Advice (ERA) for Multiple CPIDs

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

Due to a payer processing issue, there has been a delay in Professional and Institutional Electronic Remittance Advice (ERA) for the following payers for file dates Oct. 13, 2025-present:

• PID INMCR Indiana Medicare Part B
• PID 05101 Iowa Medicare Part A
• PID IAMCR Iowa Medicare Part B
• PID 05901 Mutual of Omaha/J5 National Part A Medicare
• PID 05201 Kansas Medicare Part A
• PID KSMCR Kansas Medicare Part B
• PID 08201 Michigan Medicare Part A
• PID MIMCR Michigan Medicare Part B
• PID 05301 Missouri Eastern Medicare Part A
• PID 05401 Missouri Eastern Medicare Part B
• PID NEMCR Nebraska Medicare Part A
• PID MWMCR/KCMCR/MOMCR Nebraska Medicare Part B

Additional updates will be forwarded as more information becomes available.

If you have any questions, feel free to contact your Customer Support Team and refer to Case Number 09735600/INC-00000351515.

10/24/2025

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Delay in Electronic Remittance Advice (ERA) for Multiple CPIDs, 10/13/25 to Present

Due to a payer processing issue, there has been a delay in Professional and Institutional Electronic Remittance Advice (ERA) for the following payers for file dates October 13, 2025 through present:

• CPID 1445 Indiana Medicare Part B
• CPID 2537 Iowa Medicare Part A
• CPID 1438 Iowa Medicare Part B
• CPID 2535 Mutual of Omaha/J5 National Part A Medicare
• CPID 5518 Kansas Medicare Part A
• CPID 2463 Kansas Medicare Part B
• CPID 3515 Michigan Medicare Part A
• CPID 1461 Michigan Medicare Part B
• CPID 5572 Missouri Eastern Medicare Part A
• CPID 1441 Missouri Eastern Medicare Part B
• CPID 1519 Nebraska Medicare Part A
• CPID 1451 Nebraska Medicare Part B

Additional updates will be forwarded as more information becomes available.

If you have any questions, feel free to contact your Customer Support Team and refer to Case Number 09735600/INC-000003515

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

10/23/2025

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Electronic Routing Change for Multiple Payers

Effective October 28, 2025, Optum will be changing electronic claims routing for the following payers:

Payer Name: Central Valley Medical Providers
Professional CPID: 9765
Edit Master: PE_T007
Institutional CPID: 8047
Edit Master: HE9T007
Current Payer-assigned Payer ID: CVM02
New Payer-assigned Payer ID: MPM59
Payer Claim Enrollment Required: No
Secondary Claims Accepted: Yes

Payer Name: Community Care IPA
Professional CPID: 8226
Current Edit Master: PE_O007
New Edit Master: PE_T007
Institutional CPID: 2081
Current Edit Master: HE9O007
New Edit Master: HE9T007
Payer-assigned Payer ID: MPM48
Payer Claim Enrollment Required: No
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.
8226

Enrollment Requirements:

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

10/23/2025

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Electronic Routing Change for Multiple Payers

Effective October 28, 2025, Optum will be changing electronic claims routing for the following payers:

Payer Name: Central Valley Medical Providers
Professional CPID: 9765
Institutional CPID: 8047
Current Payer-assigned Payer ID: CVM02
New Payer-assigned Payer ID: MPM59
Payer Claim Enrollment Required: No
Secondary Claims Accepted: Yes
Claims Fee: N/A

Payer Name: Community Care IPA
Professional CPID: 8226
Institutional CPID: 2081
Payer-assigned Payer ID: MPM48
Payer Claim Enrollment Required: No
Secondary Claims Accepted: Yes
Claims Fee: N/A

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:

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.

10/23/2025

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Report Generation Delay for CPIDs 1510 and 1404 Wellmark Blue Cross Blue Shield of Iowa
A payer intermediary is experiencing issues affecting Institutional and Professional report generation for some claims submitted Oct. 10, 2025.

Payer impacted: 

• CPID 1510 Wellmark Blue Cross Blue Shield of Iowa
• CPID 1404 Wellmark Blue Cross Blue Shield of Iowa

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

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

If you have any questions, please contact Customer Support and refer to Case Number 09743971.

10/23/2025

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Report Generation Delay for CPID 7499 Sentara Health Plans
A payer intermediary is experiencing issues affecting Professional report generation for some claims submitted Oct. 9, 2025.

Payer impacted:

• 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 09743863.

10/23/2025

---

Report Generation Delay for CPID 4278 The Boon Group
A payer intermediary is experiencing issues affecting Professional report generation for some claims submitted Oct. 9, 2025.

Payer impacted: 

• CPID 4278 The Boon Group

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

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

If you have any questions, please contact Customer Support and refer to Case Number 09743781.

10/23/2025

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Report Generation Delay for CPIDs 1507 and 3887 Veterans Administration
A payer intermediary is experiencing issues affecting Institutional and Professional report generation for some claims submitted since Oct. 13, 2025.

Payer impacted:

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

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 09743725.

10/23/2025

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New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:  

Payer Name: Guardian Retail
Professional CPID: 3753
Payer-assigned Payer ID: GI813
Line of Business (LOB) Code: J35
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. 

10/23/2025

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New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:  

Payer Name: Guardian Retail
Professional CPID: 3753
Payer-assigned Payer ID: GI813
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. 

10/23/2025

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999 Payer Batch Rejections for CPID 1844 Wellcare Health Plans

Professional claims transmitted to the payer listed below from Optum on Oct. 21, 2025 were not processed by the payer due to a 999 Batch Rejection. 

• CPID 1844 Wellcare Health Plans

A resolution has been implemented and the claims were retransmitted to the payer on Oct. 22, 2025.

Action Required: None.

If you have any questions, please contact Customer Support and refer to Case Number 09742387.

10/22/2025

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Electronic Routing Change for CPIDs 1130 and 4055 Sentinel Security Life

Effective October 22, 2025, Optum will be changing electronic remittance routing for the following payer:

Payer Name: Sentinel Security Life
Professional CPID: 1130
Institutional CPID: 4055
Payer-assigned Payer ID: 87020
Line of Business Code (LOB): J7V
Payer Remittance Enrollment Required: Yes

Plans associated with this connection:

• Atlantic Coast Life Insurance
• Catholic Life Insurance
• Catholic United Financial
• National Guardian Life Insurance Company
• Pan-American Life Insurance Company (SSLCO)
• Polish Falcons of America
• Renaissance Life and Health Insurance Company of America

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. 

10/22/2025

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Electronic Routing Change for CPIDs 1130 and 4055 Sentinel Security Life
Effective Oct. 22, 2025, Optum is changing electronic remittance routing for the following payer:

Payer Name: Sentinel Security Life
Professional CPID: 1130
Institutional CPID: 4055
Payer-assigned Payer ID: 87020
Payer Remittance Enrollment Required: Yes
Remittance Fee: N/A

Plans associated with this connection:

• Atlantic Coast Life Insurance
• Catholic Life Insurance
• Catholic United Financial
• National Guardian Life Insurance Company
• Pan-American Life Insurance Company (SSLCO)
• Polish Falcons of America
• Renaissance Life and Health Insurance Company of America

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.

10/22/2025

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Report Generation Delay for CPIDs 5523 and 1482 Washington Medicaid

A payer intermediary is experiencing issues affecting Institutional and Professional report generation for claims submitted on Oct. 13, 2025 and Oct. 20, 2025.

Payer impacted:

• CPID 1482 Washington Medicaid
• CPID 5523 Washington Medicaid

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

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

If you have any questions, please contact Customer Support and refer to Case Number 09730570.

10/22/2025

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Payer Processing Issue for CPID 5587 Alabama Medicaid Outpatient

Due to a payer processing issue, some Institutional claims transmitted to the payer listed below Oct. 16, 2025 were not processed by the payer.

Payer impacted: 

• CPID 5587 Alabama Medicaid Outpatient

A resolution has been implemented and the claims were retransmitted to the payer Oct. 22, 2025.

This delay affected claims released to Optum Oct. 15, 2025, 3:00 p.m.-Oct. 16, 2025, 3:00 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 09741359.

10/22/2025

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Resolved: Payer Processing Issue for CPIDs 1482 and 5523 Washington Medicaid

Resolved: This issue has been resolved.

Original notification sent Oct. 15, 2025:
Due to a payer processing issue, Professional and Institutional claims transmitted to the payer listed below Oct. 13, 2025 through present were not processed by the payer.

Payer impacted:

• CPID 1482 Washington Medicaid
• CPID 5523 Washington Medicaid

Optum is working with the payer to resolve this processing issue. We will notify you once this issue has been resolved.

Action Required: None. Please be aware of the processing issue above.

If you have any questions, please contact Customer Support and refer to Case Number 09730570.

10/22/2025

---

Resolved: Delay in Electronic Remittance Advice (ERA) for CPIDs 1482 and 5523 Washington Medicaid

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

Original notification sent Oct. 17, 2025:
There has been a delay in Professional and Institutional Electronic Remittance Advice (ERA) for the following payer for check dates since Oct. 13, 2025:

• CPID 1482 Washington Medicaid
• CPID 5523 Washington Medicaid

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

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

If you have any questions, please contact Customer Support and refer to Case Number 09730570.

10/22/2025

---

Payer Processing Issue for CPID 4480 SelectHealth

Due to a payer processing issue, some Professional claims transmitted to the payer listed below Oct. 3, 2025 were not processed by the payer.

Payer impacted:

• CPID 4480 SelectHealth

A resolution has been implemented and the claims were retransmitted to the payer Oct. 21, 2025.

This delay affected claims released to Optum Oct. 2, 2025, 7:00 p.m.-Oct. 3, 2025, 7:00 p.m. CT.

Action Required: Be aware of the processing issue above and of possible invalid duplicate rejections.

If you have any questions, please contact Customer Support and refer to Case Number 09740510.

10/21/2025

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Update: Delay in Electronic Remittance Advice (ERA) for CPIDs 5547 and 4426 Blue Cross Blue Shield of Arizona

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

Original Notify sent Oct. 13, 2025:

There has been a delay in Professional and Institutional Electronic Remittance Advice (ERA) for the following payer for check dates since Oct. 4, 2025:

• CPID 5547 Blue Cross Blue Shield of Arizona
• CPID 4426 Blue Cross Blue Shield of Arizona

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 09726976.

10/21/2025

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New Electronic Claims Connections Available

Optum has new electronic claims connections available:

Payer Name: Judi Health
Institutional CPID: 9043
Professional CPID: 3751
Payer-assigned Payer ID: JUDIH
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: National
Claims Fee: N/A

Action Required: 

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

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

10/21/2025

---

Update: Report Generation Delay for CPIDs 6705 and 9679 Prime Community Care of Central Valley

A payer intermediary is experiencing issues affecting Professional and Institutional report generation for some claims submitted since Oct. 13, 2025.

Payer impacted:

• CPID 6705 Prime Community Care of Central Valley
• CPID 9679 Prime Community Care of Central Valley

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 09739560.

10/21/2025

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New Electronic Claims Connections Available - Korean American Medical Group (AMM24)

Optum has new electronic claims connections available:  

Payer Name: Korean American Medical Group
Payer ID: AMM24
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: California
Claims Fee: N/A 

Action Required: 

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

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

10/21/2025

---

UPDATE: Electronic Claims Connection Suspended - Southwest Service Life
Update: This payer has been reactivated and rerouted. Providers may submit claims to this payer.

Payer Name: Southwest Service Life
Payer ID: 37266
Payer Claim Enrollment Required: No
Secondary Claims Accepted: No
Claims Fee: N/A 

Original notification sent Sept. 26, 2025
Effective immediately, the payer listed below has been suspended at Optum for claim processing and removed from the payer list.

Payer Name: Southwest Service Life
Payer ID: 37266
Reason: Payer unavailable electronically

Action Required: Please refrain from submitting claims electronically until further notice. Claims may be submitted to this payer on paper.

10/21/2025

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Edit Master for CPIDs 3237 and 1595 Insurance Administrators of America (IAA)
Effective Oct. 21, 2025, Optum is changing Edit Masters for the following payer:

Payer Name: Insurance Administrators of America (IAA)
Professional CPID: 3237
Current Edit Master: PE_E049
New Edit Master: PE_T007
Institutional CPID: 1595
Current Edit Master: HE9B801
New Edit Master: HE9T007
Payer-assigned Payer ID: 37279 

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. 

10/21/2025

---

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

Update: The payer intermediary has been unable to generate and deliver the reports for some claims submitted Sept. 29, 2025.

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

Original notice sent Oct. 17, 2025:
A payer intermediary is experiencing issues affecting Institutional and Professional report generation for some claims submitted Sept. 29, 2025.

Payer impacted:

• CPID 2930 Health Choice Arizona
• CPID 3232 Health Choice Arizona

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

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

If you have any questions, please contact Customer Support and refer to Case Number 09680309.

10/21/2025

---

Report Generation Delay for CPID 3232 Health Choice Arizona

Update: The payer intermediary has been unable to generate and deliver the reports for some claims submitted Sept. 5, 2025-Sept. 8, 2025.

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

Original notice sent Oct. 17, 2025:
A payer intermediary is experiencing issues affecting Professional report generation for some claims submitted Sept. 6, 2025-Sept. 8, 2025.

Payer impacted:

• CPID 3232 Health Choice Arizona

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

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

If you have any questions, please contact Customer Support and refer to Case Number 09680309.

10/21/2025

---

Electronic Routing Change for CPIDs 7480 and 7075 Med-Pay

Effective Oct. 21, 2025, Optum is changing electronic remittance routing for the following payer:

Payer Name: Med-Pay
Professional CPID: 7480
Institutional CPID: 7075
Payer-assigned Payer ID: 88058
Payer Remittance Enrollment Required: Yes
Remittance Fee: N/A

Enrollment Requirements
Remittance:

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

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

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

10/21/2025

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New electronic 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 Oct. 9, 2025:

Payer Name: BLUECHOICE HEALTHPLAN SOUTH CAROLINA MEDICAID
Industry Payer ID: 00403
IMN Real Time ID: BCHSC
Exchange Real Time ID: BLCHHP
CPID(s): 5953, 2121
Optum IEDI Real Time ID: 10504
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
• Member ID, Date of Birth

Dependent

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

Claim Status Inquiry subscriber

• Member id, first name, last name, date of birth

Optional additional elements:

• Payer claim number, Total submitted charges

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.

10/21/2025

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Electronic Routing Change for CPIDs 7480 and 7075 Med-Pay

Effective Oct. 21, 2025, Optum will be changing electronic remittance routing for the following payer:

Payer Name: Med-Pay
Professional CPID: 7480
Institutional CPID: 7075
Payer-assigned Payer ID: 88058
Line of Business Code (LOB): N50
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. 

10/21/2025

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Report Generation Delay for CPID 4768 Health Payment System

A payer is experiencing issues affecting Professional report generation for some claims submitted Oct. 17, 2025.

Payer impacted:

• CPID 4768 Health Payment System

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 09738990.

10/21/2025

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Invalid Claim Rejections for Coachella Medical Group (COMG1)

Optum is aware that claims submitted to the below payer Sept. 26, 2025-Oct. 16, 2025 may have rejected in error.

Payer Name: Coachella Medical Group
Payer ID: COMG1

Action Required: Please re-submit any impacted claims that were submitted during this timeframe.

10/21/2025

---

Update: Report Generation Delay for CPIDs 9581 and 4790 Division of Immigration Health Services

Update: The payer intermediary has advised that claims submitted to this payer since Oct. 3, 2025 will not be processed by the payer. Additional information from the payer can be found at https://www.ice.gov/detain/ice-health-service-corps/ihs-managed-care.

Action Required: Please be aware that claims submitted to this payer since Oct. 3, 2025 will not be processed by the payer.

Original Notify sent Oct. 15, 2025:
A payer intermediary is experiencing issues affecting Institutional and Professional report generation for some claims submitted since Oct. 3, 2025.

Payer impacted: 

• CPID 9581 Division of Immigration Health Services
• CPID 4790 Division of Immigration Health Services

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

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

If you have any questions, please contact Customer Support and refer to Case Number 09731619.

10/20/2025

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Electronic Claims Connections Available

Please be advised Optum has electronic claims connections available for the below payer:  

Payer Name: Behavioral Health Systems
Professional CPID: 6106
Institutional CPID: 1012
Payer-assigned Payer ID: 63100
Payer Enrollment Required: No
Secondary Claims Accepted: No

Action Required:

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

Action Required by customer:
For assistance with submitting claims transactions, please contact your Practice Management System Vendor or create a Optum Customer Care Hub ticket for assistance.

10/20/2025

---

Behavioral Health Systems Eligibility 270/271 Connection Available

Please be advised Optum has the availability of Real-time Eligibility 270/271 for the below payer:

Payer Name: Behavioral Health Systems
Exchange Real Time ID: BHRHS
Payer Enrollment Required: No

Action Required by customer:
For assistance with submitting Real-Time transactions, please contact your Practice Management System Vendor or create a Optum Customer Care Hub ticket for assistance.

10/20/2025

---

Behavioral Health Systems Eligibility 270/271 Connection Available

Please be advised Optum has the availability of Real-time Eligibility 270/271 for the below payer:

Payer Name: Behavioral Health Systems
IMN Real Time ID: 63100
Payer Enrollment Required: No

Action Required by customer:
For assistance with submitting Real-Time transactions, please contact your Practice Management System Vendor or create a Optum Customer Care Hub ticket for assistance.

10/20/2025

---

Satellite Health Plan Electronic Claims Connection No Longer Available

Effective immediately, the payer listed below is longer available at Optum for claims processing. 

Payer Name: Satellite Health Plan
Claim CPIDs: 7103, 6628
Payer-assigned Payer ID: 45552
Reason: Payer no longer offers an electronic connection to which Optum can connect. 

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

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

10/17/2025

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Satellite Health Plan Electronic Claims Connection No Longer Available

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

Payer Name: Satellite Health Plan
Claim CPIDs: 7103, 6628
Payer-assigned Payer ID: 45552
Reason: Payer no longer offers an electronic connection to which Optum can connect. 

Action Required: None. 

10/17/2025

---

999 Payer Batch Rejections for CPID 1844 Wellcare Health Plans

Professional claims transmitted to the payer listed below from Optum on Oct. 17, 2025 were not processed by the payer due to a 999 Batch Rejection.

• CPID 1844 Wellcare Health Plans

A resolution has been implemented and the claims were retransmitted to the payer on Oct. 17, 2025.

Action Required: None.

If you have any questions, please contact Customer Support and refer to Case Number 09735671.

10/17/2025

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Cigna 276/277 Loop 2100C Requirements

Effective October 23, 2025, all Health Care Claim Status Requests (276 transaction) submitted to Cigna Healthcare® must include the National Provider Identifier (NPI), or a Tax ID for Atypical Providers.

This change aligns with the ASC X12N 276/277 (version 005010X212) standard, supports industry-wide efforts to streamline electronic data interchange processes, helps ensure compliance with the Health Insurance Portability and Accountability Act of 1996, and improves processing accuracy.

What you need to know

• An NPI or Tax ID (for Atypical Providers) must be submitted in the Loop 2100C NM109 field
  • NPI must have a “XX” qualifier in the NM108 field.
  • Tax ID must have a “FI” qualifier in the NM108 field.

Action required

• Ensure your 276 transactions include the NPI or Tax ID in the appropriate segment.

Payer Name: CIGNA
IMN Real Time ID: CIGNA
Exchange Real Time ID: CIGNA
CPID(s): 4509 / 6405
Optum IEDI Real Time ID: 62308
Connection Type: Claim Status

For any issues/questions, please contact your product support team via the Customer Care Hub.

10/17/2025

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Invalid Claim Rejections for Coachella Medical Group, Payer ID COMG1

Optum is aware that claims submitted to the below payer from 9/26/25 through 10/16/25 may have rejected in error. Please re-submit any impacted claims that were submitted during this timeframe.

Payer Name: Coachella Medical Group
Payer ID: COMG1
CPIDs: 8901, 3404

10/17/2025

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Electronic Routing Change for CPIDs 4714 and 1584 Medigold HMO

Effective October 17, 2025, Optum will be changing electronic remittance routing for the following payer:

Payer Name: Medigold HMO
Professional CPID: 4714
Institutional CPID: 1584
Payer-assigned Payer ID: 95655
Payer Remittance Enrollment Required: Yes
Remittance Fee: N/A

Enrollment Requirements:

Remittance:

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

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

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

10/17/2025

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Electronic Routing Change for CPIDs 4714 and 1584 Medigold HMO

Effective October 17, 2025, Optum will be changing electronic remittance routing for the following payer:

Payer Name: Medigold HMO
Professional CPID: 4714
Institutional CPID: 1584
Payer-assigned Payer ID: 95655
Line of Business Code (LOB): U3J
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. 

10/17/2025

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Delay in Electronic Remittance Advice (ERA) for CPIDs 1482 and 5523 Washington Medicaid

There has been a delay in Professional and Institutional Electronic Remittance Advice (ERA) for the following payer for check dates since Oct. 13, 2025:

• CPID 1482 Washington Medicaid
• CPID 5523 Washington Medicaid

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

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

If you have any questions, please contact Customer Support and refer to Case Number 09730570.

10/17/2025

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Payer ID Changes for Claim Payers

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

Payer Name: Prospect Medical Systems
Payer ID: IP105, IP056, IP057
NEW PAYER ID: PROSP
Claim Type: Professional

Payer Name: MedStar Family Choice, Inc (MD)
Payer ID: 00243
NEW PAYER ID: RP063
Claim Type: Professional

Payer Name: Imperial Health Holdings Medical Group
Payer ID: 78448
NEW PAYER ID: IHHMG
Claim Type: Institutional

Payer Name: Rehn and Associates
Payer ID: REHNO, REHNA
NEW PAYER ID: REHN
Claim Type: Professional and Institutional 

Please note that Payer IDs IP105, IP056, IP057, 00243, 78448, REHNO, and REHNA will be terminated effective October 17, 2025.

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.

10/17/2025

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Ochsner Health Plan Real Time Eligibility(270,271), Claim Status(276/277) Connection Available

Optum is pleased to announce the availability of Real-time Eligibility Inquiry and Response 270/271 and Claim Status Inquiry and Response 276/277 transactions for the below payer, effective Oct. 16, 2025:

Payer Name: Ochsner Health Plan
IMN Payer ID: A5236
IEDI Payer ID: A5236
Exchange Payer ID: OSNHP
CPIDs: 9406, 7022
Payer Enrollment Required: No
Connection Type: X12

Search Options
Eligibility Subscriber

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

Claim Status Inquiry subscriber

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

Additional information
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.

10/17/2025

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Report Generation Delay for CPIDs 2930 and 3232 Health Choice Arizona

A payer intermediary is experiencing issues affecting Institutional and Professional report generation for some claims submitted Sept. 29, 2025.

Payer impacted:

• CPID 2930 Health Choice Arizona
• CPID 3232 Health Choice Arizona

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

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

If you have any questions, please contact Customer Support and refer to Case Number 09680309.

10/17/2025

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Report Generation Delay for CPID 3232 Health Choice Arizona

A payer intermediary is experiencing issues affecting Professional report generation for some claims submitted Sept. 6, 2025-Sept. 8, 2025.

Payer impacted:

• CPID 3232 Health Choice Arizona

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

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

If you have any questions, please contact Customer Support and refer to Case Number 09680309.

10/17/2025

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Report Generation Delay for CPID 4423 Medical Mutual of Ohio

A payer is experiencing issues affecting Professional report generation for some claims submitted Oct. 7, 2025.

Payer impacted:

• CPID 4423 Medical Mutual of Ohio

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 09735387.

10/17/2025

---

New Electronic Claims Connections Available

Optum has new electronic claims connections available:  

Payer Name: UCLA Health Medicare Advantage Plan
Payer ID: 28189
Payer Enrollment Required: No
Secondary Claims Accepted: No

Payer Name: NorthBay Health
Payer ID: NB123
Payer Enrollment Required: No
Secondary Claims Accepted: Yes 

Payer Name: Point C
Payer ID: IHS29
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. 

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

10/17/2025

---

Gulf Stream General Dynamics Electronic Claims Connection No Longer Available

Effective immediately, the payer listed below is longer available at Optum for claims processing. 

Payer Name: Gulf Stream General Dynamics
Payer ID: CB624
Reason: Payer no longer offers an electronic connection to which Optum can connect. 

Action Required: None. 

10/17/2025

---

Delay in Electronic Remittance Advice (ERA) for CPIDs 4509, 6405 CIGNA

Due to a payer processing issue, there has been a delay in Professional and Institutional Electronic Remittance Advice (ERA) for the following payers for check date of October 14, 2025:

• CPID 4509 CIGNA
• CPID 6405 CIGNA

Additional updates will be forwarded as more information becomes available.

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

If you have any questions, feel free to contact your Customer Support Team and refer to Case Number INC-000003485.

10/16/2025

---

Enrollment Form Update

The following payers have changed their Remittance enrollment form:

• CPID 6407/Payer ID 95399/CAPMN/Conifer Health Solutions
• CPID 9576/Payer ID 95399/CAPMN/Conifer Health Solutions

If providers are not currently receiving remittance, the updated enrollment form should be completed.

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

10/16/2025

---

New Electronic Claims Connections Available

Optum has new electronic claims connections available:  

Payer Name: Montefiore Contract Management Organization
Institutional CPID: 7541
Professional CPID: 2817
Payer-assigned Payer ID: 13174
Payer Enrollment Required: No
Secondary Claims Accepted: No
Payer Location: New York
Claims Fee: N/A 

Action Required: 

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

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

10/16/2025

---

Report Generation Delay for CPIDs 9581 and 4790 Division of Immigration Health Services

A payer intermediary is experiencing issues affecting Institutional and Professional report generation for some claims submitted since Oct. 3, 2025.

Payer impacted: 

• CPID 9581 Division of Immigration Health Services
• CPID 4790 Division of Immigration Health Services

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

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

If you have any questions, please contact Customer Support and refer to Case Number 09731619.

10/16/2025

---

Report Generation Delay for CPID 3508 California Medicare

A payer intermediary is experiencing issues affecting Institutional report generation for some claims submitted on Oct. 6, 2025.

Payer impacted:

• CPID 3508 California Medicare

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

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

If you have any questions, please contact Customer Support and refer to Case Number 09731541.

10/16/2025

---

New Electronic Claims Connections Available

Optum has new electronic claims connections available:  

Payer Name: Korean American Medical Group
Institutional CPID: 9041
Professional CPID: 3747
Payer-assigned Payer ID: AMM24
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: California
Claims Fee: N/A 

Action Required: 

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

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

10/16/2025

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

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

Original notice sent Oct. 8, 2025
Due to a payer processing issue, there has been a delay in Professional and Institutional Electronic Remittance Advice (ERA) for the following payers for check date of Sept. 15, 2025:

• CPID 1503 ChampVA
• CPID 3807 ChampVA

Additional updates will be forwarded as more information becomes available. 

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

If you have any questions, feel free to contact your Customer Support Team and refer to Case Number INC-000003376.

10/16/2025

---

Enrollment Form Update

The following payers have changed their Remittance enrollment form: 

• CPID 2940/Payer ID OCN01/Optum Care Network
• CPID 4730/Payer ID OCN01/Optum Care Network

If providers are not currently receiving remittance the updated enrollment form should be completed.

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

10/16/2025

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Electronic Routing Change for CPIDs 5541 and 5444 The Loomis Company

Effective Oct. 16, 2025, Optum is changing electronic remittance routing for the following payer:

Payer Name: The Loomis Company
Professional CPID: 5444
Institutional CPID: 5541
Payer-assigned Payer ID: 23223
Line of Business Code (LOB): U87
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. 

10/16/2025

---

Delay in Electronic Remittance Advice (ERA) for Multiple Payers

Due to a file processing issue, there has been a delay in Professional and Institutional Electronic Remittance Advice (ERA) for the following payers for file date Sept. 18, 2025:

• 1412 Indiana Anthem BCBS
• 3502 Indiana Anthem BCBS
• 2421 Anthem KY BCBS
• 5534 Anthem KY BCBS
• 1408 Anthem BCBS MO
• 2597 Anthem BCBS MO
• 2418 Anthem BCBS OH
• 3505 Anthem BCBS OH
• 1413 Anthem BCBS VA
• 5537 Anthem BCBS VA

This issue has been resolved. All impacted ERA files have been received and processed. Providers may have received duplicate ERA.

Action Required: Please be aware of a delay in the delivery of ERA for file date above and possible duplicate ERA.

If you have any questions, feel free to contact your Customer Support Team and refer to Case Number 09695810.

10/16/2025

---

Electronic Routing Change for CPIDs 5541 and 5444 The Loomis Company

Effective Oct. 16, 2025, Optum is changing electronic remittance routing for the following payer:

Payer Name: The Loomis Company
Professional CPID: 5444
Institutional CPID: 5541
Payer-assigned Payer ID: 23223
Payer Remittance Enrollment Required: Yes
Remittance Fee: N/A

Enrollment Requirements
Remittance:

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

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

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

10/16/2025

---

Remit Delay Oct. 14, 2025 - Cigna (62308)

Please be aware Cigna has identified an issue causing some Cigna remits to be delayed with an effective check date of Oct. 14, 2025.

Payer Name: Cigna
Payer ID: 62308

Updates will be provided as they become available.

Action Required: Please be aware of this delay.

10/16/2025

---

999 Payer Batch Rejections for CPID 1844 Wellcare Health Plans

Professional claims transmitted to the payer listed below from Optum Oct. 15, 2025 were not processed by the payer due to a 999 Batch Rejection.

• CPID 1844 Wellcare Health Plans

A resolution has been implemented and the claims were retransmitted to the payer Oct. 16, 2025.

Action Required: None.

If you have any questions, please contact Customer Support and refer to Case Number 09732527.

10/16/2025

---

999 Payer Batch Rejections for CPID 1844 Wellcare Health Plans

Professional claims transmitted to the payer listed below from Optum Oct. 15, 2025 were not processed by the payer due to a 999 Batch Rejection.

• CPID 1844 Wellcare Health Plans

A resolution has been implemented and the claims were retransmitted to the payer Oct. 16, 2025.

Action Required: None.

If you have any questions, please contact Customer Support and refer to Case Number 09732502.

10/16/2025

---

New Electronic Claims Connections Available

Optum has new electronic claims connections available:

Payer Name: Point C
Institutional CPID: 9040
Professional CPID: 3746
Payer-assigned Payer ID: IHS29
Payer Enrollment Required: No
Secondary Claims Accepted: No
Payer Location: National
Claims Fee: N/A

Action Required: 

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

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

10/14/2025

---

Update: Report Generation Delay for CPID 6987 Veterans Affairs Financial Services Center

Update: The payer intermediary has been unable to generate and deliver the reports for some claims submitted Sept. 29, 2025.

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

Original notice sent Oct. 2, 2025:
A payer intermediary is experiencing issues affecting Institutional report generation for some claims submitted Sept. 29, 2025.

Payer impacted: 

• CPID 6987 Veterans Affairs Financial Services Center

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 09715332.

10/14/2025

---

New Assurance Attach Assist Medical Attachment Connections Available

Optum has new electronic medical attachment connections available:

Payer Name: Western Health Advantage
Professional CPID: 6267
Institutional CPID: 5634
Payer-assigned Payer ID: 68039
Accepted Attachment Type: Solicited and Unsolicited
Payer Enrollment Required: No
Payer Location: California

Action Required:

• Inform users of this change.
• Assurance providers must be contracted with Assurance Attach Assist to submit electronic medical attachments. Please contact support at 1-800-457-1209 option 2, or by emailing [email protected] for additional information.
• If you have not yet contracted for Attach Assist, contact your Client Executive to learn more about Attach Assist functionality.
• When a payer requires enrollment, forms must be submitted and approved to begin submitting transactions.

10/14/2025

---

New Electronic Medical Attachment Connections Available

Optum has new electronic medical attachment connections available:

Payer Name: Western Health Advantage
Professional CPID: 6267
Institutional CPID: 5634
Payer-assigned Payer ID: 68039
Accepted Attachment Type: Solicited and Unsolicited
Payer Enrollment Required: No
Payer Location: California

Action Required:

• Exchange providers must be contracted with Optum to submit electronic medical attachments. Please contact Support at 1-800-527-8133 option 2, or by emailing [email protected] for additional information.
• 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 update your system and procedures to take advantage of the new connection. For assistance with Medical Attachments, please contact your Practice Management System Vendor.

NOTE: The above Payer ID(s) is for Medical Attachments and may require Providers and/or their vendor be contracted with Optum for the Medical Attachment transaction services.

10/14/2025

---

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: Silver Star PACE
CPIDs:1571, 1146
Payer ID: 97691
Reason: Payer is unavailable electronically 

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

10/14/2025

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999 Payer Batch Rejections for CPID 1844 Wellcare Health Plans

Professional claims transmitted to the payer listed below from Optum on Oct. 10, 2025 were not processed by the payer due to a 999 Batch Rejection. 

• CPID 1844 Wellcare Health Plans

A resolution has been implemented and the claims were retransmitted to the payer on Oct. 13, 2025.

Action Required: None.

If you have any questions, please contact Customer Support and refer to Case Number 09727268.

10/14/2025

---

New Electronic Claims Connections Available

Optum has new electronic claims connections available: 

Payer Name: NorthBay Health
Institutional CPID: 9036
Professional CPID: 3732
Payer-assigned Payer ID: NB123
Payer Enrollment Required: No 
Secondary Claims Accepted: Yes 

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. 

10/14/2025

---

New Electronic Claims Connections Available

Optum has new electronic claims connections available:

Payer Name: UCLA Health Medicare Advantage Plan
Institutional CPID: 9037
Professional CPID: 3734
Payer-assigned Payer ID: 28189
Payer Enrollment Required: No
Secondary Claims Accepted: No

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. 

10/14/2025

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Report Generation Delay for CPIDs 4549 and 1232 Denver Health Medical Plan Inc. - Medicare Choice

A payer intermediary is experiencing issues affecting Institutional and Professional report generation for some claims submitted since Oct. 2, 2025.

Payer impacted: 

• CPID 4549 Denver Health Medical Plan Inc. - Medicare Choice
• CPID 1232 Denver Health Medical Plan Inc. - Medicare Choice

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 09728126.

10/14/2025

---

Report Generation Delay for multiple CPIDs

A payer intermediary is experiencing issues affecting Institutional and Professional report generation for some claims submitted Sept. 30, 2025 and Oct. 1, 2025.

Payers impacted: 

• CPID 8228 Community Care Plan (Broward Health PPUC)
• CPID 9504 Community Care Plan (Commercial)
• CPID 2160 Community Care Plan (Commercial)
• CPID 3069 Community Care Plan (Healthy Kids)
• CPID 7662 Community Care Plan (Medicaid)
• CPID 6865 Community Care Plan (Medicaid)
• CPID 2014 Community Care Plan - Palm Beach Health District
• CPID 8147 Community Care Plan - Palm Beach Health District

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 09728021.

10/14/2025

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Delay in Electronic Remittance Advice (ERA) for CPIDs 5547 and 4426 Blue Cross Blue Shield of Arizona

There has been a delay in Professional and Institutional Electronic Remittance Advice (ERA) for the following payer for check dates since Oct. 4, 2025:

• CPID 5547 Blue Cross Blue Shield of Arizona
• CPID 4426 Blue Cross Blue Shield of Arizona

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 09726976.

10/13/2025

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New Electronic Claims Connections Available

Optum has new electronic claims connections available:

Payer Name: Show Me Health Administrators
Payer ID: 98578
Payer Enrollment Required: No
Secondary Claims Accepted: No
Payer Location: National

Payer Name: PACE at Hudson Headwaters
Payer ID: R3469
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: New York
Claims Fee: $0.10

Payer Name: Blue Zones Health
Payer ID: HMG01
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: National

Payer Name: Halos Systems
Payer ID: HALOS
Payer Enrollment Required: No
Secondary Claims Accepted: Yes  

Payer Name: MD Senior Care Medical Group
Payer ID: MSCMG
Payer Enrollment Required: No
Secondary Claims Accepted: No 

Action Required: 

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

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

10/10/2025

---

UPDATE: Electronic Claims Connection Suspended - California Dept of Corrections (MCS04)

Update: This payer has been reactivated and rerouted. Providers may submit claims to this payer.

Payer Name: California Department of Corrections
Payer-assigned Payer ID: MCS04
Payer Claim Enrollment Required: No
Secondary Claims Accepted: No

Original notification sent on 8/6/2025

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

Payer Name: California Department of Corrections
CPID: 7222
Payer ID: MCS04
Reason: Payer unavailable electronically

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

10/10/2025

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Payer ID Changes for Claim Payers

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

Payer Name: Prospect Medical Systems
Payer ID: IP105, IP056, IP057
NEW PAYER ID: PROSP
Claim Type: Professional

Payer Name: MedStar Family Choice, Inc (MD)
Payer ID: 00243
NEW PAYER ID: RP063
Claim Type: Professional

Payer Name: Imperial Health Holdings Medical Group
Payer ID: 78448
NEW PAYER ID: IHHMG
Claim Type: Institutional

Payer Name: Rehn and Associates
Payer ID: REHNO, REHNA
NEW PAYER ID: REHN
Claim Type: Professional and Institutional 

Please note that Payer IDs IP105, IP056, IP057, 00243, 78448, REHNO, and REHNA will be terminated effective October 17, 2025.

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.

10/10/2025

---

UPDATE - National Medicare CMS (CMSEL) Eligibility And Benefits Error

This issue is still ongoing. An ETA has not been established by our Trading Partner.

Original Notification:

We are aware of an issue causing users to get an error when searching E&B for National Medicare CMS patients. Error states user is not enrolled for this transaction but have an approved enrollment on file in transaction enrollment.

Error: YOUR REQUEST WAS INVALID. THE PROVIDER NPI IS NOT APPROVED FOR NATIONAL MEDICARE/CMS 270/271 TRANSACTIONS.

We continue to monitor this issue with the payer. If you have any questions, please contact Customer Support and refer to Global Incident Number INC-000003400.

Action Required:  Please be aware of the ongoing issue.

10/10/2025

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999 Payer Batch Rejections for CPID 1844 Wellcare Health Plans

Professional claims transmitted to the payer listed below from Optum on Oct. 9, 2025 were not processed by the payer due to a 999 Batch Rejection.

• CPID 1844 Wellcare Health Plans

A resolution has been implemented and the claims were retransmitted to the payer on Oct. 10, 2025.

Action Required: None.

If you have any questions, please contact Customer Support and refer to Case Number 09725486.

10/10/2025

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Resolved: Delay in Electronic Remittance Advice (ERA) for CPIDs 6286,5648, TRICARE

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

Original notify sent August 29, 2025:

Due to a payer processing issue, there has been a delay in Professional and Institutional Electronic Remittance Advice (ERA) for the following payers for file dates of Aug. 12, 2025-present:

• CPID 6286 Tricare West Region
• CPID 5648 Tricare West Region

Additional updates will be forwarded as more information becomes available.

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

If you have any questions, feel free to contact your Customer Support Team and refer to Case Number INC-000003261.

10/10/2025

---

Update: Report Generation Delay for Multiple CPIDs

Update: The payer intermediary has been unable to generate and deliver the reports for some claims submitted on Sept. 23, 2025.

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

Original notify sent Oct. 2, 2025:

A payer intermediary is experiencing issues affecting Professional and Institutional report generation for some claims submitted since Sept. 23, 2025.

Payers impacted:

• CPID 1029 Physician Health Associates/Midland Mgmt
• CPID 3770 Physician Health Associates/Midland Mgmt
• CPID 1851 Lake County Physicians Association
• CPID 3017 Gonzaba Medical Group
• CPID 8266 Gonzaba Medical Group
• CPID 3026 Essential Health Partners
• CPID 8275 Essential Health Partners
• CPID 3088 Lake County Physicians Association
• CPID 6137 West Suburban Health Providers
• CPID 7245 Oak West Physician Association
• CPID 8664 Oak West Physician Association

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 09714793.

10/10/2025

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New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:  

Payer Name: Imperial Health Holdings Medical Group
Institutional CPID: 6560
Professional CPID: 1295
Payer-assigned Payer ID: IHHMG
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. 

10/10/2025

---

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:  

Payer Name: Imperial Health Holdings Medical Group
Institutional CPID: 6560
Professional CPID: 1295
Payer-assigned Payer ID: IHHMG
Line of Business (LOB) Code: H9L
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. 

10/10/2025

---

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

Update: The payer has been unable to generate and deliver the reports for some claims submitted between Sept. 15, 2025 and Sept. 28, 2025.

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

Original notify sent Sept. 23, 2025:

A payer is experiencing issues affecting Professional and Institutional report generation for some claims submitted since Sept. 15, 2025.

Payer impacted:

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

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

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

If you have any questions, please contact Customer Support and refer to Case Number 09695662.

10/10/2025

---

Update: Report Generation Delay for CPID 2712 The Alliance

Update: The payer has been unable to generate and deliver the reports for some claims submitted on Sept. 27, 2025.

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

Original notify sent Oct. 6, 2025:

A payer is experiencing issues affecting Professional report generation for some claims submitted since Sept. 27, 2025.

Payer impacted:

• CPID 2712 The Alliance

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

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

If you have any questions, please contact Customer Support and refer to Case Number 09717893.

10/10/2025

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Report Generation Delay for Multiple CPIDs

A payer intermediary is experiencing issues affecting Institutional and Professional report generation for some claims submitted since Oct. 7, 2025.

Payers impacted:

• CPID 1478 Florida Medicaid
• CPID 3516 Florida Medicaid
• CPID 1647 Florida Medicaid Long Term 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 09724769.

10/10/2025

---

New Electronic Claims Connections Available

Optum has new electronic claims connections available:  

Payer Name: Painters Union Insurance Fund
Professional CPID: 8279
Payer-assigned Payer ID: 53483
Payer Enrollment Required: No
Secondary Claims Accepted: Yes  

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. 

10/9/2025

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Report Generation Delay for CPID 7052 OhioRISE - Aetna Better Health of Ohio

A payer intermediary is experiencing issues affecting Institutional report generation for some claims submitted on Oct. 2, 2025.

Payer impacted:

• CPID 7052 OhioRISE - Aetna Better Health of Ohio

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

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

If you have any questions, please contact Customer Support and refer to Case Number 09723950.

10/9/2025

---

Update: Report Generation Delay for CPID 6273 Lifepath Hospice

Payer impacted:

• CPID 6273 Lifepath Hospice

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 09690602.

10/9/2025

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999 Payer Batch Rejections for CPID 1844 Wellcare Health Plans

Professional claims transmitted to the payer listed below from Optum on Oct. 8, 2025 were not processed by the payer due to a 999 Batch Rejection.

• CPID 1844 Wellcare Health Plans

A resolution has been implemented and the claims were retransmitted to the payer on Oct. 9, 2025.

Action Required: None.

If you have any questions, please contact Customer Support and refer to Case Number 09723530.

10/9/2025

---

Report Generation Delay for CPID 1708 Meritain Health

A payer is experiencing issues affecting Professional report generation for some claims submitted on Oct. 3, 2025.

Payer impacted:

• CPID 1708 Meritain Health

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 09723269.

10/9/2025

---

Update: Report Generation Delay for CPID 7058 Gravie, Inc

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

Update: The payer has been unable to generate and deliver the reports for some claims submitted on Sept. 10, 2025.

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

Original notify sent Sept. 23, 2025:

A payer is experiencing issues affecting Institutional report generation for some claims submitted on Sept. 10, 2025.

Payer impacted:

• CPID 7058 Gravie, Inc.

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

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

If you have any questions, please contact Customer Support and refer to Case Number 09689438.

10/9/2025

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New Real Time Claim Status Inquiry 276/277 Connection Available

Effective October 2, 2025, Optum is pleased to announce the availability of Real-time Claim Status and Inquiry transactions for the below payer: 

Payer Name: Iowa Medicaid
IMN Payer ID: SKIA0
IEDI Payer ID: 10107
Exchange CPIDs: 2571/1469
Transaction Type: Claims status

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 https://customercare.changehealthcare.com/public/home.html

Updated Payer Lists may be obtained from your software vendor or Payer Lists | Change Healthcare

10/8/2025

---

New Electronic Claim Status Connection Available

Effective September 30, 2025, Optum is pleased to announce the availability of Real-time Claim Status and Inquiry transactions for the below payer: 

Payer Name: Nevada Medicaid
IMN Payer ID: SKNV0
IEDI Payer ID: NVMCD
Exchange CPIDs: 2907/7495
Transaction Type: Claims status
Platform: Intelligent Medical Network

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 https://customercare.changehealthcare.com/public/home.html

Updated Payer Lists may be obtained from your software vendor or Payer Lists | Change Healthcare

10/8/2025

---

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: Insurance Administrative Solutions
Professional CPID: 3738
Payer-assigned Payer ID: 75300
Payer Enrollment Required: Yes
Remittance Fee: NA
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. 

10/8/2025

---

New Payer Name

Effective immediately, please be aware of the following payer name and edit master changes: 

Previous Payer Name: St. Vincent Catholic Medical Center USFHP
New Payer Name: SVCMC USFHP
Professional CPID: 2845
Old Professional Edit Master: PE_E049
New Professional Edit Master: PE_T007
Institutional CPID: 7542
Old Institutional Edit Master: HE9E049
New Institutional Edit Master: HE9T007
Remit Line of Business (LOB) Code: H61 

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

• You may choose to update the Payer Alias in your system to accommodate the new payer name. 
• Revalidate unreleased claims to edit correctly under new edit master.  
• Modify any bridge routines based on edit masters.  

10/8/2025

---

New Payer Name

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

Previous Payer Name: St. Vincent Catholic Medical Center USFHP
New Payer Name: SVCMC USFHP
Professional CPID: 2845
Institutional CPID: 7542 

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

10/8/2025

---

New Electronic Claim Status Connection Available Platform

Optum is pleased to announce the availability of Real-time Claim Status Inquiry and Response 276/277 for the below payer, effective October 07, 2025:

Payer Name: IDAHO MEDICAID
Industry Payer ID: SKID0
IMN Real Time ID: SKID0
Exchange Real Time ID: IDCAID
CPID(s): 5583 / 7427
Optum IEDI Real Time ID: IDMCD
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:

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.

10/8/2025

---

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: Insurance Administrative Solutions
Professional CPID: 3738
Payer-assigned Payer ID: 75300
Line of Business (LOB) Code: J13
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. 

10/8/2025

---

UPDATE: Electronic Claims Connection Suspended

Update: This payer has been reactivated and rerouted. Providers may submit claims to this payer.

Payer Name: California Department of Corrections
Professional CPID: 7222
Payer-assigned Payer ID: MCS04
Payer Claim Enrollment Required: No
Secondary Claims Accepted: No
Claims Fee: $0.10

Original notification sent on 8/6/2025

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

Payer Name: California Department of Corrections
CPID: 7222
Payer ID: MCS04
Reason: Payer unavailable electronically

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

10/8/2025

---

UPDATE: Electronic Claims Connection Suspended

Update: This payer has been reactivated and rerouted. Providers may submit claims to this payer.

Payer Name: California Department of Corrections
Professional CPID: 7222
Current Edit Master: PE_O007
New Edit Master: PE_T007
Payer-assigned Payer ID: MCS04
Payer Claim Enrollment Required: No
Secondary Claims Accepted: No

Original notification sent on 8/6/2025

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

Payer Name: California Department of Corrections
CPID: 7222
Payer ID: MCS04
Reason: Payer unavailable electronically

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

10/8/2025

---

Resolved: Delay in Electronic Remittance Advice (ERA) for CPIDs 2872, 5979, TRICARE EAST REGION

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

Original Notification Sent on August 29, 2025

Due to a payer processing issue, there has been a delay in Professional and Institutional Electronic Remittance Advice (ERA) for the following payers for file dates of August 12, 2025, to present:

• CPID 2872 Tricare East Region
• CPID 5979 Tricare East Region

Additional updates will be forwarded as more information becomes available.

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

If you have any questions, feel free to contact your Customer Support Team and refer to Case Number INC-000003255.

10/8/2025

---

999 Payer Batch Rejections for CPID 1844 Wellcare Health Plans

Professional claims transmitted to the payer listed below from Optum on Oct. 8, 2025 were not processed by the payer due to a 999 Batch Rejection. 

• CPID 1844 Wellcare Health Plans

A resolution has been implemented and the claims were retransmitted to the payer on Oct. 8, 2025.

Action Required: None.

If you have any questions, please contact Customer Support and refer to Case Number 09721578.

10/8/2025

---

Report Generation Delay for CPID 8864 NextBlue of North Dakota

A payer intermediary is experiencing issues affecting Professional report generation for some claims submitted on Sept. 29, 2025.

Payer impacted: 

• CPID 8864 NextBlue of North Dakota

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 09721477.

10/8/2025

---

Report Generation Delay for CPIDs 7543 and 2803 UPMC Health Plan

The payer listed below is experiencing issues affecting Institutional and Professional report generation for some claims submitted on Oct. 2, 2025.

Payer impacted: 

• CPID 7543 UPMC Health Plan
• CPID 2803 UPMC Health Plan

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

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

If you have any questions, please contact Customer Support and refer to Case Number 09721297.

10/8/2025

---

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:  

Payer Name: Banner Medicare Advantage Prime 

Institutional CPID: 5047 

Professional CPID: 8893 

Payer-assigned Payer ID: 84323 

Payer Enrollment Required: Yes 

Remittance Fee: N/A 

Payer Location: Arizona 

Action Required: 

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

10/8/2025

---

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:  

Payer Name: Banner Medicare Advantage Prime
Institutional CPID: 5047
Professional CPID: 8893
Payer-assigned Payer ID: 84323
Line of Business (LOB) Code: H7R
Payer Enrollment Required: Yes
Payer Location: Arizona 

Action Required: 

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

10/8/2025

---

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

Due to a payer processing issue, there has been a delay in Professional and Institutional Electronic Remittance Advice (ERA) for the following payers for check date of September 15th, 2025:

• CPID 1503 ChampVA
• CPID 3807 ChampVA

Additional updates will be forwarded as more information becomes available. 

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

If you have any questions, feel free to contact your Customer Support Team and refer to Case Number INC-000003376.

10/8/2025

---

Electronic Claims Connection Suspended - Gateway Health Plan Medicare Assured Pennsylvania (60550)

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

Payer Name: Gateway Health Plan Medicare Assured Pennsylvania
Payer ID: 60550
Reason: Payer unavailable electronically 

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

10/7/2025

---

Eligibility Payer Termination

Effective September 12, Real Time Eligibility 270/271 and Claim Status 276/277 for the payer listed below is no longer available at Optum.

Payer Name: Banner University Family Care (UNIVERSITY OF ARIZONA HEALTH PLANS)
Industry Payer ID: 66901
IMN Real Time ID: 66901
Exchange Real Time ID: BUFCR
CPID(s): 6548 / 1290
Optum IEDI Real Time ID: 66901
Connection Type: X12

Reason: Payer no longer offers an electronic connection

Action Required by customer:

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

10/7/2025

---

Eligibility Payer Termination

Effective August 23, Real Time Eligibility 270/271 for the payer listed below is no longer available at Optum.

Payer Name: ROCKY MOUNTAIN
Industry Payer ID: SX141
IMN Real Time ID: SX141
Exchange Real Time ID: RKYMHP / RKYMH1 (Portal)
CPID(s): 7470
Optum IEDi Real Time ID: RMNHP
Connection Type: X12/ Portal

Reason: Payer no longer offers an electronic connection

Action Required by customer:

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

10/7/2025

---

Electronic Routing Change for CPIDs 3856 and 3923 Core Administrative Services

Effective October 7, 2025, Optum will be changing electronic claims routing for the following payers:

Payer Name: Core Administrative Services
Professional CPID: 3856
Institutional CPID: 3923
Payer-assigned Payer ID: 58231
Payer Claim Enrollment Required: No
Secondary Claims Accepted: No
Claims Fee: $0.10

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. 

10/7/2025

---

Electronic Routing Change for CPIDs 3856 and 3923 Core Administrative Services

Effective October 7, 2025, Optum will be changing electronic claims routing for the following payer:

Payer Name: Core Administrative Services
Professional CPID: 3856
Current Edit Master: PE_E049
New Edit Master: PE_B800
Institutional CPID: 3923
Current Edit Master: HE9E049
New Edit Master: HE9B801
Payer-assigned Payer ID: 58231
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.

10/7/2025

---

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: Ambetter from Absolute Total Care
Institutional CPID: 1970
Professional CPID: 1764
Payer-assigned Payer ID: 68069
Line of Business (LOB) Code: J06
Payer Enrollment Required: Yes
Remittance Fee: $0.0045
Payer Location: South Carolina

Action Required:

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

10/7/2025

---

New Electronic Claim Status Connection Available Platform

Optum is pleased to announce the availability of Real-time Claim Status Inquiry and Response 276/277 for the below payer, effective September 30, 2025:

Payer Name: NEW HAMPSHIRE MEDICAID
Industry Payer ID: SKNH0
IMN Real Time ID: XXXNH
Exchange Real Time ID: NHCAID
CPID(s): 2575 / 7423
Optum iEDI Real Time ID: 10153
Payer Enrollment Required: No
Connection Type: X12
Fee: $0.0525

Search Options:

Claim Status Inquiry subscriber:
Member id, first name, last name, date of birth

Optional additional elements:
Payer claim number, Total submitted charges

Action Required by customer:

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

10/7/2025

---

New Electronic Claim Status Connection Available Platform

Optum is pleased to announce the availability of Real-time Claim Status Inquiry and Response 276/277 for the below payer, effective September 24, 2025:

Payer Name: Massachusetts Medicaid
Exchange Real Time ID: MACAID
CPID(s): 5529, 4491, 4492
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:

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.

10/7/2025

---

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: Ambetter from Absolute Total Care
Institutional CPID: 1970
Professional CPID: 1764
Payer-assigned Payer ID: 68069
Payer Enrollment Required: Yes
Remittance Fee: $0.0045
Payer Location: South Carolina

Action Required:

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

10/7/2025

---

UPDATE: Electronic Claims Connection Suspended - PACE Southeast Michigan (R3460)

Update: This payer has been reactivated. Providers may submit claims to this payer.

Payer Name: PACE Southeast Michigan
Payer-assigned Payer ID: R3460
Payer Claim Enrollment Required: No
Secondary Claims Accepted: No

Original notification sent on 6/13/2025

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

Payer Name: PACE Southeast Michigan
Payer ID: R3460
Reason: Payer unavailable electronically

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

10/7/2025

---

UPDATE: Electronic Routing Change for Fire Department City of New York

Update:

Optum has received information that the payer below requires claims enrollments to be completed before electronic claims can be sent. Effective October 7, 2025, claims will be rejected until claims enrollment are completed and approved by the payer.

Original Notify sent on 9/22/25:

Message:

Effective September 22, 2025, Optum will be changing electronic claims routing for the following payer:

Payer Name: Fire Department City of New York
Payer ID: 40043
New Payer-assigned Payer ID: FDNYP/FDNYU
Payer Claim Enrollment Required: No
Secondary Claims Accepted: No
Claims Fee: N/A

Plans accepted with this connection:

• FDNY World Trade Center Health Plan

Enrollment Requirements:

Claims:

• Payer enrollment for electronic claims is required.

10/7/2025

---

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: Gateway Health Plan Medicare Assured Pennsylvania
CPIDs: 2298, 2912
Payer ID: 60550
Reason: Payer unavailable electronically 

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

10/7/2025

---

New Electronic Claims Connections Available

Optum has new electronic claims connections available:  

Payer Name: Halos Systems
Institutional CPID: 9030
Professional CPID: 3715
Payer-assigned Payer ID: HALOS
Payer Enrollment Required: No
Secondary Claims Accepted: Yes  

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. 

10/7/2025

---

999 Payer Batch Rejections for CPID 1844 Wellcare Health Plans

Professional claims transmitted to the payer listed below from Optum on Oct. 6, 2025 were not processed by the payer due to a 999 Batch Rejection. 

• CPID 1844 Wellcare Health Plans

A resolution has been implemented and the claims were retransmitted to the payer on Oct. 7, 2025.

Action Required: None.

If you have any questions, please contact Customer Support and refer to Case Number 09719646.

10/7/2025

---

New Electronic Claims Connections Available

Optum has new electronic claims connections available:  

Payer Name: MD Senior Care Medical Group
Institutional CPID: 9035
Professional CPID: 3730
Payer-assigned Payer ID: MSCMG
Payer Enrollment Required: No
Secondary Claims Accepted: No 

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. 

10/7/2025

---

Report Generation Delay for Multiple CPIDs

The payers listed below are experiencing issues affecting Professional and Institutional report generation for some claims submitted since Sept. 29, 2025.

Payers impacted:

• CPID 2438 Tufts Health Plan
• CPID 8504 Tufts Health Plan
• CPID 5475 Tufts Health Public Plans
• CPID 2523 Tufts Health Public Plans

Optum is working diligently with the payers 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 09719180.

10/7/2025

---

Update: New Electronic Claims Connections Available

Update:

Optum has received information that the payer below requires claims enrollments to be completed before electronic claims can be sent. Effective October 6,  2025, claims will be rejected until claims enrollment are completed and approved by the payer.

Original Notify sent on 9/22/25:

Message:

Optum has new electronic claims connections available:

Payer Name: Fire Department City of New York
Institutional CPID: 9033
Payer-assigned Payer ID: FDNYU
Payer Enrollment Required: No
Secondary Claims Accepted: No
Payer Location: New York
Claims Fee: N/A

Plans accepted with this connection:

• FDNY World Trade Center Health Plan

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.

10/6/2025

---

Update: Electronic Routing Change for CPID 8125 Fire Department City of New York

Update:

Optum has received information that the payer below requires claims enrollments to be completed before electronic claims can be sent. Effective October 7, 2025, claims will be rejected until claims enrollment are completed and approved by the payer.

Original Notify sent on 9/22/25:

Message:

Effective September 18, 2025, Optum will be changing electronic claims routing for the following payer:

Payer Name: Fire Department City of New York
Professional CPID: 8125
Edit Master: PE_T007
Current Payer-assigned Payer ID: 40043
New Payer-assigned Payer ID: FDNYP
Payer Claim Enrollment Required: No
Secondary Claims Accepted: No

Plans accepted with this connection:

• FDNY World Trade Center Health Plan

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

10/7/2025

---

Update: Electronic Routing Change for CPID 8125 Fire Department City of New York

Update:

Optum has received information that the payer below requires claims enrollments to be completed before electronic claims can be sent. Effective October 7, 2025, claims will be rejected until claims enrollment are completed and approved by the payer.

Original Notify sent on 9/22/25:

Message:

Effective September 22, 2025, Optum will be changing electronic claims routing for the following payer:

Payer Name: Fire Department City of New York
Professional CPID: 8125
Current Payer-assigned Payer ID: 40043
New Payer-assigned Payer ID: FDNYP
Payer Claim Enrollment Required: No
Secondary Claims Accepted: No
Claims Fee: N/A

Plans accepted with this connection:

• FDNY World Trade Center Health Plan

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. 

10/6/2025

---

Enrollment Form Change

The following payers have changed their Remittance enrollment form: 

• CPID 3064/Payer ID LNJ01/Longevity Health Plan of New Jersey
• CPID 8466/Payer ID LNJ01/Longevity Health Plan of New Jersey

If providers are not currently receiving remittance the updated enrollment form should be completed. 

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

10/6/2025

---

999 Payer Batch Rejections for CPID 3517 Florida Blue Cross Blue Shield

Institutional claims transmitted to the payer listed below from Optum on Oct. 6, 2025 were not processed by the payer due to a 999 Batch Rejection.

• CPID 3517 Florida Blue Cross Blue Shield

A resolution has been implemented and the claims were retransmitted to the payer on Oct. 6, 2025.

Action Required: None.

If you have any questions, please contact Customer Support and refer to Case Number 09718260.

10/6/2025

---

UPDATE: Electronic Claims Connection Suspended

Update: This payer has been reactivated and rerouted. Providers may submit claims to this payer.

Payer Name: PACE Southeast Michigan
Professional CPID: 7279
Institutional CPID: 8980
Payer-assigned Payer ID: R3460
Payer Claim Enrollment Required: No
Secondary Claims Accepted: No
Claims Fee: $0.10

Original notification sent on 6/13/2025

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

Payer Name: PACE Southeast Michigan
CPIDs: 7279, 8980
Payer ID: R3460
Reason: Payer unavailable electronically

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

10/6/2025

---

UPDATE: Electronic Claims Connection Suspended

Update: This payer has been reactivated and rerouted. Providers may submit claims to this payer.

Payer Name: PACE Southeast Michigan
Professional CPID: 7279
Edit Master: PE_B800
Institutional CPID: 8980
Edit Master: HE9B801
Payer-assigned Payer ID: R3460
Payer Claim Enrollment Required: No
Secondary Claims Accepted: No

Original notification sent on 6/13/2025

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

Payer Name: PACE Southeast Michigan
CPIDs: 7279, 8980
Payer ID: R3460
Reason: Payer unavailable electronically

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

10/6/2025

---

Report Generation Delay for CPID 2712 The Alliance

A payer is experiencing issues affecting Professional report generation for some claims submitted since Sept. 27, 2025.

Payer impacted:

• CPID 2712 The Alliance

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

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

If you have any questions, please contact Customer Support and refer to Case Number 09717893.

10/6/2025

---

Electronic Claims Connections Available

Please be advised Optum has electronic claims connections available for the below payer:  

Payer Name: Behavioral Health Systems
Professional CPID: 6106
Institutional CPID: 1012
Payer-assigned Payer ID: 63100
Payer Enrollment Required: No
Secondary Claims Accepted: No

Action Required: 

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

Action Required by customer:

For assistance with submitting claims transactions, please contact your Practice Management System Vendor or create a Optum Customer Care Hub ticket for assistance.

---

999 Payer Batch Rejections for CPID 1844 Wellcare Health Plan

Professional claims transmitted to the payer listed below from Optum on Oct. 3, 2025 were not processed by the payer due to a 999 Batch Rejection.

• CPID 1844 Wellcare Health Plan

A resolution has been implemented and the claims were retransmitted to the payer on Oct. 6, 2025.

Action Required: None.

If you have any questions, please contact Customer Support and refer to Case Number 09717609.

10/6/2025

---

Behavioral Health Systems Eligibility 270/271 Connection Available

Please be advised Optum has the availability of Real-time Eligibility 270/271 for the below payer:

Payer Name: Behavioral Health Systems
IMN Real Time ID: 63100
Payer Enrollment Required: No

Action Required by customer:

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

10/6/2025

---

Behavioral Health Systems Eligibility 270/271 Connection Available

Please be advised Optum has the availability of Real-time Eligibility 270/271 for the below payer:

Payer Name: Behavioral Health Systems
Exchange Real Time ID: BHRHS
Payer Enrollment Required: No

Action Required by customer:

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

10/6/2025

---

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:  

Payer Name: Alliance Behavioral Healthcare
Institutional CPID: 5676
Professional CPID: 6463
Payer-assigned Payer ID: 23071
Payer Enrollment Required: Yes
Remittance Fee: N/A
Payer Location: North Carolina 

Action Required: 

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

10/6/2025

---

Electronic Routing Change for CPIDs 5037 and 8885 Nomi Health

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

Payer Name: Nomi Health
Professional CPID: 8885
Institutional CPID: 5037
Payer-assigned Payer ID: 1NOMI
Line of Business Code (LOB): J3M
Payer Remittance Enrollment Required: Yes

Enrollment Requirements:

Remittance:

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

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

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

10/6/2025

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Electronic Routing Change for CPIDs 5037 and 8885 Nomi Health

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

Payer Name: Nomi Health
Professional CPID: 8885
Institutional CPID: 5037
Payer-assigned Payer ID: 1NOMI
Payer Remittance Enrollment Required: Yes
Remittance Fee: N/A

Enrollment Requirements:

Remittance:

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

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

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

10/6/2025

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New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:  

Payer Name: Alliance Behavioral Healthcare
Institutional CPID: 5676
Professional CPID: 6463
Payer-assigned Payer ID: 23071
Line of Business (LOB) Code: U6V
Payer Enrollment Required: Yes
Payer Location: North Carolina 

Action Required: 

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

10/6/2025

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Payer Processing Issue for CPID 9166 Yale University Health Plan

Due to a payer processing issue, some Professional claims transmitted to the payer listed below on Sept. 10, 2025 were not processed by the payer.

Payer impacted:

• CPID 9166 Yale University Health Plan                                                                                       

A resolution has been implemented and the claims were retransmitted to the payer on Oct. 3, 2025.

This delay affected claims released to Optum between 7 p.m. CT on Sept. 9, 2025 and 7 p.m. CT on Sept. 10, 2025.

Action Required: Be aware of the processing issue above and of possible invalid duplicate rejections.

If you have any questions, please contact Customer Support and refer to Case Number 09716957.

10/3/2025

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New Electronic Claims Connections Available

Optum has new electronic claims connections available:

Payer Name: Blue Zones Health

Institutional CPID: 9038

Professional CPID: 3735

Payer-assigned Payer ID: HMG01

Payer Enrollment Required: No

Secondary Claims Accepted: Yes

Payer Location: National

Claims Fee: N/A

Action Required: 

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

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

10/3/2025

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Report Generation Delay for CPID 6987 Veterans Affairs Financial Services Center

A payer intermediary is experiencing issues affecting Institutional report generation for some claims submitted on Sept. 29, 2025.

Payer impacted: 

• CPID 6987 Veterans Affairs Financial Services Center

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 09715332.

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:  

Payer Name: Centurion, LLC 

Institutional CPID: 8062 

Professional CPID: 9779 

Payer-assigned Payer ID: IHS11 

Line of Business (LOB) Code: H7O 

Payer Enrollment Required: Yes 

Payer Location: National 

Payer Name: Perlman Medical Group 

Institutional CPID: 9004 

Professional CPID: 3458 

Payer-assigned Payer ID: 73275 

Line of Business (LOB) Code: H6J 

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. 

10/3/2025

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New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:  

Payer Name: Centurion, LLC 

Institutional CPID: 8062 

Professional CPID: 9779 

Payer-assigned Payer ID: IHS11 

Payer Enrollment Required: Yes 

Remittance Fee: N/A 

Payer Location: National 

Payer Name: Perlman Medical Group 

Institutional CPID: 9004 

Professional CPID: 3458 

Payer-assigned Payer ID: 73275 

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. 

10/3/2025

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Payer Processing Issue for CPID 4480 SelectHealth

Due to a payer processing issue, some Professional claims transmitted to the payer listed below Sept. 22, 2025 were not processed by the payer.

Payer impacted: 

• CPID 4480 SelectHealth

A resolution has been implemented and the claims were retransmitted to the payer Oct. 3, 2025.

This delay affected claims released to Optum Sept 21, 2025, 7:00 p.m.-Sept. 22, 2025, 7:00 p.m. CT.

Action Required: Be aware of the processing issue above and of possible invalid duplicate rejections.

If you have any questions, please contact Customer Support and refer to Case Number 09684295.

10/3/2025

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New Electronic Claims Connections Available - High Desert PACE (R3467)

Optum has new electronic claims connections available:

Payer Name: High Desert PACE
Payer ID: R3467
Payer Enrollment Required: No
Secondary Claims Accepted: No
Payer Location: California

Action Required: 

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

10/3/2025

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UPDATE: Electronic Claims Connection Suspended - Companion Life (37322)

Update: This payer has been reactivated. Providers may submit claims to this payer.

Is it advised that providers review their Member ID card to make sure that they are sending claims to the correct payer.

Original notification sent July 8, 2025
Effective immediately, the payer listed below has been suspended at Optum for claim processing and removed from the payer list.

Payer Name: Companion Life
Payer ID: 37322
Reason: Payer unavailable electronically.

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

10/3/2025

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Report Generation Delay for CPID 1663 Commons Clinic Medical Network

The payer listed below is experiencing issues affecting Institutional report generation for some claims submitted Sept. 29, 2025.

Payer impacted: 

• CPID 1663 Commons Clinic Medical Network

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 09715424.

10/2/2025

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Payer Processing Issue for CPID 4480 SelectHealth

Due to a payer processing issue, some Professional claims transmitted to the payer listed below Sept. 29, 2025 were not processed by the payer.

Payer impacted:

• CPID 4480 SelectHealth

A resolution has been implemented and the claims were retransmitted to the payer Oct. 2, 2025.

This delay affected claims released to Optum Sept. 28, 2025, 7:00 p.m.-Sept. 29, 2025, 7:00 p.m. CT.

Action Required: Be aware of the processing issue above and of possible invalid duplicate rejections.

If you have any questions, please contact Customer Support and refer to Case Number 09713877.

10/2/2025

---

New Electronic Claims Connections Available

Optum has new electronic claims connections available:

Payer Name: PACE at Hudson Headwaters
Institutional CPID: 9034
Professional CPID: 3726
Payer-assigned Payer ID: R3469
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: New York
Claims Fee: $0.10

Action Required: 

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

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

10/2/2025

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New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:  

Payer Name: Centurion, LLC 

Institutional CPID: 8062 

Professional CPID: 9779 

Payer-assigned Payer ID: IHS11 

Payer Enrollment Required: Yes 

Remittance Fee: N/A 

Payer Location: National 

 

Payer Name: Perlman Medical Group 

Institutional CPID: 9004 

Professional CPID: 3458 

Payer-assigned Payer ID: 73275 

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. 

10/2/2025

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New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:  

Payer Name: Centurion, LLC 

Institutional CPID: 8062 

Professional CPID: 9779 

Payer-assigned Payer ID: IHS11 

Line of Business (LOB) Code: H7O 

Payer Enrollment Required: Yes 

Payer Location: National 

 

Payer Name: Perlman Medical Group 

Institutional CPID: 9004 

Professional CPID: 3458 

Payer-assigned Payer ID: 73275 

Line of Business (LOB) Code: H6J 

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. 

10/2/2025

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Report Generation Delay for CPID 1406 Blue Cross Blue Shield of Texas

A payer intermediary is experiencing issues affecting Professional report generation for some claims submitted Sept. 22, 2025.

Payer impacted: 

• 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 09714851.

10/2/2025

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Report Generation Delay for CPID 7829 Passport Advantage

A payer intermediary is experiencing issues affecting Professional report generation for some claims submitted since Sept. 20, 2025.

Payer impacted: 

• CPID 7829 Passport 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 09714818.

10/2/2025

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Report Generation Delay for Multiple CPIDs

A payer intermediary is experiencing issues affecting Professional and Institutional report generation for some claims submitted since Sept. 23, 2025.

Payers impacted:

• CPID 1029 Physician Health Associates/Midland Mgmt
• CPID 3770 Physician Health Associates/Midland Mgmt
• CPID 1851 Lake County Physicians Association
• CPID 3017 Gonzaba Medical Group
• CPID 8266 Gonzaba Medical Group
• CPID 3026 Essential Health Partners
• CPID 8275 Essential Health Partners
• CPID 3088 Lake County Physicians Association
• CPID 6137 West Suburban Health Providers
• CPID 7245 Oak West Physician Association
• CPID 8664 Oak West Physician Association

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 09714793.

10/2/2025

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New Electronic Remittance (ERA) Connections Available on RPA

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

64088 – Mississippi Select Healthcare (aka Select Administrative Services)

RP044 – The Cascade Pace, Inc., DBA Thome PACE

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

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

10/2/2025

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Electronic Routing Change for Multiple Payers

Effective October 6, 2025, Optum will be changing electronic remittance routing for the following payers:

Payer Name: CALMED Global

Professional CPID: 7806

Institutional CPID: 8580

Payer-assigned Payer ID: MPM27

Line of Business Code (LOB): U16

Payer Remittance Enrollment Required: Yes

 

Payer Name: Dignity HCLA

Professional CPID: 7797

Institutional CPID: 8557

Payer-assigned Payer ID: MPM28

Line of Business Code (LOB): J29

Payer Remittance Enrollment Required: Yes

Enrollment Requirements:

Remittance:

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

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

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

10/1/2025

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Electronic Routing Change for Multiple Payers

Effective October 6, 2025, Optum will be changing electronic remittance routing for the following payers:

 

Payer Name: CALMED Global

Professional CPID: 7806

Institutional CPID: 8580

Payer-assigned Payer ID: MPM27

Payer Remittance Enrollment Required: Yes

Remittance Fee: N/A

 

Payer Name: Dignity HCLA

Professional CPID: 7797

Institutional CPID: 8557

Payer-assigned Payer ID: MPM28

Payer Remittance Enrollment Required: Yes

Remittance Fee: N/A

Enrollment Requirements:

Remittance:

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

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

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

10/1/2025

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Anthem Missing/Delayed ERAs

We have been made aware of an issue causing some Anthem ERAs to be delayed for check dates Sept. 5, 2025-Sept. 12, 2025. 

Per the trading partner this identified known issue has been resolved. The impacted ERAs have been delivered according to your EDI preferences.

10/1/2025

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Report Generation Delay for CPID 5648 Tricare West Region

A payer intermediary is experiencing issues affecting Institutional report generation for some claims submitted since Sept. 26, 2025.

Payer impacted:

• CPID 5648 Tricare West Region

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

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

If you have any questions, please contact Customer Support and refer to Case Number 09712298.

10/1/2025

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Report Generation Delay for CPIDs 9656 and 7715 Hopkins Health Advantage

A payer intermediary is experiencing issues affecting Institutional and Professional report generation for some claims submitted since Sept. 20, 2025.

Payer impacted: 

• CPID 9656 Hopkins Health Advantage
• CPID 7715 Hopkins Health 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 09712578.

10/1/2025

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Report Generation Delay for CPIDs 1592 and 5432 Johns Hopkins Healthcare / Priority Partners

A payer intermediary is experiencing issues affecting Institutional and Professional report generation for some claims submitted since Sept. 20, 2025.

Payer impacted: 

• CPID 1592 Johns Hopkins Healthcare / Priority Partners
• CPID 5432 Johns Hopkins Healthcare / Priority 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 09712539.

10/1/2025