October 2026

October Payer Processing Issues

Summary

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

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

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

VIEW ALL PAYER LISTS →

Update: Report Generation Delay for CPID 3508 California Medicare

Update: The payer intermediary has been unable to generate and deliver the reports for some claims submitted Oct. 2-4, 2026.

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

Original notice sent Oct. 12, 2026:
A payer intermediary is experiencing issues affecting Institutional report generation for some claims submitted since Oct. 2, 2026.

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 11011396.

10/13/2026

Edit Master changes for CPID 6293 Northwest Administrators

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

Payer Name: Northwest Administrators
Professional CPID: 6293
Current Edit Master: PE_O007
New Edit Master: PE_T007
Industry Standard Payer ID: NWADM

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

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

10/13/2026

Report Generation Delay for CPIDs 9685 and 7736 Direct Care Administrators

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

Payer impacted:

CPID 9685 Direct Care Administrators
CPID 7736 Direct Care Administrators

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 11014147.

10/13/2026

New Payer Name and ID Change

Effective October 12, 2026, please be aware of the following payer name and ID change:

Previous Payer Name: VAFSC/ICE Health Service Corps
New Payer Name: ICE Health Service Corps
Payer ID: VAICE
Payer ID: DIHSC

Claims:

Payer enrollment for electronic claims is not required.

Remittance:

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

For details regarding the transition please review the payer’s website: IHSC – Managed Care | ICE

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

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

10/13/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: Millette Administrators
Professional CPID: 2869
Institutional CPID: 8078
Industry Standard Payer ID: MAI60
Payer Enrollment Required: Yes
Remittance Par Status: Non Par
Remittance Fee: N/A
Payer Location: National

Action Required:

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

10/12/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: Millette Administrators
Professional CPID: 2869
Institutional CPID: 8078
Industry Standard Payer ID: MAI60
Line of Business (LOB) Code: E97
Payer Enrollment Required: Yes
Remittance Par Status: Non Par
Remittance Fee: N/A
Payer Location: National

Action Required:

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

10/12/2026

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

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

Original notify sent September 11, 2026:
Due to a payer processing issue, there has been a delay affecting Professional and Institutional Electronic Remittance Advice (ERA) for the following payer for check dates September 2-4, 2026.

Payers affected:

CPID 2824 The Health Plan
CPID 7551 The Health Plan

Additional updates will be forwarded as more information becomes available.

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

If you have any questions, feel free to contact your Customer Support Team and refer to Case Number INC-000005557.

10/12/2026

Update: Delay in (ERA) for Payer ID 95677, The Health Plan

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

Payers affected:

Payer ID 95677 The Health Plan

Additional updates will be forwarded as more information becomes available.

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

If you have any questions, feel free to contact your Customer Support Team and refer to Case Number INC-000005557.

10/12/2026

Payer Change for CPIDs 3779, 9050 Texas Childrens Health Plan (Star Medicaid) (Medicaid Managed Care)

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

Payer Name: Texas Childrens Health Plan (Star Medicaid) (Medicaid Managed Care)
Professional CPID: 3779
Institutional CPID: 9050
Remittance Available: No
Industry Standard Payer ID: 75228MC

CPIDs 3779 and 9050 Texas Childrens Health Plan (Star Medicaid) (Medicaid Managed Care) will be terminated effective October 26, 2026.

Providers may transition to the following payer for electronic claims prior to October 26, 2026, but must be fully transitioned by October 26, 2026:

Payer Name: Texas Childrens Health Plan (STAR Medicaid)
Professional CPID: 2483
Institutional CPID: 1911
Remittance Available: No
Industry Standard Payer ID: 75228
Claim Par Status: Non Par
Claim Fee: N/A

Enrollment Requirements:
Claims:

Payer enrollment for electronic claims is not required.

Action Required:

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

10/12/2026

Payer Name: Texas Childrens Health Plan (Star Medicaid) (Medicaid Managed Care)
Professional CPID: 3779
Professional Edit Master: PE_T007
Institutional CPID: 9050
Institutional Edit Master: HE9T007
Industry Standard Payer ID: 75228MC

CPIDs 3779 and 9050 Texas Childrens Health Plan (Star Medicaid) (Medicaid Managed Care)
will be terminated effective October 26, 2026.

Providers may transition to the following payer for electronic claims prior to October 26, 2026, but must be fully transitioned by October 26, 2026:

Payer Name: Texas Childrens Health Plan (STAR Medicaid)
Professional CPID: 2483
Professional Edit Master: PE_T007
Institutional CPID: 1911
Institutional Edit Master: HE9T007
Industry Standard Payer ID: 75228
Claim Par Status: Non Par
Claim Fee: N/A

Enrollment Requirements:
Claims:

Payer enrollment for electronic claims is not required.

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

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

10/12/2026

Edit Master changes for CPIDs 6812 and 6988 Olympus Managed Health Care

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

Payer Name: Olympus Managed Health Care
Professional CPID: 6812
Current Edit Master: PE_O007
New Edit Master: PE_T007
Institutional CPID: 6988
Current Edit Master: HE9O007
New Edit Master: HE9T007
Industry Standard Payer ID: 65074

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.

10/12/2026

New Electronic Claims Connections Available on Revenue Performance Advisor

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

23160 – Medico Insurance Company
62350 – Evernorth Care Solutions
CBP01 – Cherry Blossom PACE
EPF03 – El Paso First Health Plans CHIP
LHP01 – LaSalle Health Plan
LSMA2 – LaSalle Medical Associates
MISHE – Mishe Health

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

23160 – Medico Insurance Company
62350 – Evernorth Care Solutions
CBP01 – Cherry Blossom PACE
EPF03 – El Paso First Health Plans CHIP
LHP01 – LaSalle Health Plan
LSMA2 – LaSalle Medical Associates
MISHE – Mishe Health
MHCM2 – Physician Health Network
PODIA – Podiatry Plan
POP10 – Physician Healthcare Integration IPA
VSP21 – MyCare VSP
VSP73 – Molina Ohio Medicaid VSP

10/12/2026

Electronic Routing Change for CPIDs 3775 and 9048 Broward PACE Program

Effective October 12, 2026, Optum will change electronic claims routing for the following payer:

Payer Name: Broward PACE Program
Professional CPID: 3775
Edit Master: PE_T007
Institutional CPID: 9048
Edit Master: HE9T007
Industry Standard Payer ID: FLBPP
Payer Claim Enrollment Required: No
Secondary Claims Accepted: Yes
Claim Par Status: Transitional

Enrollment Requirements:
Claims:

Payer enrollment for electronic claims is not required.

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

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

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

10/12/2026

Electronic Routing Change for CPIDs 3775 and 9048 Broward PACE Program

Effective October 12, 2026, Optum will change electronic claims routing for the following payer:

Payer Name: Broward PACE Program
Professional CPID: 3775
Institutional CPID: 9048
Industry Standard Payer ID: FLBPP
Payer Claim Enrollment Required: No
Secondary Claims Accepted: Yes
Claim Par Status: Transitional
Claim Fee: N/A

Enrollment Requirements:
Claims:

Payer enrollment for electronic claims is not required.

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

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

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

10/12/2026

Report Generation Delay for CPID 1673 Public Employee Health Plan

A payer intermediary is experiencing issues affecting Institutional report generation for some claims submitted Oct. 1, 2026 and Oct. 8, 2026.

Payer impacted:

CPID 1673 Public Employee Health Plan (PEHP)

The payer intermediary has been unable to generate and deliver the reports for some claims submitted Oct. 1, 2026 and Oct. 8, 2026.

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

If you have any questions, please contact Customer Support and refer to Case Number 11011530.

10/12/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: Valley Presbyterian Hospital Preferred IPA
Professional CPID: 8832
Institutional CPID: 4090
Industry Standard Payer ID: MPM60
Payer Enrollment Required: Yes
Remittance Par Status: Transitional
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.

10/12/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: Valley Presbyterian Hospital Preferred IPA
Professional CPID: 8832
Institutional CPID: 4090
Industry Standard Payer ID: MPM60
Line of Business (LOB) Code: H7X
Payer Enrollment Required: Yes
Remittance Par Status: Transitional
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.

10/12/2026

Payer Processing Issue for CPID 5550 District of Columbia Medicaid

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

Payer impacted:

CPID 5550 District of Columbia Medicaid

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

This delay affected claims released to Optum Oct. 7, 2026, 9:00 p.m.-Oct. 8, 2026, 9:00 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 11011437.

10/12/2026

Report Generation Delay for CPID 3508 California Medicare

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

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 11011396.

10/12/2026

New Electronic Remittance (ERA) Connections Available on RPA

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

43072 – Trillium Health Resources Tailored Plan

62599 – DetegoHealth

98627 – ElderONE

AMADA – Amada Health

IHS29 – Point C

LIB01 – Liberty Advantage Health Plan

RP115 – American Health Advantage of Indiana

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

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

10/9/2026

New Payer ID Change for VAFSC/ICE Health Service Corps

Effective October 12, 2026, please be aware of the following payer id change:

Payer Name: VAFSC/ICE Health Service Corps

Current Payer ID: VAICE

New Payer ID: DIHSC

Payer ID VAICE will be terminated on October 30, 2026.

For details regarding the transition please review the payer’s website: IHSC – Managed Care | ICE

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

10/9/2026

New Electronic Claims Connections Available

Optum has new electronic claims connections available:

Payer Name: Advanced Medical Doctors of California

Payer ID: AMDC1

Claim Type: Institutional

Payer Enrollment Required: No

Secondary Claims Accepted: Yes

Payer Location: California

Claim Par Status: Non Par

Payer Name: MMO Health

Payer ID: SX093

Payer Enrollment Required: No

Secondary Claims Accepted: No

Payer Location: National

Claim Par Status: Non Par

Payer Name: Saint Johns Health Clinic

Payer ID: SJHC1

Claim Type: Institutional

Payer Enrollment Required: No

Secondary Claims Accepted: No

Payer Location: California

Claim Par Status: Non Par

Action Required:

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

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

10/9/2026

Electronic Claims Connection Suspended

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

Payer Name: Insurers Administrative Corporation

Payer ID: 86304

Reason: Payer unavailable electronically.

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

10/9/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: WeShare
Professional CPID: 3857
Institutional CPID: 9077
Industry Standard Payer ID: WESHR
Payer Enrollment Required: Yes
Remittance Par Status: Transitional
Remittance Fee: N/A
Payer Location: National

Action Required:

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

10/9/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: WeShare
Professional CPID: 3857
Institutional CPID: 9077
Industry Standard Payer ID: WESHR
Line of Business (LOB) Code: H1P
Payer Enrollment Required: Yes
Remittance Par Status: Transitional
Remittance Fee: N/A
Payer Location: National

Action Required:

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

10/9/2026

Electronic Routing Change for CPIDs 4254 and 3696 One Call Medical Diagnostics

Effective October 9, 2026, Optum will change electronic remittance routing for the following payer:

Payer Name: One Call Medical Diagnostics
Professional CPID: 4254
Institutional CPID: 3696
Industry Standard Payer ID: 22321
Payer Remittance Enrollment Required: Yes
Remittance Par Status: Non Par
Remittance Fee: N/A

Enrollment Requirements:

Remittance:

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

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

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

10/9/2026

Electronic Routing Change for CPIDs 4254 and 3696 One Call Medical Diagnostics

Effective October 9, 2026, Optum will change electronic remittance routing for the following payer:

Payer Name: One Call Medical Diagnostics
Professional CPID: 4254
Institutional CPID: 3696
Industry Standard Payer ID: 22321
Line of Business Code (LOB): J6N
Payer Remittance Enrollment Required: Yes
Remittance Par Status: Non Par
Remittance Fee: N/A

Enrollment Requirements:

Remittance:

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

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

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

10/9/2026

Electronic Claims Connection Suspended

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

Payer Name: INSURERS ADMINISTRATIVE CORPORATION

CPID(s): 2484, 4913

Industry Standard Payer ID: 86304

Reason: Payer unavailable electronically.

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

10/9/2026

Delay in Electronic Remittance Advice (ERA) for CPIDs 3807 and 1503 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 dates of September 24, 2026 through present:

CPID 3807 CHAMPVA – HAC
CPID 1503 CHAMPVA – HAC

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 listed above.

If you have any questions, feel free to contact your Customer Support Team and refer to Case Number INC-000005725.

10/9/2026

Delay in Electronic Remittance Advice (ERA) for Payer IDs 84146 and 80214 CHAMPVA

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

Additional updates will be forwarded as more information becomes available.

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

If you have any questions, feel free to contact your Customer Support Team and refer to Case Number INC-000005725.

10/9/2026

Reports delay INS/277 responses

This message is intended for Revenue Performance Advisor customers.

Update: Delay with INS/277 Claim Status Responses
We continue to investigate an issue impacting INS/277 Claim Status responses. Claims submitted between September 29, 2026, and the present may be missing responses.

Please note that claims have been successfully received and are on file. The issue is limited to the posting and delivery of the associated INS/277 Claim Status responses. Customers do not need to resubmit claims at this time. Our teams are actively working to identify the root cause and restore normal processing as quickly as possible.

We will provide additional updates as more information becomes available.

We apologize for the inconvenience and appreciate your continued patience while we work toward a resolution.

10/8/2026

Edit Master changes for CPIDs 8176 and 2038 Saint Johns Health Clinic

Optum is changing Edit Masters for the following payer, effective October 8, 2026:

Payer Name: Saint Johns Health Clinic

Professional CPID: 8176

Current Edit Master: PE_O007

New Edit Master: PE_T007

Institutional CPID: 2038

Current Edit Master: HE9O007

New Edit Master: HE9T007

Industry Standard Payer ID: SJHC1

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.

10/8/2026

Edit Master changes for CPIDs 8176 and 2038 Saint Johns Health Clinic

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.

10/8/2026

RPA Payer Change for Partners Health Management / Vaya Partners

Effective October 1, 2026, claims currently exchanged with the following payer must use different Payer IDs on the Revenue Performance Advisor (RPA) system.

Claims and Remittance containing Dates of Service on or prior to September 30, 2026, must continue to use the following:

Payer Name: Partners Health Management

RPA Payer ID: 52613

Claims and Remittance containing Dates of Service on or after October 1, 2026, must begin using the following:

Payer Name: Vaya Partners

RPA Payer ID: VAYAH

For details regarding the transition please review the payer’s website: Vaya Partners | Improving Lives. Strengthening Communities

Enrollment Requirements:

Claims:

Payer enrollment for electronic claims is required.
Providers currently sending electronic claims through Optum for Payer ID VAYAH, Vaya Partners do not need to complete a new enrollment form.
Providers who have not submitted claims for Payer ID 52613, Partners Health Management since June 28, 2026, will need to complete a new enrollment form for Payer ID VAYAH, Vaya Partners.
New providers must complete a new enrollment form.

Remittance:

Payer enrollment for electronic remittance is required.
Providers currently receiving electronic remittance through Optum for Payer ID VAYAH, Vaya Partners do not need to complete a new enrollment form.
Providers who have not received remittance for Payer ID 52613, Partners Health Management since June 28, 2026, will need to complete a new enrollment form for Payer ID VAYAH, Vaya Partners.
New providers must complete a new enrollment form.

Action Required:

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

You can access the payer enrollment intake form on the Revenue Performance Advisor (RPA) restoration resources page in the User Community.

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

10/8/2026

New Electronic Claims Connections Available

Optum has new electronic claims connections available:

Payer Name: MS Administrators
Professional CPID: 2434
Institutional CPID: 2584
Industry Standard Payer ID: IHS42
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: National
Claims Fee: N/A
Claim Par Status: Transitional

Action Required:

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

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

10/8/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: DHMN Preferred IPA Hospital Risk
Professional CPID: 1867
Institutional CPID: 3920
Industry Standard Payer ID: DHM02
Payer Enrollment Required: Yes
Remittance Par Status: Non Par
Remittance Fee: N/A
Payer Location: Arizona, California, Nevada

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.

10/8/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: DHMN Preferred IPA Hospital Risk
Professional CPID: 1867
Institutional CPID: 3920
Industry Standard Payer ID: DHM02
Line of Business (LOB) Code: J1Z
Payer Enrollment Required: Yes
Remittance Par Status: Non Par
Remittance Fee: N/A
Payer Location: Arizona, California, Nevada

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.

10/8/2026

Report Generation Delay for CPIDs 5259 and 9582 Maine Medicaid

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

Payer impacted:

CPID 5259 Maine Medicaid
CPID 9582 Maine 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 11005766.

10/8/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: Longevity Health Plan of North Carolina
Professional CPID: 9268
Institutional CPID: 6090
Industry Standard Payer ID: LNC01
Payer Enrollment Required: Yes
Remittance Par Status: Non Par
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.

10/8/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: Longevity Health Plan of North Carolina
Professional CPID: 9268
Institutional CPID: 6090
Industry Standard Payer ID: LNC01
Line of Business (LOB) Code: E90
Payer Enrollment Required: Yes
Remittance Par Status: Non Par
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.

10/8/2026

Update: Report Generation Delay for CPID 3803 Kern Health Systems

Update: The payer has been unable to generate and deliver the reports for some claims submitted on Sept. 7, 2026, Sept. 10, 2026 and Sept. 22, 2026.

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

Original notice sent Sept. 17, 2026:

The payer listed below is experiencing issues affecting Professional report generation for some claims submitted on Sept. 7, 2026 and Sept. 10, 2026.

Payer impacted:

CPID 3803 Kern Health Systems

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

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

If you have any questions, please contact Customer Support and refer to Case Number 10968731.

10/8/2026

Electronic Claims Connection Suspended

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

Payer Name: Horizon Pace
Payer ID: R4569
Reason: Payer unavailable electronically.

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

10/8/2026

New Electronic Remittance Connections Available

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.

10/8/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: Longevity Health Plan of North Carolina
Professional CPID: 9268
Institutional CPID: 6090
Industry Standard Payer ID: LNC01
Line of Business (LOB) Code: E90
Payer Enrollment Required: Yes
Remittance Par Status: Non Par
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.

10/8/2026

New Electronic Claims Connections Available

Optum has new electronic claims connections available:

Payer Name: Wellfleet Supplemental Medical Expense Plan

Payer ID: 98585

Payer Enrollment Required: No

Secondary Claims Accepted: No

Payer Location: National

Claim Par Status: Transitional

Action Required:

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

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

10/7/2026

Community Care Health (CCH) New RT Eligibility 270/271 Connection Available

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

Key details to use where applicable are:

Payer Name:  Community Care Health (CCH)
Industry Payer ID:  CCH25
IMN Real Time ID:  CCH25
Exchange Real Time ID:  COMCH
Optum IEDI Real Time ID:  CCH25
Payer Enrollment Required:  No
Connection Type:  X12

Search Options:

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

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

10/7/2026

Highmark Health Options WV New RT Eligibility 270/271 Connection Available

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

Key details to use where applicable are:

Payer Name:  Highmark Health Options West Virginia
Industry Payer ID:  RP118
IMN Real Time ID:  RP118
Exchange Real Time ID:  HHOWVA
Optum IEDI Real Time ID:  RP118
Payer Enrollment Required:  No
Connection Type: X12

Search Options:

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

10/7/2026

New Payer ID Change

Effective October 12, 2026, please be aware of the following payer id change:

Payer Name: VAFSC/ICE Health Service Corps
Professional CPID: 1479
Professional Edit Master: PE_T007
Institutional CPID: 1598
Institutional Edit Master: HE9T007
Current Industry Standard Payer ID: VAICE
New Industry Standard Payer ID: DIHSC

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

For details regarding the transition please review the payer’s website: IHSC – Managed Care | ICE

Action Required:

No Payer Alias changes are required. Payer name and CPIDs are not changing.

New Payer ID Change

Effective October 12, 2026, please be aware of the following payer id change:

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

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

For details regarding the transition please review the payer’s website: IHSC – Managed Care | ICE

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

10/7/2026

Electronic Claims Connection Suspended

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

Payer Name: Horizon Pace

CPID(s): 3766, 9046

Industry Standard Payer ID: R4569

Reason: Payer unavailable electronically.

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

10/7/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: Sutter Senior Care

Payer ID: SC028

Payer Enrollment Required: Yes

Remittance Par Status: Non Par

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.

10/7/2026

Edit Master changes for CPIDs 2940 and 4730 Optum Care Network

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

Payer Name: Optum Care Network
Professional CPID: 4730
Current Edit Master: PE_O007
New Edit Master: PE_T007
Institutional CPID: 2940
Current Edit Master: HE9O007
New Edit Master: HE9T007
Industry Standard Payer ID: OCN01

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.

10/7/2026

Report Generation Delay for CPID 2859 Ascension Living HOPE PACE

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

Payer impacted:

CPID 2859 Ascension Living HOPE PACE

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

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

If you have any questions, please contact Customer Support and refer to Case Number 11004249.

10/7/2026

Report Generation Delay for CPID 5428 QualChoice of Arkansas

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

Payer impacted:

CPID 5428 QualChoice of Arkansas

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

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

If you have any questions, please contact Customer Support and refer to Case Number 11004320.

10/7/2026

Report Generation Delay for multiple CPIDs

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

Payers impacted:

4272 Absolute Total Care

7784 Allwell from Absolute Total Care

7767 Allwell from Arkansas Health & Wellness

7776 Allwell from Buckeye Health Plan

7766 Allwell from Health Net

7775 Allwell from Home State Health

7773 Allwell from Louisiana Healthcare Connections

7786 Allwell from Managed Health Services Health Wisconsin

7783 Allwell from Pennsylvania Health and Wellness

7785 Allwell from Superior Health Plan

6761 Ambetter from Buckeye Community Health Plan

7808 Ambetter from Health Net

6759 Ambetter from Magnolia Health

6757 Ambetter from Managed Health Services

6756 Ambetter from Peach State Health Plan

8793 Ambetter from Pennsylvania Health and Wellness

8106 Ambetter from Sunflower Health Plan

6755 Ambetter from Sunshine Health

6762 Ambetter from Superior Health Plan

7286 Ambetter Illinicare Health

7287 Ambetter New Hampshire Healthy Families

6753 Ambetter of Arkansas

1299 Ambetter of North Carolina Inc.

8741 Ambetter of Tennessee

7874 Arizona Complete Health

4717 Buckeye Community Health

9175 Carolina Complete Health Care

6197 Coordinated Care

7751 Health Net of Oregon

6196 Home State Health Plan

8162 Iowa Total Care

6157 Louisiana Health Connections

5286 Magnolia Health Plan Mississippi

2703 Managed Health Services Indiana

2262 Meridian Health Plan of Michigan

1164 Nebraska Total Care

6262 New Hampshire Healthy Families

2493 Oklahoma Complete Health Centene

2417 Peach State Health Plan

7740 Pennsylvania Health and Wellness

1263 Silver Summit Health Plan

6249 Sunflower Health Plan

2111 Sunshine Health Plan

2701 Superior Health Plan of Texas

7295 Trillium Community Health Plan

8299 Wellcare Complete a product of Wellcare by Allwell

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 Availity case 19044380.

10/7/2026

New Real-time Eligibility Inquiry and Response 270/271 Connection Available

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

Key details to use where applicable are:

Payer Name:  CONTRA COSTA HEALTH PLAN
Industry Payer ID:  CNTRA
IMN Real Time ID:  CNTRA
Exchange Real Time ID:  CNTRA
Optum IEDI Real Time ID:  CNTRA
Payer Enrollment Required:  No
Connection Type: X12

Search Options:

Eligibility Subscriber
- Member ID, First Name, Last Name, Date of Birth, Gender Code

10/7/2026

New Electronic Claims Connections Available

Optum has new electronic claims connections available:

Payer Name: MMO Health
Professional CPID: 2444
Institutional CPID: 2621
Industry Standard Payer ID: SX1093
Payer Enrollment Required: No
Secondary Claims Accepted: No
Payer Location: National
Claim Par Status: Non Par

Action Required:

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

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

10/7/2026

New Electronic Claims Connections Available

Action Required:

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

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

10/7/2026

Report Generation Delay for CPID 6405 Cigna Health Plans

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

Payer impacted:

CPID 6405 Cigna Health Plans

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

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

If you have any questions, please contact Customer Support and refer to Case Number 11003500.

10/7/2026

Payer Change for Texas Childrens Health Plan (Medicaid Managed Care)

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

Payer Name: Texas Childrens Health Plan (Medicaid Managed Care)

Payer ID: 76048MC

Payer ID 76048MC for Texas Childrens Health Plan (Medicaid Managed Care) is currently suspended and will be terminated effective October 6, 2026.

Claims sent on or after October 6, 2026, must begin using the following:

Payer Name: Texas Childrens Health Plan (CHIP)

Payer ID: 76048

Claim Par Status: Non Par

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.

10/7/2026

Payer Change for Healthsource Georgia

Effective November 6, claims currently exchanged with the following payer must use a different Payer ID.

Payer Name: Healthsource Georgia

Payer ID: 58210

Payer ID 58210 for Healthsource Georgia will be terminated effective November 6, 2026.

Claims sent on or after November 6, 2026, must begin using the following:

Payer Name: Cigna Health Plans

Payer ID: 62308

Claim Par Status: Transitional

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.

10/7/2026

Report Generation Delay for CPID 5457 Mass General Brigham Health Plan

The payer listed below is experiencing issues affecting Professional report generation for some claims submitted on Oct. 1, 2026.

Payer impacted:

CPID 5457 Mass General Brigham 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 11001817.

10/7/2026

Update: Report Generation Delay for CPID 2487 Neighborhood Health Plan of Rhode Island

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

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

Original notice sent Sept. 30, 2026:

The payer listed below is experiencing issues affecting Professional report generation for some claims submitted on Sept. 2, 2026.

Payer impacted:

CPID 2487 Neighborhood Health Plan of Rhode Island

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 10991344.

10/7/2026

Report Generation Delay for CPIDs 4656 and 6172 Harrington Health

The payer listed below is experiencing issues affecting Institutional and Professional report generation for some claims submitted on Sept. 24, 2026.

Payer impacted:

CPID 4656 Harrington Health
CPID 6172 Harrington Health

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

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

If you have any questions, please contact Customer Support and refer to Case Number 11001634.

10/6/2026

Report Generation Delay for CPIDs 6538 and 1748 MVP Health Plan

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

Payer impacted:

CPID 6538 MVP Health Plan
CPID 1748 MVP Health Plan

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

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

If you have any questions, please contact Customer Support and refer to Case Number 11001786.

10/6/2026

Update: Report Generation Delay for CPIDs 5661 and 6423 RevClaims

Update: The payer intermediary has been unable to generate and deliver the reports for some claims submitted on Sept. 3, 2026 and Sept. 4, 2026.

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

Original notice sent Sept. 15, 2026:

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

Payer impacted:

CPID 5661 RevClaims
CPID 6423 RevClaims

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 10962928.

10/6/2026

Payer Change for CPIDs 9049, 3776 Texas Childrens Health Plan (Medicaid Managed Care)

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

Payer Name: Texas Childrens Health Plan (Medicaid Managed Care)
Professional CPID: 3776
Institutional CPID: 9049
Remittance Available: No
Industry Standard Payer ID: 76048MC

CPIDs 3776 and 9049 Texas Childrens Health Plan (Medicaid Managed Care) are currently suspended and will be terminated effective October 6, 2026.

Claims sent on or after October 6, 2026, must begin using the following:

Payer Name: Texas Childrens Health Plan (CHIP)
Professional CPID: 1729
Institutional CPID: 6583
Remittance Available: No
Industry Standard Payer ID: 76048
Claim Par Status: Non Par
Claim Fee: N/A

Enrollment Requirements:
Claims:

Payer enrollment for electronic claims is not required.

Action Required:

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

10/6/2026

Payer Change for CPIDs 9049, 3776 Texas Childrens Health Plan (Medicaid Managed Care)

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

Payer Name: Texas Childrens Health Plan (Medicaid Managed Care)
Professional CPID: 3776
Professional Edit Master: PE_T007
Institutional CPID: 9049
Institutional Edit Master: HE9T007
Industry Standard Payer ID: 76048MC

CPIDs 3776 and 9049 Texas Childrens Health Plan (Medicaid Managed Care) are currently suspended and will be terminated effective October 6, 2026.

Claims sent on or after October 6, 2026, must begin using the following:

Payer Name: Texas Childrens Health Plan (CHIP)
Professional CPID: 1729
Professional Edit Master: PE_T007
Institutional CPID: 6583
Institutional Edit Master: HE9T007
Industry Standard Payer ID: 76048
Claim Par Status: Non Par

Enrollment Requirements:
Claims:

Payer enrollment for electronic claims is not required.

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

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

10/6/2026

Eligibility termination for payer ID 10750 on RPA

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

Payer Name: State Mutual Med Supp
RPA Payer ID: 10750

Reason: Payer no longer offers an electronic connection.

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

10/6/2026

Update: Report Generation Delay for CPID 9766 Gold Kidney Health Plan

Update: The payer intermediary has been unable to generate and deliver the reports for some claims submitted from Sept. 5, 2026 through Sept. 26, 2026.

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

Original notice sent Sept. 17, 2026:

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

Payer impacted:

CPID 9766 Gold Kidney Health Plan

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

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

If you have any questions, please contact Customer Support and refer to Case Number 10967473.

10/6/2026

New Electronic Claims Connections Available

Optum has new electronic claims connections available:

Payer Name: Wellfleet Supplemental Medical Expense Plan
Professional CPID: 2441
Institutional CPID: 2606
Industry Standard Payer ID: 98585
Payer Enrollment Required: No
Secondary Claims Accepted: No
Payer Location: National
Claims Fee: N/A
Claim Par Status: Transitional

Action Required:

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

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

10/6/2026

Update: Delay in Electronic Remittance Advice (ERA) for CPIDs 2824 & 7551, The Health Plan

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

Original notify sent on September 11, 2026:

Due to a payer processing issue, there has been a delay affecting Professional and Institutional Electronic Remittance Advice (ERA) for the following payer for check dates September 2, 2026 - September 4, 2026.

Payers affected:

CPID 2824 The Health Plan
CPID 7551 The Health Plan

Additional updates will be forwarded as more information becomes available.

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

If you have any questions, feel free to contact your Customer Support Team and refer to Case Number INC-000005557.

10/6/2026

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

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

Original notify sent on September 11, 2026:

Payer affected:

Payer ID 95677 The Health Plan

Additional updates will be forwarded as more information becomes available.

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

10/6/2026

New Electronic Claims Connections Available

Optum has new electronic claims connections available:

Payer Name: Confederated Tribes of the Chehalis Reservation

Payer ID: CTCR7

Payer Enrollment Required: No

Secondary Claims Accepted: Yes

Payer Location: Washington

Claim Par Status: Non Par

Payer Name: ElderONE

Payer ID: 98627

Payer Enrollment Required: No

Secondary Claims Accepted: No

Payer Location: Minnesota

Claim Par Status: Transitional

Payer Name: Plan Stewards

Payer ID: 89564

Payer Enrollment Required: No

Secondary Claims Accepted: Yeo

Payer Location: National

Claim Par Status: Non Par

Action Required: 

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

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

10/5/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: Amada Health

Payer ID: AMADA

Payer Enrollment Required: Yes

Remittance Par Status: Non Par

Payer Location: California

Payer Name: Delta Dental of Oklahoma

Payer ID: CDOK1

Payer Enrollment Required: Yes

Remittance Par Status: Non Par

Payer Location: Oklahoma

Payer Name: ElderONE

Payer ID: 98627

Payer Enrollment Required: Yes

Remittance Par Status: Non Par

Payer Location: Minnesota

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.

10/5/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: Sutter Senior Care

Professional CPID: 6813

Institutional CPID: 1552

Industry Standard Payer ID: SC028

Payer Enrollment Required: Yes

Remittance Par Status: Non Par

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.

10/5/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: Sutter Senior Care

Professional CPID: 6813

Institutional CPID: 1552

Industry Standard Payer ID: SC028

Line of Business (LOB) Code: E96

Payer Enrollment Required: Yes

Remittance Par Status: Non Par

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.

10/5/2026

Report Generation Delay for CPIDs 1876 and 8990 Group Health Cooperative of South Central Wisconsin

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

Payer impacted:

CPID 1876 Group Health Cooperative of South Central Wisconsin
CPID 8990 Group Health Cooperative of South Central Wisconsin

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 11000506.

10/5/2026

Transmit Delay for CPID 7410 Aetna Better Health of Kentucky

Due to an Optum system issue, a delay occurred in the transmissions to the following payer on Sept. 29, 2026.

Payer impacted:

CPID 7410 Aetna Better Health of Kentucky

A resolution has been implemented and the claims were transmitted to the payer on Oct. 5, 2026.

This delay affected claims released to Optum between 6 p.m. CT on Sept. 29, 2026 and 10 p.m. CT on Sept. 29, 2026.

Action Required: Be aware of the transmit delay above.

If you have any questions, please contact Customer Support and refer to Case Number 11000362.

10/5/2026

Report Generation Delay for CPIDs 1876 and 8990 Group Health Cooperative of South Central Wisconsin

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

Payer impacted:

CPID 1876 Group Health Cooperative of South Central Wisconsin
CPID 8990 Group Health Cooperative of South Central Wisconsin

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 11000506.

10/5/2026

New Electronic Claims Connections Available

Optum has new electronic claims connections available:

Payer Name: Confederated Tribes of the Chehalis Reservation
Professional CPID: 2406
Institutional CPID: 2583
Industry Standard Payer ID: CTCR7
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: Washington
Claims Fee: N/A
Claim Par Status: Non Par

Payer Name: ElderONE
Professional CPID: 2435
Institutional CPID: 2586
Industry Standard Payer ID: 98627
Payer Enrollment Required: No
Secondary Claims Accepted: No
Payer Location: Minnesota
Claims Fee: N/A
Claim Par Status: Transitional

Payer Name: Plan Stewards
Professional CPID: 2294
Institutional CPID: 2580
Industry Standard Payer ID: 89564
Payer Enrollment Required: No
Secondary Claims Accepted: Yeo
Payer Location: National
Claims Fee: N/A
Claim Par Status: Non Par

Action Required: 

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

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

10/5/2026

Real Time Eligibility 270/271 Payer ID Change

Effective September 22, 2026, Real Time Eligibility 270/271 must use a different Payer ID.

Real Time Eligibility Transactions for members containing Dates of Service on or after January 1, 2026, must begin using the following:

Payer Name:  Blue Cross Community Health Plans (BCCHP)
Industry Payer ID:  MCIL2
IMN Real Time ID:  MCIL2
Exchange Real Time ID:  BCCHP
Optum IEDI Real Time ID:  MCIL2
Payer Enrollment Required:  No
Connection Type: X12

Real Time Eligibility Transactions for members containing Dates of Service on or before December 31, 2025, must continue to use the following:

Payer Name:  Blue Cross Community Health Plans
Industry Payer ID:  MCDIL
IMN Real Time ID:  MCDIL
Exchange Real Time ID:  BCCOM
Payer Enrollment Required:  No
Connection Type: X12

Search Options:

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

Action Required by customer:

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

10/5/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: ElderONE
Professional CPID: 2435
Institutional CPID: 2586
Industry Standard Payer ID: 98627
Payer Enrollment Required: Yes
Remittance Par Status: Non Par
Remittance Fee: N/A
Payer Location: Minnesota

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.

10/5/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: ElderONE
Professional CPID: 2435
Institutional CPID: 2586
Industry Standard Payer ID: 98627
Line of Business (LOB) Code: H7Q
Payer Enrollment Required: Yes
Remittance Par Status: Non Par
Remittance Fee: N/A
Payer Location: Minnesota

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.

10/5/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: Amada Health
Professional CPID: 3297
Institutional CPID: 8552
Industry Standard Payer ID: AMADA
Line of Business (LOB) Code: E94
Payer Enrollment Required: Yes
Remittance Par Status: Non Par
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.

10/5/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: Amada Health
Professional CPID: 3297
Institutional CPID: 8552
Industry Standard Payer ID: AMADA
Payer Enrollment Required: Yes
Remittance Par Status: Non Par
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.

10/5/2026

Report Generation Delay for CPID 5150 TriHealth Physicians Solutions

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

Payer impacted:

CPID 5150 TriHealth Physicians Solutions

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 10999506.

10/6/2026

Electronic Routing Change for CPIDs 9288 and 7006 Valley Presbyterian Hospital

Effective October 05, 2026, Optum will change electronic remittance routing for the following payer:

Payer Name: Valley Presbyterian Hospital
Professional CPID: 9288
Institutional CPID: 7006
Industry Standard Payer ID: MPM53
Line of Business Code (LOB): K1D
Payer Remittance Enrollment Required: Yes
Remittance Par Status: Non Par
Remittance Fee: N/A

Enrollment Requirements:

Remittance:

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

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

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

10/5/2026

Electronic Routing Change for CPIDs 9288 and 7006 Valley Presbyterian Hospital

Effective October 05, 2026, Optum will change electronic remittance routing for the following payer:

Payer Name: Valley Presbyterian Hospital
Professional CPID: 9288
Institutional CPID: 7006
Industry Standard Payer ID: MPM53
Payer Remittance Enrollment Required: Yes
Remittance Par Status: Non Par
Remittance Fee: N/A

Enrollment Requirements:

Remittance:

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

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

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

10/5/2026

Report Generation Delay for CPID 4714 Medigold HMO

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

Payer impacted:

CPID 4714 Medigold HMO

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 10999185.

10/5/2026

New Real Time Eligibility 270/271 Connection Available

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

Key details to use where applicable are:

Payer Name: SKYGEN USA
Industry Payer ID:  SKYGEN USA
IMN Real Time ID:  SKYGN
Exchange Real Time ID:  SKYGN
Optum IEDI Real Time ID:  SKYGN
Payer Enrollment Required:  No
Connection Type: X12

Search Options:

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

10/6/2026

PAR Status change for Claim payers

Effective 11/1/2026, the PAR Status will change for the following payer(s):

Driscoll Childrens Health Plan
Exchange CPID(s): 3925, 3234
Transaction: Claims - Prof/Inst
New PAR Status: Transitional

FACS Group
Exchange CPID(s): 3854
Transaction: Claims - Professional
New PAR Status: Gateway

Fallon Community Health Plan
Exchange CPID(s): 1576, 3801
Transaction: Claims - Prof/Inst
New PAR Status: Gateway

HealthSun
Exchange CPID(s): 2105
Transaction: Claims - Professional
New PAR Status: Non Par

Integrated Medical Solutions
Exchange CPID(s): , 6163
Transaction: Claims - Prof/Inst
New PAR Status: Gateway

Know the Costs
Exchange CPID(s): 8087, 2884
Transaction: Claims - Prof/Inst
New PAR Status: Gateway

Loma Linda University Medical Center
Exchange CPID(s): 4031, 8759
Transaction: Claims - Prof/Inst
New PAR Status: Gateway

MPE Employee Benefit Services
Exchange CPID(s): 3933, 3871
Transaction: Claims - Prof/Inst
New PAR Status: Gateway

National Telecommunications Cooperative Association
Exchange CPID(s): 2733
Transaction: Claims - Professional
New PAR Status: Par

National Telecommunications Cooperative Association (NTCA)
Exchange CPID(s): 3987, 2407
Transaction: Claims - Prof/Inst
New PAR Status: Par

National Telecommunications Cooperative Association (NTCA - Staff)
Exchange CPID(s): 3944, 5258
Transaction: Claims - Prof/Inst
New PAR Status: Par

Patient Physician Cooperatives
Exchange CPID(s): 5020, 8868
Transaction: Claims - Prof/Inst
New PAR Status: Gateway

Priority Health of Michigan
Exchange CPID(s): 3591, 7459
Transaction: Claims – Prof/Inst
New PAR Status: Transitional

Protective Life Insurance Company
Exchange CPID(s): 4444
Transaction: Claims - Professional
New PAR Status: Gateway

TELUS Health
Exchange CPID(s): 1012, 6106
Transaction: Claims - Prof/Inst
New PAR Status: Gateway

Volusia Health Network
Exchange CPID(s): 3970, 3239
Transaction: Claims - Prof/Inst
New PAR Status: Transitional

Western Pennsylvania Electrical Employees Insurance Trust Fund
Exchange CPID(s): 8043, 9761
Transaction: Claims – Prof/Inst
New PAR Status: Gateway

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

10/5/2026

Update: Payer Change for CPIDs 6701, 5682 Partners Health Management and CPIDs 6233, 5645 Vaya Partners

Update:
Due to a payer processing issue, professional and institutional claims transmitted with the payer listed below since October 1, 2026, have not been processed by the payer.

Impacted payer:

CPID 6233 Vaya Partners
CPID 5645 Vaya Partners

Effective immediately, Optum will temporarily hold claims for this payer until further notice. Once the issue is resolved, all held claims will be released for processing. Optum is working diligently with the payer to resolve the issue. Please watch for future notifications regarding the status of this issue.

Action Required: None. Please be aware that claims submitted during this timeframe may experience processing delays.

Original sent 9/29/2026:
Effective October 1, 2026, claims currently exchanged with the following payer must use different CPIDs.

Claims and Remittance containing Dates of Service on or prior to September 30, 2026, must continue to use the following:

Payer Name: Partners Health Management
Professional CPID: 6701
Institutional CPID: 5682
Remittance Available: Yes
Industry Standard Payer ID: 13141

Claims and Remittance containing Dates of Service on or after October 1, 2026, must begin using the following:

Payer Name: Vaya Partners
Professional CPID: 6233
Institutional CPID: 5645
Remittance Available: Yes
Industry Standard Payer ID: 13010
Claim Par Status: Gateway
Claim Fee: N/A
Remittance Par Status: Non Par
Remittance Fee: N/A

For details regarding the transition please review the payer’s website: Vaya Partners | Improving Lives. Strengthening Communities

Enrollment Requirements:
Claims:

Payer enrollment for electronic claims is required.
- Providers currently sending electronic claims through Optum for CPIDs 6233 and 5645 Vaya Partners do not need to complete a new enrollment form.
- Providers who have not submitted claims for CPIDs 6701 and 5682 Partners Health Management since June 28, 2026, will need to complete a new enrollment form for CPIDs 6233 and 5645 Vaya Partners.
- New providers must complete a new enrollment form.

Remittance:

Payer enrollment for electronic remittance is required.
- Providers currently receiving electronic remittance through Optum for CPIDs 6233, 5645, Vaya Partners do not need to complete a new enrollment form.
- Providers who have not received remittance for CPIDs 6701 and 5682 Partners Health Management since June 28, 2026, will need to complete a new enrollment form for CPIDs 6233 and 5645 Vaya Partners.
- New providers must complete a new enrollment form.

Action Required:

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

10/5/2026

PAR Status change for Claim and Remit payers

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

KAMG Hospital
iEDI ID: GSH02
Transaction: Claims - Institutional
New PAR Status: Non Par

Know the Costs
iEDI ID: 04430
Transaction: Claims - Prof/Inst
New PAR Status: Gateway

Loma Linda University Medical Center
iEDI ID: 95352
Transaction: Claims - Prof/Inst
New PAR Status: Gateway

Lucent Health
iEDI ID: 88056
Transaction: Claims - Prof/Inst
New PAR Status: Transitional

Magellan Healthcare
iEDI ID: 01260, 12X27
Transaction: Claims - Prof/Inst
New PAR Status: Transitional

Momentum TPA
iEDI ID: MOMTM
Transaction: Claims - Professional
New PAR Status: Par

MPE Employee Benefit Services
iEDI ID: 37233
Transaction: Claims - Prof/Inst
New PAR Status: Gateway

National Telecommunications Cooperative Association (NTCA - Staff)
iEDI ID: 52104, 52120, 52103
Transaction: Claims - Prof/Inst
New PAR Status: Par

Pan-American Life Insurance Company
iEDI ID: 04218
Transaction: Claims - Dental
New PAR Status: Gateway

Patient Physician Cooperatives
iEDI ID: 20510
Transaction: Claims - Prof/Inst
New PAR Status: Gateway

Peak Health
iEDI ID: PEAK0, RP095
Transaction: Claims - Prof/Inst
New PAR Status: Non Par

Priority Health of Michigan
iEDI ID: 38217
Transaction: Claims - Institutional
New PAR Status: Transitional

RHA VestaCare
iEDI ID: VESTA
Transaction: Claims - Professional
New PAR Status: Non Par

SCHS Alta Global Care Medical Group
iEDI ID: MPM54, GLOBAL
Transaction: Claims - Prof/Inst
New PAR Status: Non Par

Superior Select Health Plan
iEDI ID: 61184
Transaction: Claims - Prof/Inst
New PAR Status: Transitional

TELUS Health
iEDI ID: 63100
Transaction: Claims - Prof/Inst
New PAR Status: Gateway

Texas Childrens Health Plan (Star Medicaid / Medicaid Managed Care)
iEDI ID: 75228MC
Transaction: Claims - Prof/Inst
New PAR Status: Non Par

Total Senior Care
iEDI ID: R3474
Transaction: Claims - Prof/Inst
New PAR Status: Transitional

UCLA Health Medicare Advantage Plan
iEDI ID: 28189
Transaction: Claims - Prof/Inst
New PAR Status: Transitional

UltraBenefits
iEDI ID: 41206
Transaction: Claims - Prof/Inst
New PAR Status: Transitional

University Health Care Advantage
iEDI ID: 46407, 4640L
Transaction: Claims - Prof/Inst
New PAR Status: Par

Valor Health Plan
iEDI ID: 43259
Transaction: Claims - Prof/Inst
New PAR Status: Transitional

Wellspace Nexus
iEDI ID: NEXUS
Transaction: Claims - Professional
New PAR Status: Non Par

WeShare
iEDI ID: WESHR
Transaction: Claims - Prof/Inst
New PAR Status: Transitional

WeShare Legacy
iEDI ID: UHSM1
Transaction: Claims - Prof/Inst
New PAR Status: Transitional

Western Pennsylvania Electrical Employees Insurance Trust Fund
iEDI ID: RP083
Transaction: Claims - Prof/Inst, Dental
New PAR Status: Gateway

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

10/2/2026

PAR Status change for Claim and Remit payers

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

AllCare Advantage
iEDI ID: MRCHP
Transaction: Claims - Professional
New PAR Status: Non Par

Alliance Desert Physicians
iEDI ID: 22417
Transaction: Claims - Professional
New PAR Status: Non Par

American Correctional Healthcare
iEDI ID: 26326
Transaction: Claims - Prof/Inst
New PAR Status: Transitional

Benefit Health Plan
iEDI ID: 52682
Transaction: Claims - Prof/Inst
New PAR Status: Transitional

BoldAge PACE
iEDI ID: BOLD1
Transaction: Claims - Prof/Inst
New PAR Status: Transitional

Buenaventura Affiliated Physicians
iEDI ID: BVAP1
Transaction: Claims - Prof/Inst
New PAR Status: Non Par

Business Administrators & Consultants
iEDI ID: 49984
Transaction: Claims - Prof/Inst
New PAR Status: Transitional

CareSource Ohio Medicaid
iEDI ID: 0003150, 31500
Transaction: Claims - Prof/Inst
New PAR Status: Non Par

Center for Elders Independence
iEDI ID: 94312
Transaction: Claims - Prof/Inst
New PAR Status: Transitional

Central Valley Medical Providers
iEDI ID: MPM59
Transaction: Claims - Prof/Inst
New PAR Status: Par

Cherokee Nation Comprehensive Care Agency
iEDI ID: CHERO
Transaction: Claims - Prof/Inst
New PAR Status: Transitional

Community Care Plan (Medicaid)
iEDI ID: 59065
Transaction: Claims - Professional
New PAR Status: Non Par

Dean Health Plan by Medica
iEDI ID: 39113, DEAN1
Transaction: Claims - Professional
New PAR Status: Par

Dignity Medical Foundation Professional Capitated NonPayment
iEDI ID: PROHC
Transaction: Claims - Prof/Inst
New PAR Status: Par

FACS Group
iEDI ID: 37300
Transaction: Claims - Professional
New PAR Status: Gateway

Fox Valley Medicine
iEDI ID: FVMCH
Transaction: Claims - Professional
New PAR Status: Non Par

HealthPartners of Minnesota
iEDI ID: 94267
Transaction: Claims - Institutional
New PAR Status: Non Par

HealthSun
iEDI ID: HESUN
Transaction: Claims - Professional
New PAR Status: Non Par

Heritage IPA
iEDI ID: HER01
Transaction: Claims - Professional
New PAR Status: Non Par

High Desert PACE
iEDI ID: HDP01
Transaction: Claims - Prof/Inst
New PAR Status: Transitional

Hill Physicians Aetna PPO
iEDI ID: HLPAE
Transaction: Claims - Professional
New PAR Status: Par

Hopkins Health Advantage
iEDI ID: 66003
Transaction: Claims - Professional
New PAR Status: Non Par

Humana - CareSource of Kentucky
iEDI ID: KYCS1
Transaction: Claims - Professional
New PAR Status: Non Par

Insurance Design Administrators
iEDI ID: 13315
Transaction: Claims - Prof/Inst
New PAR Status: Transitional

Integrated Medical Solutions
iEDI ID: 20050
Transaction: Claims - Prof/Inst
New PAR Status: Gateway

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

10/2/2026

New Electronic Claims Connections Available

Optum has new electronic claims connections available:

Payer Name: Atheria Health
Payer ID: ATH01
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: National
Claim Par Status: Transitional

Payer Name: ClaimsBridge Dialysis PPO
Payer ID: CBDIA
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: National
Claim Par Status: Transitional

Payer Name: MS Administrators
Payer ID: IHS42
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: National
Claim Par Status: Transitional

Action Required:

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

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

10/2/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: Delta Dental of Oklahoma
Professional CPID: 2443
Industry Standard Payer ID: CDOK1
Line of Business (LOB) Code: E95
Payer Enrollment Required: Yes
Remittance Par Status: Non Par
Remittance Fee: N/A
Payer Location: Oklahoma

Action Required:

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

10/2/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: Delta Dental of Oklahoma
Professional CPID: 2443
Industry Standard Payer ID: CDOK1
Payer Enrollment Required: Yes
Remittance Par Status: Non Par
Remittance Fee: N/A
Payer Location: Oklahoma

Action Required:

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

10/2/2026

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

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

07632 – MotivHealth Insurance Company
87871 – AdminOne
24818 – Amida Care
83352 – Prominence HealthFirst of Florida Inc
MPM37 – Adventist Health Plan
MPM38 – AHP Provider Network
NEXUS – Wellspace Nexus
R3481 – EverTrue PACE
SVIPA – Seaview IPA
SX109 – Molina Healthcare of Utah

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

10/2/2026

Claims processing issue - HealthFirst of New York/New Jersey

Some claims submitted to HealthFirst of New York/New Jersey Sept. 29, 2026, 5:00 p.m.-Oct. 2, 2026, 5:00 p.m. CT rejected in error for the presence of a secondary identifier when the NPI was present.

Issue was identified and corrected, so claims submitted after Oct. 2, 2026, 5:00 p.m. CT will process as expected.

Payer Name: HealthFirst of New York/New Jersey
Payer ID 80141
Inst CPID 1973
Prof CPID 1854

Action Required: None. Impacted claims will be resubmitted by Optum.

We apologize for any inconvenience this has caused.

If you have any questions, please contact Customer Support and refer to Global Issue INC-000005689.

10/2/2026

Report Generation Delay for CPID 6801 Utah Medicaid Crossover

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

Payer impacted:

CPID 6801 Utah Medicaid Crossover

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

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

If you have any questions, please contact Customer Support and refer to Case Number 10996873.

10/2/2026

New Electronic Claims Connections Available

Optum has new electronic claims connections available:

Payer Name: Atheria Health
Professional CPID: 2292
Institutional CPID: 2574
Industry Standard Payer ID: ATH01
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: National
Claims Fee: N/A
Claim Par Status: Transitional

Action Required:

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

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

10/2/2026

New Electronic Claims Connections Available

Optum has new electronic claims connections available:

Payer Name: ClaimsBridge Dialysis PPO
Professional CPID: 2284
Institutional CPID: 2567
Industry Standard Payer ID: CBDIA
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: National
Claims Fee: N/A
Claim Par Status: Transitional

Action Required:

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

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

10/2/2026

Wellmark Blue Cross Blue Shield of Iowa Real time Payer Transaction

Optum is pleased to announce the availability of Real-time Claims Status Inquiry and Response (276/277) transactions for the below payer, effective September 25, 2026:

Payer Name: Wellmark Blue Cross Blue Shield of Iowa
IMN: SB640
OPTUM: 10396
Exchange: IABCBS, 1510 & 1404

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

Moving forward, for assistance or support requests, please submit a ticket through the Customer Care Hub at https://customercare.optum.com/public/home.html

Please note: If you are not currently registered, you will need to complete the registration process before submitting a ticket.
Updated Payer Lists may be obtained from your software vendor or Payer List Portal.

10/1/2026

Edit Master changes for CPIDs 9233 and 6074 Provider Partners Health Plan of Ohio

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

Payer Name: Provider Partners Health Plan of Ohio
Professional CPID: 9233
Current Edit Master: PE_O007
New Edit Master: PE_T007
Institutional CPID: 6074
Current Edit Master: HE9O007
New Edit Master: HE9T007
Industry Standard Payer ID: 31402

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.

10/1/2026

New Payer Edit for CPID 1273

The payer listed below has informed Optum of a new edit requirement effective immediately. In order to meet the new requirement, we will add the following edit October 8, 2026:

PHI-01A081: INVALID DIAGNOSIS CODE - When entered, the Diagnosis Code must be the most descriptive Diagnosis Code based on the Service Line From Date. Note: If this requirement does not apply to your billing situation, you can override the edit within the Error Text. LOOP 2300 HI

Edit applies to:

CPID 1273 The Macaluso Group

Action Required: Please be aware of updated edit requirements.

10/1/2026

Report Generation Delay for multiple CPIDs

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

Payers impacted:

CPID 9278 Ambetter from Nebraska Total Care
CPID 3235 Ambetter of Delaware
CPID 9433 Ambetter of Oklahoma
CPID 2289 Care1st Health Plan of Arizona Medicaid
CPID 3248 Wellcare by Allwell of Missouri
CPID 3830 Wellcare By Meridian Illinois

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 10995101.

10/1/2026

New Electronic Claims and Remittance Connections Available

Effective October 1, 2026, Optum will offer new electronic claims submission and remittance connections for the following payer:

Payer Name: Trillium Health Resources Tailored Plan
Payer ID: 43072
Payer Claim Enrollment Required: No
Payer Remittance Enrollment Required: Yes
Secondary Claims Accepted: No
Payer Location: North Carolina
Claim Par Status: Gateway
Remittance Par Status: Gateway

Action Required:

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

10/1/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: American Health Advantage of Indiana
Payer ID: RP115
Payer Enrollment Required: Yes
Remittance Par Status: Non Par
Payer Location: Indiana

Payer Name: DetegoHealth
Payer ID: 62599
Payer Enrollment Required: Yes
Remittance Par Status: Non Par
Payer Location: National

Payer Name: Health Services Management
Payer ID: HSM01
Payer Enrollment Required: Yes
Remittance Par Status: Transitional
Payer Location: California

Payer Name: Liberty Advantage Health Plan
Payer ID: LIB01
Payer Enrollment Required: Yes
Remittance Par Status: Non Par
Payer Location: Virginia

Payer Name: Point C
Payer ID: IHS29
Payer Enrollment Required: Yes
Remittance Par Status: Non Par
Payer Location: National

Action Required:

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

10/1/2026

Electronic Routing Change for CPIDs 1212 and 3588 Florida PACE Centers

Effective October 1, 2026, Optum will change electronic claims routing for the following payer:

Payer Name: Florida PACE Centers
Professional CPID: 1212
Institutional CPID: 3588
Industry Standard Payer ID: FLPAC
Payer Claim Enrollment Required: No
Secondary Claims Accepted: Yes
Claim Par Status: Transitional
Claim Fee: N/A

Enrollment Requirements:
Claims:

Payer enrollment for electronic claims is not required.

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

10/1/2026

Electronic Routing Change for CPIDs 1212 and 3588 Florida PACE Centers

Effective October 1, 2026, Optum will change electronic claims routing for the following payer:

Payer Name: Florida PACE Centers
Professional CPID: 1212
Current Edit Master: PE_C051
New Edit Master: PE_T007
Institutional CPID: 3588
Current Edit Master: HE9C051
New Edit Master: HE9T007
Industry Standard Payer ID: FLPAC
Payer Claim Enrollment Required: No
Secondary Claims Accepted: Yes
Claim Par Status: Transitional

Enrollment Requirements:
Claims:

Payer enrollment for electronic claims is not required.

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

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

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.

10/1/2026

Report Generation Delay for CPIDs 9057 and 3796 Sentara PACE

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

Payer impacted:

CPID 9057 Sentara PACE
CPID 3796 Sentara PACE

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

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

If you have any questions, please contact Customer Support and refer to Case Number 10995021.

10/1/2026

Update: Report Generation Delay for CPIDs 3613 and 5181 Santa Clara Family Health Plan

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

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

Original notice sent Sept. 16, 2026:
A payer is experiencing issues affecting Professional and Institutional report generation for some claims submitted Sept. 10, 2026.

Payer impacted:

CPID 3613 Santa Clara Family Health Plan
CPID 5181 Santa Clara Family Health Plan

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

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

If you have any questions, please contact Customer Support and refer to Case Number 10965461.

10/1/2026

Report Generation Delay for CPIDs 8293 and 3044 Physicians Health Plan of Michigan

A payer is experiencing issues affecting Professional and Institutional report generation for some claims submitted Aug. 27-31, 2026.

Payer impacted:

CPID 8293 Physicians Health Plan of Michigan
CPID 3044 Physicians Health Plan of Michigan

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

Action Required: None.

If you have any questions, please contact Customer Support and refer to Case Number 10994464.

10/1/2026

Eligibility termination for payer ID LCNHG on Revenue Performance Advisor

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

Payer Name: Lincoln Heritage Life Insurance
RPA Payer ID: LCNHG

Reason: Payer no longer offers an electronic connection.

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

10/1/2026

Report Generation Delay for CPIDs 2481 and 3509 Ohio Medicaid

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

Payer impacted:

CPID 2481 Ohio Medicaid
CPID 3509 Ohio Medicaid

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

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

If you have any questions, please contact Customer Support and refer to Case Number 10994312.

10/1/2026

New Electronic Eligibility Connection Available

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

Payer Name: UHA University Health Alliance Hawaii
IMN Real Time ID: 99026
Exchange Real Time ID: UHAHI
CPID(s): 2910 (I), 3210 (P)
Optum IEDI Real Time ID: 14307
Payer Enrollment Required: NO
Connection Type: X12

Search Options:
Eligibility Subscriber

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

10/1/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: American Health Advantage of Indiana
Professional CPID: 2841
Institutional CPID: 7966
Industry Standard Payer ID: RP115
Payer Enrollment Required: Yes
Remittance Par Status: Non Par
Remittance Fee: N/A
Payer Location: Indiana

Payer Name: DetegoHealth
Professional CPID: 9436
Institutional CPID: 7054
Industry Standard Payer ID: 62599
Payer Enrollment Required: Yes
Remittance Par Status: Non Par
Remittance Fee: N/A
Payer Location: National

Payer Name: Liberty Advantage Health Plan
Professional CPID: 8796
Institutional CPID: 4056
Industry Standard Payer ID: LIB01
Payer Enrollment Required: Yes
Remittance Par Status: Non Par
Remittance Fee: N/A
Payer Location: Virginia

Payer Name: Point C
Professional CPID: 3746
Institutional CPID: 9040
Industry Standard Payer ID: IHS29
Payer Enrollment Required: Yes
Remittance Par Status: Non Par
Remittance Fee: N/A
Payer Location: National

Action Required:

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

10/1/2026

New Electronic Remittance Connections Available
Optum has new electronic remittance connections available:

Payer Name: American Health Advantage of Indiana
Professional CPID: 2841
Institutional CPID: 7966
Industry Standard Payer ID: RP115
Line of Business (LOB) Code: H82
Payer Enrollment Required: Yes
Remittance Par Status: Non Par
Remittance Fee: N/A
Payer Location: Indiana

Payer Name: DetegoHealth
Professional CPID: 9436
Institutional CPID: 7054
Industry Standard Payer ID: 62599
Line of Business (LOB) Code: H7M
Payer Enrollment Required: Yes
Remittance Par Status: Non Par
Remittance Fee: N/A
Payer Location: National

Payer Name: Liberty Advantage Health Plan
Professional CPID: 8796
Institutional CPID: 4056
Industry Standard Payer ID: LIB01
Line of Business (LOB) Code: H88
Payer Enrollment Required: Yes
Remittance Par Status: Non Par
Remittance Fee: N/A
Payer Location: Virginia

Payer Name: Point C
Professional CPID: 3746
Institutional CPID: 9040
Industry Standard Payer ID: IHS29
Line of Business (LOB) Code: H8C
Payer Enrollment Required: Yes
Remittance Par Status: Non Par
Remittance Fee: N/A
Payer Location: National

Action Required:

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

10/1/2026

Claims termination for payer ID 28680 on Revenue Performance Advisor

Claim transactions for the payer listed below are no longer available at Optum on the Revenue Performance Advisor (RPA) system, effective immediately.

Payer Name: PHCS Multiplan - Group Resources
Payer ID: 28680

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

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

10/1/2026

Electronic Eligibility Connection Suspended

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

Payer Name: First United American Insurance Company
Industry Standard Payer ID: FUNAI
IMN Real Time ID: FUNAI
Exchange Real Time ID: FUNAI
Optum IEDI Real Time ID: FUNAI

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

10/1/2026

Older Payer Updates

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

GET OLDER UPDATES

Payer Updates (October 2026)

October 2026

October Payer Processing Issues

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