September 2026

September 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 →

Payer Change for Partners Health Management

Effective October 1, 2026, claims currently exchanged with the following payer must use a different Payer ID.

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
Payer ID: 13141

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

Previous Payer Name: Vaya Health
New Payer Name: Vaya Partners
Payer ID: 13010
Claim Par Status: Non Par
Remittance Par Status: Non Par

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 Vaya Partners do not need to complete a new enrollment form.
- Providers who have not submitted claims for Partners Health Management since June 28, 2026, will need to complete a new enrollment form for 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 Vaya Partners do not need to complete a new enrollment form.
- Providers who have not received remittance for Partners Health Management since June 28, 2026, will need to complete a new enrollment form for Vaya Partners.
- New providers must complete a new enrollment form.

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

Please make the appropriate changes to accommodate the name change.
To access the new enrollment forms, please visit IEDI.

9/30/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: Health Services Management
Professional CPID: 7243
Institutional CPID: 8679
Industry Standard Payer ID: HSM01
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.

9/30/2026

Update: Report Generation Delay for CPID 7498 Moda Health

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

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

Original notice sent Sept. 22, 2026:
The payer listed below is experiencing issues affecting Professional report generation for some claims submitted Sept. 15, 2026.

Payer impacted:

CPID 7498 Moda Health

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

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

If you have any questions, please contact Customer Support and refer to Case Number 10976445.

9/30/2026

Edit Master changes for New Century Health - California Eye Care and OPEIU Locals 30 & 537

Optum is changing Edit Masters for the following payers, effective September 30, 2026:

Payer Name: New Century Health - California Eye Care
Professional CPID: 5292
Current Edit Master: PE_O007
New Edit Master: PE_T007
Industry Standard Payer ID: NCH05

Payer Name: OPEIU Locals 30 & 537
Professional CPID: 7122
Current Edit Master: PE_O007
New Edit Master: PE_T007
Industry Standard Payer ID: BPA01

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

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

9/30/2026

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

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

9/30/2026

Claims and ERA termination for payer ID 81336 on Revenue Performance Advisor

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

Payer Name: Somos Emblem
Payer ID: 81336

Reason: Payer no longer contracted.

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.

9/30/2026

Report Generation Delay for CPID 6237 Century PHO

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

Payer impacted:

CPID 6237 Century PHO

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

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

If you have any questions, please contact Customer Support and refer to Case Number 10991833.

9/30/2026

Payer Change for CPIDs 6701, 5682 Partners Health Management

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: Non Par
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.

9/29/2026

Payer Change for CPIDs 6701, 5682 Partners Health Management

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
Professional Edit Master: PE_T007
Institutional CPID: 5682
Institutional Edit Master: HE9E049
Industry Standard Payer ID: 13141
Line of Business Code (LOB): J7B

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
Professional Edit Master: PE_T007
Institutional CPID: 5645
Institutional Edit Master: HE9T007
Industry Standard Payer ID: 13010
Line of Business Code (LOB): J22
Claim Par Status: Non Par
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 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.

9/29/2026

New Electronic Claims and Remittance Connections Available

Effective October 01, 2026, Optum will offer new electronic claims submission and remittance connections for the following payer:

Payer Name: Trillium Health Resources Tailored Plan

Institutional CPID: 2504

Professional CPID: 2257

Industry Standard Payer ID: 43072

Line of Business (LOB) Code: E87

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

Remittance Fee: N/A

Action Required: 

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

9/29/2026

New Electronic Claims and Remittance Connections Available

Effective October 01, 2026, Optum will offer new electronic claims submission and remittance connections for the following payer:

Payer Name: Trillium Health Resources Tailored Plan

Institutional CPID: 2504

Professional CPID: 2257

Industry Standard 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

Claim Fee: N/A

Remittance Par Status: Gateway

Remittance Fee: N/A

Action Required: 

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

9/29/2026

Report Generation Delay for Multiple CPIDs

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

Payers impacted:

CPID 2167 Municipal Health Benefit Fund
CPID 2416 Blue Cross Blue Shield of Arkansas
CPID 2419 CareFirst Blue Cross Blue Shield of Maryland
CPID 2425 Carefirst Blue Cross Blue Shield of District of Columbia
CPID 2453 North Dakota Medicare
CPID 2491 Self Insured Services Company (SISCO)
CPID 2824 The Health Plan of West Virginia
CPID 5405 1199SEIU Family of Funds
CPID 5886 Lakeside Medical Group
CPID 6453 First Choice Health Network
CPID 6792 Childrens Hospital of Orange County Health
CPID 6827 Maine Community Health Options
CPID 8246 Zing Health
CPID 8763 U.S. Networks and Administrative Services
CPID 8780 Nascentia Health Plus
CPID 9761 Western Pennsylvania Electrical Employees Insurance Trust Fund

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 10990137.

9/29/2026

Blue Cross Community Health Plans New Real Time Eligibility Connection Available

Optum is pleased to announce the availability of Real-time Eligibility Inquiry and Response 270/271 for the below payer, effective September 22, 2026:

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

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.

9/29/2026

State Mutual Med Supp Electronic Eligibility Connection No Longer Available

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

Payer Name:  State Mutual Med Supp
Industry Payer ID:  10750
IMN Real Time ID: 10750
Exchange Real Time ID: STMMS
Optum iEDI Real Time ID: 10750
Connection Type: X12
 
Reason: Payer no longer offers an electronic connection.

Action Required: None

9/29/2026

Report Generation Delay for CPID 2855 Health Net of California

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

Payer impacted:

CPID 2855 Health Net of California

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 10989608.

9/29/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: Adventist Health Plan
Professional CPID: 8242
Institutional CPID: 2094
Industry Standard Payer ID: MPM37
Line of Business (LOB) Code: H6X
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.

9/29/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: Adventist Health Plan
Professional CPID: 8242
Institutional CPID: 2094
Industry Standard Payer ID: MPM37
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.

9/29/2026

New Electronic Claims Connections Available

Optum has new electronic claims connections available:

Payer Name: My Price Health LLC
Professional CPID: 2283
Institutional CPID: 2546
Industry Standard Payer ID: IHS47
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.

9/29/2026

New Electronic Claims Connections Available

Optum has new electronic claims connections available:

Payer Name: Fringe Benefit Coordinators, Inc.
Institutional CPID: 1974
Professional CPID: 2248
Industry Standard Payer ID: A3390
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: National
Claims Fee: N/A
Par Status: Transitional

Payer Name: Texicare
Professional CPID: 2265
Institutional CPID: 2541
Industry Standard Payer ID: TXCARE
Payer Enrollment Required: No
Secondary Claims Accepted: No
Payer Location: Texas
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.

9/29/2026

New Payer Name

Effective October 1, 2026, please be aware of the following payer name change:

Previous Payer Name: Vaya Health
New Payer Name: Vaya Partners
Professional CPID: 6233
Professional Edit Master: PE_T007
Institutional CPID: 5645
Institutional Edit Master: HE9T007
Industry Standard Payer ID: 13010
Remit Line of Business (LOB) Code: J22

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

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

9/29/2026

New Payer Name
Effective October 1, 2026, please be aware of the following payer name change:

Previous Payer Name: Vaya Health
New Payer Name: Vaya Partners
Professional CPID: 6233
Institutional CPID: 5645
Industry Standard Payer ID: 13010

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

9/29/2026

Report Generation Delay for CPID 2425 Carefirst Blue Cross Blue Shield of District of Columbia

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

Payer impacted:

CPID 2425 Carefirst Blue Cross Blue Shield of District of Columbia

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 10989554.

9/29/2026

Electronic Claims Connection Reactivated and Payer ID Change - Seaview IPA

Effective September 29, 2026, Optum will reactivate and change electronic claims and remittance routing and Payer ID for the following payer:

Payer Name: Seaview IPA
Current Payer ID: SVIPA
New Payer ID: MPM74
Payer Claim Enrollment Required: No
Payer Remittance Enrollment Required: Yes
Secondary Claims Accepted: No
Claim Par Status: Non Par
Remittance Par Status: Transitional

Payer ID SVIPA will be terminated effective October 23, 2026.

Enrollment Requirements:
Claims:

Payer enrollment for electronic claims is not required.

Remittance:

Payer enrollment for electronic remittance is required.
- Providers currently receiving electronic remittance through Optum do not need to complete a new enrollment form.
- New providers must complete a new enrollment form.

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

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

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

Original notification sent August 4, 2026:
The payer listed below is suspended at Optum for claim processing and removed from the payer list, effective immediately.

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

9/29/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: AdminOne
Payer ID: 87871
Payer Enrollment Required: Yes
Remittance Par Status: Transitional
Payer Location: National

Payer Name: Adventist Health Plan
Payer ID: MPM37
Payer Enrollment Required: Yes
Remittance Par Status: Transitional
Payer Location: California

Payer Name: AHP Provider Network
Payer ID: MPM38
Payer Enrollment Required: Yes
Remittance Par Status: Transitional
Payer Location: National

Action Required:

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

9/29/2026

Reactivation and Electronic Routing Change for Fringe Benefit Coordinators, Inc.

Effective September 28, 2026, Optum reactivated and changed electronic claims routing for the following payer:

Payer Name: Fringe Benefit Coordinators, Inc.
Payer ID: 23243
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.

New Payer Edit:
Payer has informed Optum of a new edit requirement. In order to meet the new requirement, we have added the following edits:

PNM10969DZ - INVALID SUBSCRIBER MEMBER ID - When entered, the Active Subscriber Member ID must be 9, 10, or 11 numeric characters. LOOP 2010BA NM109
INM10917DZ - INVALID SUBSCRIBER MEMBER ID - When entered, the Active Subscriber Member ID must be 9, 10, or 11 numeric characters. 2010BA NM109

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 IEDI.

9/29/2026

Easy Care MSO LLC Electronic Claims Connection No Longer Available

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

Payer Name: Easy Care MSO LLC
Payer ID: ECMSO
Reason: Payer no longer offers an electronic connection to which Optum can connect.

Action Required: Please make any necessary system changes.

9/29/2026

Report Generation Delay for CPID 2416 Blue Cross Blue Shield of Arkansas

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

Payer impacted:

CPID 2416 Blue Cross Blue Shield of Arkansas

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

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

If you have any questions, please contact Customer Support and refer to Case Number 10989488.

9/29/2026

Report Generation Delay for CPID 2419 CareFirst Blue Cross Blue Shield of Maryland

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

Payer impacted:

CPID 2419 CareFirst Blue Cross Blue Shield of Maryland

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 10989425.

9/29/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: AHP Provider Network
Professional CPID: 8267
Institutional CPID: 8079
Industry Standard Payer ID: MPM38
Line of Business (LOB) Code: H5H
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.

9/29/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: AHP Provider Network
Professional CPID: 8267
Institutional CPID: 8079
Industry Standard Payer ID: MPM38
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.

9/29/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: AdminOne
Professional CPID: 4105
Institutional CPID: 9091
Industry Standard Payer ID: 87871
Line of Business (LOB) Code: H4V
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.

9/29/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: AdminOne
Professional CPID: 4105
Institutional CPID: 9091
Industry Standard Payer ID: 87871
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.

9/29/2026

C & O Employees' Hospital Association Electronic Eligibility Connection No Longer Available

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

Payer Name: C & O Employees' Hospital Association
Industry Payer ID: 23708
IMN Real Time ID: 23708
Exchange Real Time ID: WOCOM
CPIDs: 5027, 2850
Connection Type: X12
 
Reason: Payer no longer offers an electronic connection.
 
Action Required: None.

9/29/2026

Report Generation Delay for CPID 5405 1199SEIU Family of Funds

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

Payer impacted:

CPID 5405 1199SEIU Family of Funds

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 10989295.

9/29/2026

Electronic Routing Change for CPIDs 7800 and 8564 Crown City Medical Group (CCMG)

Effective September 28, 2026, Optum changed electronic claims routing for the following payer:

Payer Name: Crown City Medical Group (CCMG)
Professional CPID: 7800
Institutional CPID: 8564
Industry Standard Payer ID: MPM35
Payer Claim Enrollment Required: No
Secondary Claims Accepted: Yes
Claim Par Status: Non Par
Claim Fee: $0.10

Enrollment Requirements:
Claims:

Payer enrollment for electronic claims is not required.

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

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

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

9/29/2026

Electronic Routing Change for CPIDs 7800 and 8564 Crown City Medical Group (CCMG)

Effective September 28, 2026, Optum changed electronic claims routing for the following payer:

Payer Name: Crown City Medical Group (CCMG)
Professional CPID: 7800
Current Edit Master: PE_T007
New Edit Master: PE_B800
Institutional CPID: 8564
Current Edit Master: HE9T007
New Edit Master: HE9B801
Industry Standard Payer ID: MPM35
Payer Claim Enrollment Required: No
Secondary Claims Accepted: Yes
Claim Par Status: Non Par

Enrollment Requirements:
Claims:

Payer enrollment for electronic claims is not required.

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

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

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

9/29/2026

Electronic Routing Change for CPIDs 7888 and 1061 Adventist White Memorial - Crown City Medical Group

Effective September 28, 2026, Optum changed electronic claims routing for the following payer:

Payer Name: Adventist White Memorial - Crown City Medical Group
Professional CPID: 7888
Institutional CPID: 1061
Industry Standard Payer ID: MPM33
Payer Claim Enrollment Required: No
Secondary Claims Accepted: Yes
Claim Par Status: Non Par
Claim Fee: $0.10

Enrollment Requirements:
Claims:

Payer enrollment for electronic claims is not required.

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

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

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

9/29/2026

Payer Name: Adventist White Memorial - Crown City Medical Group
Professional CPID: 7888
Current Edit Master: PE_T007
New Edit Master: PE_B800
Institutional CPID: 1061
Current Edit Master: HE9T007
New Edit Master: HE9B801
Industry Standard Payer ID: MPM33
Payer Claim Enrollment Required: No
Secondary Claims Accepted: Yes
Claim Par Status: Non Par

Enrollment Requirements:
Claims:

Payer enrollment for electronic claims is not required.

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

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

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

9/29/2026

Electronic Routing Change for CPIDs 7886 and 1059 St. Francis - HCLA by MedPoint

Effective September 28, 2026, Optum changed electronic claims routing for the following payer:

Payer Name: St. Francis - HCLA by MedPoint
Professional CPID: 7886
Institutional CPID: 1059
Industry Standard Payer ID: MPM30
Payer Claim Enrollment Required: No
Secondary Claims Accepted: Yes
Claim Par Status: Non Par
Claim Fee: $0.10

Enrollment Requirements:
Claims:

Payer enrollment for electronic claims is not required.

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

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

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

9/29/2026

Electronic Routing Change for CPIDs 7886 and 1059 St. Francis - HCLA by MedPoint

Effective September 28, 2026, Optum changed electronic claims routing for the following payer:

Payer Name: St. Francis - HCLA by MedPoint
Professional CPID: 7886
Current Edit Master: PE_O007
New Edit Master: PE_B800
Institutional CPID: 1059
Current Edit Master: HE9O007
New Edit Master: HE9B801
Industry Standard Payer ID: MPM30
Payer Claim Enrollment Required: No
Secondary Claims Accepted: Yes
Claim Par Status: Non Par

Enrollment Requirements:
Claims:

Payer enrollment for electronic claims is not required.

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

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

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

9/29/2026

Delay in Electronic Remittance Advice (ERA) for RMCX

Due to a Remittance Management Customization (RMCX) processing issue, there has been a delay in Professional and Institutional Electronic Remittance Advice (ERA) for all payers for file dates of September 28, 2026 .

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

If you have any questions, feel free to contact your Customer Support Team and refer to Case Number 10986672.

9/28/2026

Electronic Routing Change for CPIDs 1834 and 8548 Employee Plans LLC

Effective September 28, 2026, Optum will change electronic claims routing for the following payer:

Payer Name: Employee Plans LLC
Professional CPID: 1834
Current Edit Master: PE_E049
New Edit Master: PE_T007
Institutional CPID: 8548
Current Edit Master: HE9E049
New Edit Master: HE9T007
Industry Standard Payer ID: 35112
Payer Claim Enrollment Required: No
Secondary Claims Accepted: Yes
Claim Par Status: Par

Enrollment Requirements:

Claims:

Payer enrollment for electronic claims is not required.

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

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

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

9/28/2026

Electronic Routing Change for CPIDs 1834 and 8548 Employee Plans LLC

Effective September 28, 2026, Optum will change electronic claims routing for the following payer:

Payer Name: Employee Plans LLC
Professional CPID: 1834
Institutional CPID: 8548
Industry Standard Payer ID: 35112
Payer Claim Enrollment Required: No
Secondary Claims Accepted: Yes
Claim Par Status: Par
Claim Fee: N/A

Enrollment Requirements:

Claims:

Payer enrollment for electronic claims is not required.

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

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

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

9/28/2026

Update: Reactivation and Electronic Routing Change for Fringe Benefit Coordinators, Inc.

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

Payer Name: Fringe Benefit Coordinators, Inc.
Professional CPID: 8810
Institutional CPID: 4066
Industry Standard Payer ID: 23243
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.

New Payer Edit:
Payer has informed Optum of a new edit requirement. In order to meet the new requirement, we have added the following edits:

PNM10969DZ - INVALID SUBSCRIBER MEMBER ID - When entered, the Active Subscriber Member ID must be 9, 10, or 11 numeric characters. LOOP 2010BA NM109
INM10917DZ - INVALID SUBSCRIBER MEMBER ID - When entered, the Active Subscriber Member ID must be 9, 10, or 11 numeric characters. 2010BA NM109

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

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

Original sent 7/1/26:
Effective immediately, the payer listed below has been suspended at Optum for claim processing and removed from the payer list.

Payer Name: Fringe Benefits
CPID(s): 4066, 8810
Industry Standard Payer ID: 23243
Reason: Payer unavailable electronically.

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

9/28/2026

Update: Reactivation and Electronic Routing Change for Fringe Benefit Coordinators, Inc.

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

Payer Name: Fringe Benefit Coordinators, Inc.
Professional CPID: 8810
Edit Master: PE_T007
Institutional CPID: 4066
Edit Master: HE9T007
Industry Standard Payer ID: 23243
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.

New Payer Edit:
Payer has informed Optum of a new edit requirement. In order to meet the new requirement, we have added the following edits:

PNM109C6DZ - INVALID SUBSCRIBER MEMBER ID - When entered, the Active Subscriber Member ID must be numeric characters. LOOP 2010BA NM109
INM10988DZ - INVALID SUBSCRIBER MEMBER ID - When entered, the Active Subscriber Member ID must be numeric characters. LOOP 2010BA NM10

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.

9/28/2026

Report Generation Delay for CPIDs 7543 and 2803 UPMC Health Plan

The payer listed below is experiencing issues affecting Institutional and Professional report generation for some claims submitted Sept. 22, 2026.

Payer impacted:

CPID 7543 UPMC Health Plan
CPID 2803 UPMC Health Plan

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

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

If you have any questions, please contact Customer Support and refer to Case Number 10988105.

9/28/2026

Edit Master changes for CPID 4266 Medcore HP and CPID 5871 Mission Community IPA Medical Group

Optum is changing Edit Masters for the following payers, effective September 28, 2026:

Payer Name: Medcore HP
Professional CPID: 4266
Current Edit Master: PE_O007
New Edit Master: PE_T007
Industry Standard Payer ID: 31057

Payer Name: Mission Community IPA Medical Group
Professional CPID: 5871
Current Edit Master: PE_O007
New Edit Master: PE_B800
Industry Standard Payer ID: PHM10

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.

9/28/2026

Report Generation Delay for CPID 6695 Center for Elders Independence

A payer intermediary is experiencing issues affecting Institutional report generation for some claims submitted on Sept. 9, 2026.

Payer impacted:

CPID 6695 Center for Elders Independence

The payer intermediary has been unable to generate and deliver the reports for some claims submitted on Sept. 9, 2026.

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

If you have any questions, please contact Customer Support and refer to Case Number 10986456.

9/28/2026

Electronic Routing Change for CPIDs 1870 and 3921 Dean Health Plan by Medica

Effective September 28, 2026, Optum will change electronic claims routing for the following payer:

Payer Name: Dean Health Plan by Medica
Professional CPID: 1870
Institutional CPID: 3921
Industry Standard Payer ID: 41822
Payer Claim Enrollment Required: No
Secondary Claims Accepted: No
Claim Par Status: Non Par
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.

9/28/2026

Electronic Routing Change for CPIDs 1870 and 3921 Dean Health Plan by Medica

Effective September 28, 2026, Optum will change electronic claims routing for the following payer:

Payer Name: Dean Health Plan by Medica
Professional CPID: 1870
Edit Master: PE_T007
Institutional CPID: 3921
Edit Master: HE9T007
Industry Standard Payer ID: 41822
Payer Claim Enrollment Required: No
Secondary Claims Accepted: No
Claim Par Status: Non Par

Enrollment Requirements:
Claims:

Payer enrollment for electronic claims is not required.

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

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

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.

9/28/2026

Report Generation Delay for CPID 6802 Center for Elders Independence

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

Payer impacted:

CPID 6802 Center for Elders Independence

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

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

If you have any questions, please contact Customer Support and refer to Case Number 10984362.

9/25/2026

Report Generation Delay for CPID 5961 Sanford Health Plan

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

Payer impacted:

CPID 5961 Sanford Health Plan

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

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

If you have any questions, please contact Customer Support and refer to Case Number 10982174.

9/25/2026

Electronic Routing Change for CPID 5803 Wellfleet Group

Effective September 29, 2026, Optum will change electronic claims routing for the following payer:

Payer Name: Wellfleet Group
Professional CPID: 5803
Industry Standard Payer ID: 87843
Payer Claim Enrollment Required: No
Secondary Claims Accepted: Yes
Claim Par Status: Gateway
Claim Fee: N/A

Enrollment Requirements:
Claims:

Payer enrollment for electronic claims is not required.

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

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

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

9/25/2026

Electronic Routing Change for CPID 5803 Wellfleet Group

Effective September 29, 2026, Optum will change electronic claims routing for the following payer:

Payer Name: Wellfleet Group
Professional CPID: 5803
Current Edit Master: PE_E049
New Edit Master: PE_T007
Industry Standard Payer ID: 87843
Payer Claim Enrollment Required: No
Secondary Claims Accepted: Yes
Claim Par Status: Gateway

Enrollment Requirements:
Claims:

Payer enrollment for electronic claims is not required.

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

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

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

9/25/2026

Electronic Routing Change for CPIDs 5840 and 9676 Health Care LA IPA

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

Payer Name: Health Care LA IPA
Professional CPID: 5840
Institutional CPID: 9676
Industry Standard Payer ID: MPM06
Payer Remittance Enrollment Required: Yes
Remittance Par Status: Transitional
Remittance Fee: N/A

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.

9/25/2026

Electronic Routing Change for CPIDs 5840 and 9676 Health Care LA IPA

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

Payer Name: Health Care LA IPA
Professional CPID: 5840
Institutional CPID: 9676
Industry Standard Payer ID: MPM06
Line of Business Code (LOB): H9A
Payer Remittance Enrollment Required: Yes
Remittance Par Status: Transitional
Remittance Fee: N/A

Enrollment Requirements:
Remittance:

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

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

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

9/25/2026

Easy Care MSO LLC Electronic Claims Connection No Longer Available

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

Payer Name: Easy Care MSO LLC
Claims CPIDs: 1574, 1125
Industry Standard Payer ID: ECMSO
Reason: Payer no longer offers an electronic connection to which Optum can connect.

Action Required: Please make any necessary system changes.

9/25/2026

New Electronic Claims Connections Available

Optum has new electronic claims connections available:

Payer Name: Edenbridge PACE
Payer ID: R3490
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: District of Columbia
Par Status: Transitional

Payer Name: My Price Health LLC
Payer ID: IHS47
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: National
Par Status: Transitional

Payer Name: Questcare Medical Services
Payer ID: 84562
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: Texas
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.

9/25/2026

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

A payer intermediary is experiencing issues affecting Institutional report generation for some claims submitted on Sept. 17, 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 on Sept. 17, 2026.

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

If you have any questions, please contact Customer Support and refer to Case Number 10983088.

9/25/2026

Update: Report Generation Delay for CPIDs 3506 and 4423 Medical Mutual of Ohio

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

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

Original notice sent Sept. 8, 2026:

A payer intermediary is experiencing issues affecting Institutional and Professional report generation for some claims submitted since Aug. 25, 2026.

Payer impacted:

CPID 3506 Medical Mutual of Ohio
CPID 4423 Medical Mutual of Ohio

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

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

If you have any questions, please contact Customer Support and refer to Case Number 10950793.

9/25/2026

Report Generation Delay for CPID 8972 MetroPlus Health Plan

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

Payer impacted:

CPID 8972 MetroPlus Health Plan

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

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

If you have any questions, please contact Customer Support and refer to Case Number 10983073.

9/25/2026

New Electronic Claims Connections Available

Optum has new electronic claims connections available:

Payer Name: Edenbridge PACE
Professional CPID: 2276
Institutional CPID: 2543
Industry Standard Payer ID: R3490
Payer Enrollment Required: No
Secondary Claims Accepted: No
Payer Location: District of Columbia
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.

9/25/2026

Electronic Claims Connection Reactivated and Payer ID Change - Seaview IPA

Effective September 25, 2026, Optum will reactivate and change electronic claims and remittance routing and Payer ID for the following payer:

Payer Name: Seaview IPA
Professional CPID: 4259
Current Edit Master: PE_O007
New Edit Master: PE_T007
Institutional CPID: 1000
Current Edit Master: HE9O007
New Edit Master: HE9T007
Current Industry Standard Payer ID: SVIPA
New Industry Standard Payer ID: MPM74
Line of Business Code (LOB): J8C
Payer Claim Enrollment Required: No
Payer Remittance Enrollment Required: Yes
Secondary Claims Accepted: No
Claim Par Status: Non Par
Remittance Par Status: Transitional
Remittance Fee: N/A

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

Enrollment Requirements:

Claims:

Payer enrollment for electronic claims is not required.

Remittance:

Payer enrollment for electronic remittance is required.
- Providers currently receiving electronic remittance through Optum do not need to complete a new enrollment form.
- New providers must complete a new enrollment form.

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

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

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

Original notification sent on August 4, 2026:
The payer listed below is suspended at Optum for claim processing and removed from the payer list, effective immediately.

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

9/25/2026

Electronic Claims Connection Reactivated and Payer ID Change - Seaview IPA

Effective September 25, 2026, Optum will reactivate and change electronic claims and remittance routing and Payer ID for the following payer:

Payer Name: Seaview IPA
Professional CPID: 4259
Institutional CPID: 1000
Current Industry Standard Payer ID: SVIPA
New Industry Standard Payer ID: MPM74
Payer Claim Enrollment Required: No
Payer Remittance Enrollment Required: Yes
Secondary Claims Accepted: No
Claim Par Status: Non Par
Claim Fee: N/A
Remittance Par Status: Transitional
Remittance Fee: N/A

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

Enrollment Requirements:

Claims:

Payer enrollment for electronic claims is not required.

Remittance:

Payer enrollment for electronic remittance is required.
- Providers currently receiving electronic remittance through Optum do not need to complete a new enrollment form.
- New providers must complete a new enrollment form.

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

9/25/2026

Update: Electronic Routing Change for CPIDs 3878 and 4931 Automated Group Administration

The new electronic claims routing connection has been successfully established for Automated Group Administration. Optum will release all held claims for processing on September 25, 2026 at their regularly scheduled processing time.

We appreciate your patience and understanding and thank you for your continued partnership as we worked with the payer to complete this transition.

Update sent 9/15/26:
Optum continues to work with the payer to establish the new electronic claims routing connection for Automated Group Administration. At this time, claims will continue to be held pending completion of the new route. Once the new route is established, all held claims will be released for processing.

We appreciate your patience during this transition. Please watch for future notifications regarding the status of this transition.

Original sent 9/1/26:
Optum will be changing electronic claims routing for the below payer. We are currently working with the payer to establish the new route. Effective September 1, 2026, Optum will temporarily hold claims for this payer until the new route is in place. Once the route is established, all held claims will be released for processing. Please watch for future notifications regarding the status of this transition.

Payer Name: Automated Group Administration
Professional CPID: 3878
Current Edit Master: PE_E049
New Edit Master: PE_T007
Institutional CPID: 4931
Current Edit Master: HE9E049
New Edit Master: HE9T007
Industry Standard Payer ID: 37280
Payer Claim Enrollment Required: No
Professional Secondary Claims Accepted: Yes
Institutional Secondary Claims Accepted: No
Claim Par Status: Par

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 and watch for future notifications:

Revalidate unreleased claims to edit correctly under new edit master which will be available with the 9/2/2026 edit release.
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.

9/24/2026

Update: Electronic Routing Change for CPIDs 3878 and 4931 Automated Group Administration

The new electronic claims routing connection has been successfully established for Automated Group Administration. Optum will release all held claims for processing on September 25, 2026 at their regularly scheduled processing time.

We appreciate your patience and understanding and thank you for your continued partnership as we worked with the payer to complete this transition.

Update sent 9/15/26:
Optum continues to work with the payer to establish the new electronic claims routing connection for Automated Group Administration. At this time, claims will continue to be held pending completion of the new route. Once the new route is established, all held claims will be released for processing.

We appreciate your patience during this transition. Please watch for future notifications regarding the status of this transition.

Original sent 9/1/26:
Optum will be changing electronic claims routing for the below payer. We are currently working with the payer to establish the new route. Effective September 1, 2026, Optum will temporarily hold claims for this payer until the new route is in place. Once the route is established, all held claims will be released for processing. Please watch for future notifications regarding the status of this transition.

Payer Name: Automated Group Administration
Professional CPID: 3878
Institutional CPID: 4931
Industry Standard Payer ID: 37280
Payer Claim Enrollment Required: No
Professional Secondary Claims Accepted: Yes
Institutional Secondary Claims Accepted: No
Claim Par Status: Par
Claim Fee: N/A

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 and watch for future notfications:

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

9/24/2026

Electronic Routing Change for The Macaluso Group

Effective September 23, 2026, Optum will reactivate and change electronic claims routing for the following payer:

Payer Name: The Macaluso Group
Payer ID: 82694
Payer Claim Enrollment Required: No
Payer Remittance Enrollment Required: Yes
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 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 IEDI.

9/24/2026

New Real-Time Eligibility Connection Available

Optum is pleased to announce the availability of Real-time Eligibility Inquiry and Response 270/271 for the below payer,  effective September 24, 2026:

Key details to use where applicable are:

Payer Name:  Texas Independence Health Plan, Inc
Industry Payer ID:  31403
IMN Real Time ID:  31403
Exchange Real Time ID:  TXIHP
Optum IEDI Real Time ID:  31403
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.

9/24/2026

New Real-Time Eligibility Connection Available

Optum is pleased to announce the availability of Real-time Eligibility Inquiry and Response 270/271or the below payer,  effective  September 24, 2026:

Key details to use where applicable are:

Payer Name:  Three Rivers Health Plans
Industry Payer ID:  00198
IMN Real Time ID:  00198
Exchange Real Time ID:  TRHPA
Optum IEDI Real Time ID:  00198
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.

9/24/2026

Shasta Administrative Services Electronic Claims and Remittance Connections No Longer Available

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

Payer Name: Shasta Administrative Services
Claims and Remittance CPIDs: 3847, 2966
Line of Business (LOB) Code: J1I
Industry Standard Payer ID: 75280
Reason: Payer no longer in business.

Payer will no longer accept paper claims.

Action Required: Please make any necessary system changes.

9/24/2026

Shasta Administrative Services Electronic Claims and Remittance Connections No Longer Available

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

Payer Name: Shasta Administrative Services
Claims and Remittance CPIDs: 3847, 2966
Industry Standard Payer ID: 75280
Reason: Payer no longer in business.

Payer will no longer accept paper claims.

Action Required: Please make any necessary system changes.

9/24/2026

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: Texas Childrens Health Plan (Medicaid Managed Care)
CPID(s): 3776, 9049
Industry Standard Payer ID: 76048MC
Reason: Payer unavailable electronically.

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

9/24/2026

Edit Master changes for CPIDs 9126 and 5079 Provider Partners Health Plan of Missouri

Optum is changing Edit Masters for the following payer, effective September 24, 2026:

Payer Name: Provider Partners Health Plan of Missouri
Professional CPID: 9126
Current Edit Master: PE_O007
New Edit Master: PE_T007
Institutional CPID: 5079
Current Edit Master: HE9O007
New Edit Master: HE9T007
Industry Standard Payer ID: 31404

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.

9/24/2026

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: Texas Childrens Health Plan (Medicaid Managed Care)
Payer ID: 76048MC
Reason: Payer unavailable electronically.

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

9/24/2026

Shasta Administrative Services Electronic Claims and Remittance Connections No Longer Available

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

Payer Name: Shasta Administrative Services
Payer ID: 75280
Reason: Payer no longer in business.
Payer will no longer accept paper claims.

Action Required: Please make any necessary system changes.

9/24/2026

Electronic Routing Change for Leon Medical Center Health Plan

Effective September 23, 2026, Optum will reactivate and change electronic claims routing for the following payer:

Payer Name: Leon Medical Center Health Plan
Payer ID: 37316
Payer Claim Enrollment Required: No
Secondary Claims Accepted: No
Claim Par Status: Non Par

Enrollment Requirements:

Claims:

Payer enrollment for electronic claims is not required.

Report Changes:

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

Action Required: Please 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 IEDI.

9/24/2026

Report Generation Delay for CPIDs 4620 and 6137 West Suburban Health Providers

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

Payer impacted:

CPID 4620 West Suburban Health Providers
CPID 6137 West Suburban Health Providers

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

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

If you have any questions, please contact Customer Support and refer to Case Number 10980774.

9/24/2026

Report Generation Delay for CPID 6405 Cigna Health Plans

A payer intermediary is experiencing issues affecting Professional report generation for some claims submitted on Sept. 23, 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 Sept. 23, 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 10980769.

9/24/2026

Electronic Routing Change for CPIDs 1273 and 6517 The Macaluso Group

Effective September 23, 2026, Optum will reactivate and change electronic claims routing for the following payer:

Payer Name: The Macaluso Group
Professional CPID: 1273
Institutional CPID: 6517
Industry Standard Payer ID: 82694
Payer Claim Enrollment Required: No
Payer Remittance Enrollment Required: Yes
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.

9/23/2026

Electronic Routing Change for CPID 7151 Southland San Gabriel Valley Medical Group

Effective September 22, 2026, Optum will change electronic claims routing for the following payer:

Payer Name: Southland San Gabriel Valley Medical Group
Professional CPID: 7151
Current Edit Master: PE_O007
New Edit Master: PE_T007
Industry Standard Payer ID: PHM11
Payer Claim Enrollment Required: No
Secondary Claims Accepted: No
Claim Par Status: Non Par

Enrollment Requirements:

Claims:

Payer enrollment for electronic claims is not required.

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

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

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

9/23/2026

Electronic Routing Change for CPID 7151 Southland San Gabriel Valley Medical Group

Effective September 22, 2026, Optum will change electronic claims routing for the following payer:

Payer Name: Southland San Gabriel Valley Medical Group
Professional CPID: 7151
Industry Standard Payer ID: PHM11
Payer Claim Enrollment Required: No
Secondary Claims Accepted: No
Claim Par Status: Non Par
Claim Fee: $0.10

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.

9/23/2026

Connections No Longer Available

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

Payer Name: Friday Health Plans
Payer ID: H0657
Reason: Payer no longer in business.
Payer will no longer accept paper claims.

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

Payer Name: TCC Basic Plus
Payer ID: 41204
Reason: Payer no longer offers an electronic connection to which Optum can connect.

Action Required: Please make any necessary system changes.

9/23/2026

Electronic Routing Change for CPIDs 1273 and 6517 The Macaluso Group

Effective September 23, 2026, Optum will reactivate and change electronic claims routing for the following payer:

Payer Name: The Macaluso Group
Professional CPID: 1273
Institutional CPID: 6517
Industry Standard Payer ID: 82694
Payer Claim Enrollment Required: No
Payer Remittance Enrollment Required: Yes
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.

9/23/2026

Edit Master changes for CPIDs 3231 and 4945 Medical Benefit Administration

Optum is changing Edit Masters for the following payer, effective September 23, 2026:

Payer Name: Medical Benefit Administration
Professional CPID: 3231
Current Edit Master: PE_O007
New Edit Master: PE_T007
Institutional CPID: 4945
Current Edit Master: HE9O007
New Edit Master: HE9T007
Industry Standard Payer ID: MBA01

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.

9/23/2026

Electronic Routing Change for CPIDs 2282 and 2924 Leon Medical Center Health Plan

Effective September 23, 2026, Optum will reactivate and change electronic claims routing for the following payer:

Payer Name: Leon Medical Center Health Plan
Professional CPID: 2282
Institutional CPID: 2924
Industry Standard Payer ID: 37316
Payer Claim Enrollment Required: No
Secondary Claims Accepted: No
Claim Par Status: Non Par
Claim Fee: $0.10

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.

9/23/2026

Payer Name: Leon Medical Center Health Plan
Professional CPID: 2282
Current Edit Master: PE_B800
New Edit Master: PE_T007
Institutional CPID: 2924
Current Edit Master: HE9B801
New Edit Master: HE9T007
Industry Standard Payer ID: 37316
Payer Claim Enrollment Required: No
Secondary Claims Accepted: No
Claim Par Status: Non Par

Enrollment Requirements:
Claims:

Payer enrollment for electronic claims is not required.

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

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

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

9/23/2026

New Payer Edit for CPID 5016

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 September 30, 2026:

ISV202855T: INVALID HCPCS/CPT-4 CODE - When the associated Revenue Code is 022, the HCPCS/CPT-4 Code is required and must be a valid Skilled Nursing Facility HIPPS or PDPM Code depending on the Date of Service. Exceptions: 1. When the Type of Bill is xx0 and the HCPCS/CPT-4 Code is not present, this requirement does not apply. 2. When the following conditions are present, this requirement does not apply. a. CPID is in the following list; and
1569 3522 5501 8925
1911 3925 6583 8967
1995 4500 6687 9580
2538 4957 7907 9657
2933 5088 8924
b. The Statement From Date is on or before 08/31/2025.
3. When the CPID is 5538 and the Statement From Date is on or before 09/30/2025, this requirement does not apply. Notes:1. If this requirement does not apply to your billing situation, you can override the edit within the Error Text. 2. Skilled Nursing Facility RUG/HIPPS Codes on or before Dates of Service 09/30/2019. 3. Skilled Nursing Facility PDPM Codes on and after Dates of Service 10/01/2019. 4. For more information about the transition to PDPM LINK: https://www.cms.gov/medicare/payment/prospective-payment-systems/skilled-nursing-facility-snf/patient-driven-model LOOP 2400 SV202-2

Edit applies to:

CPID 5016 NextBlue of North Dakota

Action Required: Please be aware of updated edit requirements.

9/23/2026

Friday Health Plans Electronic Claims and Remittance Connections No Longer Available

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

Friday Health Plans
Claims and Remittance CPIDs: 6851, 7634
Line of Business (LOB) Code: J8E
Industry Standard Payer ID: H0657
Reason: Payer no longer in business.

Payer will no longer accept paper claims.

Action Required: Please make any necessary system changes.

9/23/2026

Payer Name: Friday Health Plans
Claims and Remittance CPIDs: 6851, 7634
Industry Standard Payer ID: H0657
Reason: Payer no longer in business.

Payer will no longer accept paper claims.

Action Required: Please make any necessary system changes.

9/23/2026

TCC Basic Plus Electronic Claims Connection No Longer Available

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

Payer Name: TCC Basic Plus
Claims CPIDs: 1203, 3541
Industry Standard Payer ID: 41204
Reason: Payer no longer offers an electronic connection to which Optum can connect.

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

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

9/23/2026

TCC Basic Plus Electronic Claims Connection No Longer Available

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

9/23/2026

True Health New Mexico Electronic Eligibility Connection No Longer Available

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

Payer Name:  True Health New Mexico
Industry Payer ID:  82288
IMN Real Time ID: 82288
Exchange Real Time ID: TRUNM
Optum iEDI Real Time ID: 14310
Connection Type: X12

Reason: Payer no longer offers an electronic connection.

 Action Required: None.

9/23/2026

Report Generation Delay for CPID 6671 HealthSun

A payer intermediary is experiencing issues affecting Institutional report generation for some claims submitted Sept. 11, 2026 and Sept. 14, 2026.

Payer impacted:

CPID 6671 HealthSun

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

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

If you have any questions, please contact Customer Support and refer to Case Number 10978165.

9/23/2026

New Electronic Claims and Remittance Connections Available

Optum has new electronic claims and remittance connections available:

Payer Name: EverTrue PACE
Payer ID: R3481
Payer Claim Enrollment Required: No
Payer Remittance Enrollment Required: Yes
Secondary Claims Accepted: No
Payer Location: Missouri
Claim Par Status: Transitional
Remittance Par Status: Non Par

Plans accepted with this connection:

New Horizons PACE

Action Required:

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

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

9/22/2026

Electronic Claims Connection Reinstated

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

Payer Name: Silver Star PACE
Payer ID: 97691
Payer Claim Enrollment Required: No
Secondary Claims Accepted: No
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 consider the following to allow transactions to process properly due to the above changes:

Make any necessary system changes.

9/22/2026

Report Generation Delay for CPID 6284 Trillium Health Resources

A payer intermediary is experiencing issues affecting Professional report generation for some claims submitted on Sept. 16, 2026.

Payer impacted:

CPID 6284 Trillium Health Resources

The payer intermediary has been unable to generate and deliver the reports for some claims submitted on Sept. 16, 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 10977039.

9/22/2026

Update: Electronic Routing Change

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

Payer Name: Silver Star PACE
Professional CPID: 1146
Institutional CPID: 1571
Industry Standard Payer ID: 97691
Payer Claim Enrollment Required: No
Secondary Claims Accepted: No
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.

Original notification sent on Sept. 2, 2026

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

Payer Name: Silver Star PACE
CPID(s): 1146, 1571
Industry Standard Payer ID: 97691
Reason: Payer unavailable electronically.

Action Required: Please refrain from submitting claims until further notice

9/22/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: Amida Care
Institutional CPID: 3940
Professional CPID: 3466
Industry Standard Payer ID: 24818
Line of Business (LOB) Code: H9W
Payer Enrollment Required: Yes
Remittance Par Status: Non Par
Remittance Fee: N/A
Payer Location: New York

Action Required:

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

9/22/2026

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 21, 2026:

Payer Name: OptumHealth Care Solutions
IMN Real Time ID: 41194
Exchange Real Time ID: UNTDRN
CPID(s): 3824 (P), 9513 (I)
Optum IEDI Real Time ID: 41194
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.

9/22/2026

New Electronic Claims and Remittance Connections Available

Optum has new electronic claims and remittance connections available:

Payer Name: EverTrue PACE
Institutional CPID: 2540
Professional CPID: 2264
Industry Standard Payer ID: R3481
Payer Claim Enrollment Required: No
Payer Remittance Enrollment Required: Yes
Secondary Claims Accepted: No
Payer Location: Missouri
Claim Par Status: Transitional
Claim Fee: N/A
Remittance Par Status: Non Par
Remittance Fee: N/A
Plans accepted with this connection:

New Horizons PACE

Action Required:

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

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

9/22/2026

New Electronic Claims and Remittance Connections Available

Optum has new electronic claims and remittance connections available:

Payer Name: EverTrue PACE
Institutional CPID: 2540
Professional CPID: 2264
Industry Standard Payer ID: R3481
Line of Business (LOB) Code: E93
Payer Claim Enrollment Required: No
Payer Remittance Enrollment Required: Yes
Secondary Claims Accepted: No
Payer Location: Missouri
Claim Par Status: Transitional
Remittance Par Status: Non Par
Remittance Fee: N/A
Plans accepted with this connection:

New Horizons PACE

Action Required:

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

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

9/22/2026

Payer Consolidation- Solidarity HealthShare

Effective October 16, 2026, claims currently exchanged with the following payer must use a different payer ID:

Payer Name: Solidarity HealthShare
Payer ID: SH777

Payer ID SH777 will be terminated effective October 16, 2026.

Providers must begin using the following ID for electronic claims for Solidarity HealthShare.

Payer ID: 77721

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.

9/22/2026

New Electronic Medical Attachment Connections Available

Optum has new electronic medical attachment connections available:

Payer Name: Marrick Medical Finance
Professional CPID: 6434

Institutional CPID: 3555
Payer-assigned Payer ID:20805

Accepted Attachment Type: Solicited and Unsolicited
Payer Enrollment Required: No
Payer Location: CO

Payer Name: 11MED Funding
Professional CPID: 3782

Institutional CPID: 9052
Payer-assigned Payer ID:83729

Accepted Attachment Type: Solicited and Unsolicited
Payer Enrollment Required: No
Payer Location: CO

Action Required:

Exchange providers must be contracted with Optum to submit electronic medical attachments.  Please contact Support at 1-800-527-8133 option 2, or by emailing [email protected] for additional information.
Add the payers to your system to begin using the new payer connection.
When a payer requires enrollment, forms must be submitted and approved to begin submitting transactions.

Please update your system and procedures to take advantage of the new connection. For assistance with Medical Attachments, please contact your Practice Management System Vendor.

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

9/22/2026

New Assurance Attach Assist Medical Attachment Connections Available

Optum has new electronic medical attachment connections available:

Payer Name: Marrick Medical Finance
Professional CPID: 6434
Institutional CPID: 3555
Payer-assigned Payer ID:20805
Accepted Attachment Type: Solicited and Unsolicited
Payer Enrollment Required: No
Payer Location: CO

Payer Name: 11MED Funding
Professional CPID: 3782
Institutional CPID: 9052
Payer-assigned Payer ID:83729
Accepted Attachment Type: Solicited and Unsolicited
Payer Enrollment Required: No
Payer Location: CO

Action Required:

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

9/22/2026

Update: Delay in Electronic Remittance Advice (ERA) for CPIDs 3568 and 3447 CenCal Health

Update: There continues to be a delay in Institutional and Professional Electronic Remittance Advice (ERA) for the payer for check dates since Aug. 14, 2026.

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

Original notice sent Aug. 25, 2026:
There has been a delay in Institutional and Professional Electronic Remittance Advice (ERA) for the following payer for check dates since Aug. 14, 2026.

Payer impacted:

CPID 3568 CenCal Health
CPID 3447 CenCal Health

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

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

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

9/22/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: Amida Care
Payer ID: 24818
Payer Enrollment Required: Yes
Remittance Par Status: Non Par
Payer Location: New York

Payer Name: Transamerica (Med Sup/Retiree Medical)
Payer ID: TRP1E
Payer Enrollment Required: Yes
Remittance Par Status: Non Par
Payer Location: National

Payer Name: Transamerica Life Insurance Co
Payer ID: TLINS
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.

9/22/2026

Payer Consolidation - Interactive Medical Systems
Effective October 16, 2026, claims currently exchanged with the following payer must use a different payer ID:

Payer Name: Interactive Medical Systems
Payer ID: 87765

Payer ID 87765 will be terminated effective October 16, 2026.

Providers must begin using the following ID for electronic claims for Interactive Medical Systems:

Payer ID: 56132

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.

9/22/2026

Update: Electronic Claims Connection Reinstated

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

Payer Name: Silver Star PACE
Professional CPID: 1146
Current Edit Master: PE_B800
New Edit Master: PE_T007
Institutional CPID: 1571
Current Edit Master: HE9B801
New Edit Master: HE9T007
Industry Standard Payer ID: 97691
Payer Claim Enrollment Required: No
Secondary Claims Accepted: No
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.

Original notification sent Sept. 2, 2026
Effective immediately, the payer listed below has been suspended at Optum for claim processing and removed from the payer list.

Payer Name: Silver Star PACE
CPID(s): 1146, 1571
Industry Standard Payer ID: 97691
Reason: Payer unavailable electronically.

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

9/22/2026

Report Generation Delay for CPID 7498 Moda Health

The payer listed below is experiencing issues affecting Professional report generation for some claims submitted Sept. 15, 2026.

Payer impacted:

CPID 7498 Moda Health

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

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

If you have any questions, please contact Customer Support and refer to Case Number 10976445.

9/22/2026

Transmit Delay for CPID 2169 New York Network Management

Due to an Optum system issue, a delay occurred in the transmissions to the following payer Sept. 15, 2026 and Sept. 16, 2026.

Payer impacted:

CPID 2169 New York Network Management

A resolution has been implemented and the claims were transmitted to the payer Sept. 22, 2026.

This delay affected claims released to Optum Sept. 14, 2026, 9:30 p.m.-Sept. 16, 2026, 9:30 p.m. CT.

Action Required: Be aware of the transmit delay above.

If you have any questions, please contact Customer Support and refer to Case Number 10975916.

9/22/2026

Stewart Miller and Company Electronic Eligibility Connection No Longer Available

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

Payer Name:  Stewart Miller and Company
IMN Real Time ID: 10937
Exchange Real Time ID: SCMCO
Optum iEDI Real Time ID: 10937
Connection Type: X12
 
Reason: Payer no longer offers an electronic connection.
 
Action Required: None.

9/22/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: Transamerica (Med Sup/Retiree Medical)
Institutional CPID: 1014
Professional CPID: 7837
Industry Standard Payer ID: TRP1E
Payer Enrollment Required: Yes
Remittance Par Status: Non Par
Remittance Fee: N/A
Payer Location: National

Payer Name: Transamerica Life Insurance Co
Institutional CPID: 4686
Professional CPID: 6213
Industry Standard Payer ID: TLINS
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.

9/22/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: Transamerica (Med Sup/Retiree Medical)
Institutional CPID: 1014
Professional CPID: 7837
Industry Standard Payer ID: TRP1E
Line of Business (LOB) Code: H4H
Payer Enrollment Required: Yes
Remittance Par Status: Non Par
Remittance Fee: N/A
Payer Location: National

Payer Name: Transamerica Life Insurance Co
Institutional CPID: 4686
Professional CPID: 6213
Industry Standard Payer ID: TLINS
Line of Business (LOB) Code: H6H
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.

9/22/2026

Report Generation Delay for CPID 1460 Louisiana Medicare

A payer intermediary is experiencing issues affecting Professional report generation for some claims submitted on Sept. 16, 2026.

Payer impacted:

CPID 1460 Louisiana Medicare

The payer intermediary has been unable to generate and deliver the reports for some claims submitted on Sept. 16, 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 10974797.

9/22/2026

Electronic Claims Connection No Longer Available

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

Payer Name: Mutual Health Services
Payer ID: 34192
Reason: Payer no longer offers an electronic connection to which Optum can connect.

Payer Name: PHCS Multiplan - Group Resources
Payer ID: 28680
Reason: Payer no longer offers an electronic connection to which Optum can connect

Action Required: Please make any necessary system changes.

9/22/2026

New Electronic Claims Connections Available

Optum has new electronic claims connections available:

Payer Name: PacificSource PACE
Payer ID: 95035
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: Idaho, Montana, Oregon, Washington
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.

9/22/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: Prominence HealthFirst of Florida Inc
Payer ID: 83352
Payer Enrollment Required: Yes
Remittance Par Status: Transitional
Payer Location: Florida

Payer Name: Wellspace Nexus
Payer ID: NEXUS
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.

9/22/2026

Montefiore Contract Management Organization Electronic Claims Connection No Longer Available

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

Payer Name: Montefiore Contract Management Organization
Claim CPIDs: 2817, 7541
Industry Standard Payer ID: 13174
Reason: Payer no longer in business.

Action Required: Please make any necessary system changes.

9/22/2026

PHCS Multiplan - Group Resources Electronic Claims Connection No Longer Available

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

Payer Name: PHCS Multiplan - Group Resources
Claim CPIDs: 8192, 2053
Industry Standard Payer ID: 28680
Reason: Payer no longer offers an electronic connection to which Optum can connect.

Action Required: Please make any necessary system changes.

9/22/2026

PHCS Multiplan - Group Resources Electronic Claims Connection No Longer Available

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

Payer Name: PHCS Multiplan - Group Resources
Claims CPIDs: 8192, 2053
Industry Standard Payer ID: 28680
Reason: Payer no longer offers an electronic connection to which Optum can connect

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

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

9/22/2026

Mutual Health Services Electronic Claims Connection No Longer Available

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

Payer Name: Mutual Health Services
Claims CPIDs: 2290, 2935
RTE Payer ID: ANTAR
Industry Standard Payer ID: 34192
Reason: Payer no longer offers an electronic connection to which Optum can connect.

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

Action Required: Note - Real Time transactions are no longer available for Assurance Reimbursement Management submitters when claim connections are terminated.

9/22/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: Amida Care
Institutional CPID: 3940
Professional CPID: 3466
Industry Standard Payer ID: 24818
Payer Enrollment Required: Yes
Remittance Par Status: Non Par
Remittance Fee: N/A
Payer Location: New York

Action Required:

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

9/22/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: Amida Care
Institutional CPID: 3940
Professional CPID: 3466
Industry Standard Payer ID: 24818
Line of Business (LOB) Code: H9W
Payer Enrollment Required: Yes
Remittance Par Status: Non Par
Remittance Fee: N/A
Payer Location: New York

Action Required:

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

9/22/2026

Report Generation Delay for CPID 6405 Cigna Health Plans

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

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

Payer impacted:

CPID 6405 Cigna Health Plans

The payer intermediary has been unable to generate and deliver the reports for some claims submitted Sept. 21, 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 10975606.

9/22/2026

Mutual Health Services Electronic Claims Connection No Longer Available

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

Payer Name: Mutual Health Services
Claims CPIDs: 2290, 2935
Industry Standard Payer ID: 34192
Reason: Payer no longer offers an electronic connection to which Optum can connect.

Action Required: Please make any necessary system changes.

9/21/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: Wellspace Nexus
Institutional CPID: 8088
Professional CPID: 9441
Industry Standard Payer ID: NEXUS
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.

9/21/2026

New Electronic Claims Connections Available

Optum has new electronic claims connections available:

Payer Name: PacificSource PACE
Institutional CPID: 2533
Professional CPID: 2259
Industry Standard Payer ID: 95035
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: Idaho, Montana, Oregon, Washington
Claims Fee: N/A
Par Status: Transitional

Action Required:

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

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

9/21/2026

Electronic Routing Change for CPIDs 8705 and 3077 Connected Senior Care Advantage

Effective September 22, 2026, Optum will change electronic claims routing for the following payer:

Payer Name: Connected Senior Care Advantage
Professional CPID: 8705
Institutional CPID: 3077
Industry Standard Payer ID: AGL03
Payer Claim Enrollment Required: No
Secondary Claims Accepted: No
Claim Par Status: Non Par
Claim Fee: $0.10

Enrollment Requirements:
Claims:

Payer enrollment for electronic claims is not required.

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

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

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

9/21/2026

Electronic Routing Change for CPIDs 8705 and 3077 Connected Senior Care Advantage

Effective September 22, 2026, Optum will change electronic claims routing for the following payer:

Payer Name: Connected Senior Care Advantage
Professional CPID: 8705
Edit Master: PE_T007
Institutional CPID: 3077
Edit Master: HE9T007
Industry Standard Payer ID: AGL03
Payer Claim Enrollment Required: No
Secondary Claims Accepted: No
Claim Par Status: Non Par

Enrollment Requirements:

Claims:

Payer enrollment for electronic claims is not required.

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

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

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.

9/21/2026

Report Generation Delay for CPID 5882 Kane County IPA

A payer intermediary is experiencing issues affecting Professional report generation for some claims submitted on Sept. 10, 2026 and Sept. 11, 2026.

Payer impacted:

CPID 5882 Kane County IPA

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

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

If you have any questions, please contact Customer Support and refer to Case Number 10973090.

9/21/2026

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

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

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

Original notice sent Sept. 2, 2026:

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

Payer impacted:

CPID 7403 Blue Cross Blue Shield of New Mexico

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

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

If you have any questions, please contact Customer Support and refer to Case Number 10942724.

9/21/2026

Update: Report Generation Delay for CPID 8972 MetroPlus Health Plan

Update: The payer has been unable to generate and deliver the reports for some claims submitted on Sept. 15, 2026.

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

Original notice sent Sept. 17, 2026:

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

Payer impacted:

CPID 8972 MetroPlus 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 10967738.

9/21/2026

Update: Report Generation Delay for CPID 2778 Altais Care Network

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

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

Original notice sent Sept. 15, 2026:
The payer listed below is experiencing issues affecting Professional report generation for some claims submitted Sept. 4, 2026.

Payer impacted:

CPID 2778 Altais Care Network

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 10963510.

9/21/2026

Invalid Error Message for Multiple Payers

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

PATIENT REASON FOR VISIT IS MISSING. X12 INFO- 2300-HI. PATIENTS REASON FOR VISIT IS REQUIRED TO BE PRESENT. 2300-HI01-1, HI02-1, HI03-1

This issue began September 15, 2026 and was resolved by the payer intermediary Sept 16, 2026. All impacted claims were reprocessed by the payers.

CPID	Payer Name
8079	AHP Provider Network
7979	Access Behavioral Health
7084	Access IPA
2596	Accountable Healthcare IPA
9091	AdminOne
1905	Advanced Medical Doctors of California
2099	Adventist Health Hanford AHP
7055	Adventist Health Physicians Network
2094	Adventist Health Plan
1061	Adventist White Memorial - Crown City Medical Group
1620	Adventist White Memorial - Southland San Gabriel Valley
9683	Affinity Medical Group
1631	Alameda Alliance for Health
8016	Aligned Community Physicians
8653	Alignment Health Care
1572	All American Medical Group
7040	All United Medical Group IPA
8080	AllCare Family Medical Group
1651	Allegiance Benefit Plan Management
3000	Alpha Care Medical Group
8552	Amada Health
1650	Amada Health (Los Angeles and Orange County)
1954	Amada Health Alameda
2999	AmeriBen Solutions
7966	American Health Advantage of Indiana
5973	American Health Advantage of Pennsylvania
3940	Amida Care
7689	Amida Care Medicare
1957	Anabaptist Brotherhood
4695	Arizona Priority Care Plus
5038	Astiva Health
9068	Astrana Care Texas
8059	Auxiant
8561	Avera Health Plans
6035	Avera-VA Claims
6614	Bakersfield Family Medical Center
5543	Bankers Life and Casualty Company
6610	Banner Health Network
5046	Banner Medicare Advantage Plus PPO
5047	Banner Medicare Advantage Prime
6548	Banner University Family Care
9086	Bay Area Care Partners
1967	Beaver Medical Group
8545	Best Doctors Insurance Services
9038	Blue Zones Health
1044	Brand New Day
8562	Brokerage Concepts
9048	Broward PACE Program
8982	Buenaventura Affiliated Physicians
2063	California IPA
4094	Calvo's SelectCare Health Plans
9056	Canopy
1946	CareSource Military and Veterans
6647	Carefirst Blue Cross Blue Shield of Maryland Health Plan
8651	Cedars Sinai Medical Network
7613	CenterLight Healthcare
8660	Centers Plan for Healthy Living
8689	Centinela Valley IPA
9067	Central California Physician Partners Astrana
4666	Central Health Medicare Plan
3683	Central Valley Medical Group (CVMG)
5683	Chinese Community Health Plan
1508	Choice Physicians Network - Live Well
3649	Choice Physicians Network All United Medical Group
1588	Choice Physicians Network Coachellamed
2595	Cigna Healthcare for Seniors
5044	ClaimChoice
7635	Clinicas Del Camino Real
6644	ComPsych
8925	Community First Health Plan
3077	Connected Senior Care Advantage
9065	ConnectiCare Molina
9580	Cook Childrens STAR Plan
9687	Cox Health Plan
8564	Crown City Medical Group (CCMG)
3643	Custody Medical Services
3920	DHMN Preferred IPA Hospital Risk
3915	DHMN Santa Cruz
3565	Desert Valley Medical Group
8557	Dignity HCLA
3071	Downey Select IPA (AppleCare Medical Management)
7002	EasyAccess Care IPA
8691	El Proyecto Del Barrio
1929	Emanate Health IPA Astrana
2611	Employer Direct Healthcare
9079	Esperanza IPA
9681	Exceedent
1656	FirstCare STAR Medicaid MCO/FirstCare & FirstCare Advantage HMO
1099	Florida Community Care
3693	Florida Health Care Plans
9674	Forest County Potawatomi Insurance
2058	Foundation for Medical Care Tulare/King County
7085	Freedom Claims Management Inc
4669	Freedom Life Insurance Company
1621	GEMCare (Golden Empire Managed Care System)
4607	GEMCare - Kern County
2559	Geisinger Health Plan
8692	Global Care Medical Group IPA
2089	Global One Ventures
3047	Good Samaritan Hospital
9000	Greater Newport IPA
7672	Group Benefit Services
9030	Halos Systems
9676	Health Care LA IPA
4682	Health Plan of San Joaquin
8679	Health Services Management
1676	HealthCosmos of New Mexico LLC
3926	HealthSmart Benefit Solutions
1978	HealthSpring Medicare Advantage
4010	HealthTeam Management Diabetes and Heart Care Plan
2699	HealthTexas Medical Group
5687	Healthcare Partners of Arizona
3965	Healthcare Solutions Group
9098	Healthchoice Select
8039	Healthcosmos Medical Group LLC
9646	Hemet Community Medical Group
1048	Heritage Victor Valley Medical Group
1943	Highmark Western and Northeastern New York
9074	Hinge Health
3051	Hoag
2032	Hollywood Presbyterian Medical Center - Global Care Medical
3950	IEHP Covered (Covered California)
6041	IN Physicians Associates IPA
1563	Illinois Medicaid
6560	Imperial Health Holdings Medical Group
1657	Imperial Insurance Companies Exchange Texas
2073	Imperial Insurance Company of Texas
1934	InStil Health
3038	IntegraNet Health
2578	JP Farley Corporation
8010	Jade Health Care Medical Group
4959	Johns Hopkins - USFHP
9043	Judi Health
3552	KAMG
6511	Kaiser Foundation Health Plan of Washington
8674	Kaweah Delta Medicare Advantage
5982	Kelsey-Seybold
9661	Key Medical Group
9663	Key Medical Group Medicare Advantage
9041	Korean American Medical Group
8581	LIFE Armstrong
9092	Lagniappe Advantage
7028	Leon Health Plans
2924	Leon Medical Center Health Plan
2679	Live Well IPA
7057	Lone Star Medical Group
3018	Longevity Health Plan of Florida
3020	Longevity Health Plan of Illinois
3064	Longevity Health Plan of New Jersey
3011	Longevity Health Plan of New York
9035	MD Senior Care Medical Group
8052	Medcore HP
8973	Medsolutions
4076	Medstar Family Choice District of Columbia
3614	Medstar Family Choice Maryland
8077	Meridian PACE Solutions
6588	Midlands Choice
8078	Millette Administrators
2501	Mishe Health
7039	MyTru Advantage
9069	NationsVision
6626	Network Medical Management
1975	Network Solutions IPA
1580	North Carolina Department of Public Safety
9036	NorthBay Health
1932	Northeast Medical Services (NEMS)
6606	Optum Care Network Monarch
9638	Oscar Health
9090	Oscar Health - Reclamation
9034	PACE at Hudson Headwaters
8570	PDT Hollywood Presbyterian-St Vincent
2053	PHCS Multiplan - Group Resources
9680	PIH Health
6023	PSKW LLC
8097	Palo Alto Medical Foundation
6095	Physicians Care Network/Midland Management
7686	Physicians Choice Medical Group of San Luis Obispo
7687	Physicians Choice Medical Group of Santa Maria
9040	Point C
9081	Pomona Valley Hospital Medical Center
6623	Preferred IPA
1953	Premier Care IPA
8695	Premier Physician Network
5041	Presence ERC
8687	Primary Care Associates of California
9679	Prime Community Care of Central Valley
8684	Prospect Medical Systems
3053	Provider Partners Health Plan of Illinois
8533	Provider Partners Health Plan of Indiana
4505	Provider Partners Health Plan of Maryland
5079	Provider Partners Health Plan of Missouri
6074	Provider Partners Health Plan of Ohio
2077	Provider Partners Health Plan of Pennsylvania
8941	Provider Partners Health Plans of North Carolina
7023	Provider Partners Health Plans of Texas
9658	QualCare IPA
7536	Redlands Yucaipa Medical Group
1926	Redlands Yucaipa Medical Group DOS after 01/01/26
6621	Regal Medical Group
4678	RightCare from Scott & White Health Plan
9084	Rincol Health Network
3601	SD All Women Count
9075	SKAI Blue Cross Blue Shield
4543	Sagamore Health Network
2038	Saint Johns Health Clinic
1629	Salia Healthcare
6633	San Francisco Health Plan
6010	Santa Monica Unite Here Health Benefit Fund
7907	Scott & White Health Plan
2995	Sentinel Management Services
8025	Serendib Healthways
2041	Sierra Medical Group
8031	Silicon Valley Medical Development
6093	Simpra Advantage Inc.
2047	Solis Health Plans
1916	Sonder Health Plans
1550	South Atlantic Medical Group
2978	Southern California Physicians Managed Care Services
1059	St. Francis - HCLA by MedPoint
8094	Starlife Holdings
9524	Summit Administration Services
9028	Sunrise PACE
4095	Superior Choice Medical Group
1552	Sutter Senior Care
2093	TCC Benefits Administrator
8928	TRU Community Care
6583	Texas Childrens Health Plan (CHIP)
9049	Texas Childrens Health Plan (Medicaid Managed Care)
1911	Texas Childrens Health Plan (STAR Medicaid)
9050	Texas Childrens Health Plan (Star Medicaid) (Medicaid Managed Care)
3068	Texas Independence Health Plan Inc.
5500	Texas Medicaid
2904	Texas Medicaid Long Term Care
6031	Three Rivers Preferred
8566	Torrance Memorial Medical Center
8582	Tri Valley Medical Group
1638	TrueClaim
7647	UC Davis Medical Group
1038	UCARE Individual and Family Plans
7095	UCI Health
8680	UCLA Medical Group
7618	United Care Medical Group
1504	United Community Services (The City of East Chicago)
6063	Universal Healthcare IPA
2515	Valir PACE
7006	Valley Presbyterian Hospital
4089	Valley Presbyterian Hospital Community Family Care
4090	Valley Presbyterian Hospital Preferred IPA
3687	Verda Healthcare
9526	Watts Healthcare
7076	WelbeHealth
9085	WyoBlue Advantage
1524	Yuzu Health
1907	iCare (Independent Care Health Plan)

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

9/21/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: Wellspace Nexus
Institutional CPID: 8088
Professional CPID: 9441
Industry Standard Payer ID: NEXUS
Line of Business (LOB) Code: H9B
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.

9/21/2026

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

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

Payer impacted:

CPID 8028 Resurrection Physicians Provider Group
CPID 4270 Resurrection Physicians Provider Group

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

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

If you have any questions, please contact Customer Support and refer to Case Number 10973008.

9/21/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: Allstate
Payer ID: C1037
Payer Enrollment Required: Yes
Remittance Par Status: Transitional
Payer Location: National

Action Required:

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

9/18/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: Prominence HealthFirst of Florida Inc
Professional CPID: 8878
Institutional CPID: 5030
Industry Standard Payer ID: 83352
Payer Enrollment Required: Yes
Remittance Par Status: Transitional
Remittance Fee: N/A
Payer Location: Florida

Action Required:

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

9/18/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: Prominence HealthFirst of Florida Inc
Professional CPID: 8878
Institutional CPID: 5030
Industry Standard Payer ID: 83352
Line of Business (LOB) Code: E91
Payer Enrollment Required: Yes
Remittance Par Status: Transitional
Remittance Fee: N/A
Payer Location: Florida

Action Required:

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

9/18/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: Allstate
Institutional CPID: 3089
Professional CPID: 8714
Industry Standard Payer ID: C1037
Line of Business (LOB) Code: E92
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.

9/18/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: Allstate
Institutional CPID: 3089
Professional CPID: 8714
Industry Standard Payer ID: C1037
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.

9/18/2026

Somos Emblem Electronic Claims and Remittance Connections No Longer Available

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

Payer Name: Somos Emblem
Payer ID: 81336
Reason: Payer no longer contracted.

Action Required: Please make any necessary system changes.

9/18/2026

New Payer Name and Payer ID Change

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

Previous Payer Name: Hollywood Presbyterian Medical Center - St Vincent IPA
New Payer Name: PDT Hollywood Presbyterian-St Vincent
Old Payer ID: AMM19
New Payer ID: PDT02

Payer ID AMM19 will be terminated effective Friday, October 23, 2026.

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

9/18/2026

Somos Emblem Electronic Claims and Remittance Connections No Longer Available

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

Payer Name: Somos Emblem
Claim and Remittance CPIDs: 4072, 8816
Industry Standard Payer ID:81336
Reason: Payer no longer contracted.

Action Required: Please make any necessary system changes.

9/18/2026

Somos Emblem Electronic Claims and Remittance Connections No Longer Available

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

Payer Name: Somos Emblem
Claims and Remittance CPIDs: 4072, 8816
Line of Business (LOB) Code: K47
Industry Standard Payer ID: 81336
Reason: Payer no longer contracted.

Payer will no longer accept paper claims.

Action Required: Please make any necessary system changes.

9/18/2026

Resolved Notice: Processing Issue for Multiple Payer IDs

Update: A resolution was implemented and the claims were retransmitted to the payers September 16, 2026.

Original notification
Due to an Optum processing issue, Institutional and Professional claims released to Optum September 11, 2026, 5:00 a.m.-September 16, 2026, 7:00 a.m. CT were delayed in transmission to the below payers.

Payers impacted:
Payer id: RH002
Payer name: Kaiser Foundation Health Plan of the Northwest
Inst CPID 1544
Prof CPID 2266

Payer id: RH003
Payer name: Kaiser Foundation Health Plan of Colorado
Inst CPID 1931
Prof CPID 2439

Payer id: RH008
Payer name: Kaiser Foundation Health Plan of Georgia
Inst CPID 8546
Prof CPID 1846

Payer id: RH009
Payer name: Kaiser Foundation Health Plan of Northern California Region
Inst CPID 2582
Prof CPID 3781

Payer id: RH010
Payer name: Kaiser Foundation Health Plan of the Mid-Atlantic States
Inst CPID 7506
Prof CPID 2819

Payer id: 94123 / RH0011
Payer name: Kaiser Permanente Hawaii
Inst CPID 5925
Prof CPID 6772

Payer id: 94134
Payer name: Kaiser Foundation Health Plan of Southern California Region
Inst CPID 4576
Prof CPID 1703

This delay affected claims released to Optum September 11, 2026, 5:00 a.m.-September 16, 2026, 7:00 a.m. CT.

If you have any questions, please contact Customer Support and refer to Case Number INC-000005573.

9/18/2026

Update: Processing Issue for Multiple Payer IDs

Update: A resolution has been implemented and the claims were retransmitted to the payers Sept. 16, 2026.

Action Required: Please be aware of the processing issue.

Original notice sent Sept. 16, 2026:
Due to an Optum processing issue, Institutional and Professional claims released to Optum September 11, 2026, 5:00 a.m.-September 16, 2026, 7:00 a.m. CT have been delayed in transmission to the payer.

Payers impacted:

CPID 5925 Kaiser Permanente Hawaii
CPID 6772 Kaiser Permanente Hawaii
CPID 1931 Kaiser Foundation Health Plan of Colorado
CPID 2439 Kaiser Foundation Health Plan of Colorado
CPID 8546 Kaiser Foundation Health Plan of Georgia
CPID 1846 Kaiser Foundation Health Plan of Georgia
CPID 7506 Kaiser Foundation Health Plan of the Mid-Atlantic States
CPID 2819 Kaiser Foundation Health Plan of the Mid-Atlantic States
CPID 2582 Kaiser Foundation Health Plan of Northern California Region
CPID 3781 Kaiser Foundation Health Plan of Northern California Region
CPID 1544 Kaiser Foundation Health Plan of the Northwest
CPID 2266 Kaiser Foundation Health Plan of the Northwest
CPID 4576 Kaiser Foundation Health Plan of Southern California Region
CPID 1703 Kaiser Foundation Health Plan of Southern California Region

Optum is working diligently to resolve the issue.

This delay affects claims released to Optum September 11, 2026, 5:00 a.m.-September 16, 2026, 7:00 a.m. CT

Action Required: None, please be aware of the processing issue. An update will be provided once impacted claims are released to the payer.

If you have any questions, please contact Customer Support and refer to Case Number INC-000005573.

9/18/2026

Report Generation Delay for CPID 1522 District of Columbia Medicare

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

Payer impacted:

CPID 1522 District of Columbia Medicare

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

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

If you have any questions, please contact Customer Support and refer to Case Number 10969840.

9/18/2026

Payer Processing Issue for CPID 4061 Invicta Health Solutions

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

Payer impacted:

CPID 4061 Invicta Health Solutions

A resolution has been implemented and the claims were retransmitted to the payer Sept. 17, 2026.

This delay affected claims released to Optum Sept. 10, 2026, 8:00 p.m.-Sept. 11, 2026, 8:00 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 10969000.

9/18/2026

Report Generation Delay for CPID 3803 Kern Health Systems

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

9/17/2026

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:

55204 – Highmark Western and Northeastern New York
AMDA3 – Amada Health Alameda
AMM11 – MediChoice IPA
ANB25 – Anabaptist Brotherhood
IP084 – Kaweah Delta Medicare Advantage
KOVA1 – Kova Healthcare Inc.
MPM19 – LACH HealthNet by MedPOINT
MPM22 – Premier Physician Network
MPM29 – Hollywood Presbyterian Medical Center - Global Care Medical
MVCS1 – CareSource Military and Veterans
MVMM1 – Inland Faculty Medical Group
NMM01 – Network Medical Management
PCMSO – Premier Care IPA
R3492 – Mount Sinai Eldercare
R3499 – Hope Select Care PACE
SX161 – InStil Health
VUIPA – Vitruvian Care

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

AMDA3 – Amada Health Alameda
AMM11 – MediChoice IPA
ANB25 – Anabaptist Brotherhood
HBI01 – Human Behavior Institute
KOVA1 – Kova Healthcare Inc.
MPM19 – LACH HealthNet by MedPOINT
MPM29 – Hollywood Presbyterian Medical Center - Global Care Medical
MVCS1 – CareSource Military and Veterans
PCMSO – Premier Care IPA
R3492 – Mount Sinai Eldercare
R3499 – Hope Select Care PACE
SX161 – InStil Health
VUIPA – Vitruvian Car

9/17/2026

New Electronic Remittance Connections Available on Revenue Performance Advisor

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

65415 – Premier Administrative Solutions
LHP01 – LaSalle Health Plan
LSMA2 – LaSalle Medical Associates

ERA enrollment/set up is required for all ERA transactions on RPA. You can access the payer enrollment intake form on the 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.

9/17/2026

New Real Time Connections Available on Revenue Performance Advisor

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

31074 – Employee Benefit Management
31135 – American Health Advantage of Mississippi
86050 – UnitedHealthcare Community Plan of Missouri
90753 – Liberty Healthshare
95467 – UnitedHealthcare Community Plan of Michigan
HARM1 – Harmony
MMS01 – American Health Advantage of Missouri

Claim Status Inquiry transactions have recently been added to the RPA system for the following payers:

86050 – UnitedHealthcare Community Plan of Missouri
91184 – Sanford Health Plan
SB870 – Blue Cross Blue Shield of Rhode Island

9/17/2026

Payer Processing Issue for CPIDs 1496 and 1548 Colorado Medicaid

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

Payer impacted:

CPID 1496 Colorado Medicaid
CPID 1548 Colorado Medicaid

A resolution has been implemented and the claims were retransmitted to the payer Sept. 17, 2026.

This delay affected claims released to Optum Sept. 11, 2026, 2:00 p.m.-Sept. 15, 2026, 2:00 p.m. CT.

Action Required: Be aware of the processing issue above.

If you have any questions, please contact Customer Support and refer to Case Number 10968250.

9/17/2026

Electronic Claims connection No Longer Available

Effective immediately, the payers listed below are no longer available at Optum for claims processing.

Payer Name: Willow Health
Industry Standard Payer ID: WHLTH
Reason: Payer no longer offers an electronic connection.

Payer Name: Beacon of Life
Industry Standard Payer ID: 65432
Reason: Payer no longer offers an electronic connection to which Optum can connect.

Action Required: Please make any necessary system changes.

9/17/2026

Report Generation Delay for CPID 8972 MetroPlus Health Plan

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

Payer impacted:

CPID 8972 MetroPlus 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 10967738.

9/17/2026

Update: Claim Processing Delay Resolved

Resolved notice: The delayed claims for this payer were delivered Sept. 16, 2026.

Original notification:
Due to an internal processing issue, there was a delay affecting some Professional and Institutional claims submissions Sept. 10-15, 2026, for Moda Health.

Payer name: Moda Health
Payer ID: 93098
Professional CPID 7498
Institutional CPID 2576
iEDI payer id 13350

If you have any questions, contact your Customer Support Team and refer to Global Issue INC-000005564.

9/17/2026

Report Generation Delay for CPID 5676 Alliance Behavioral Healthcare

A payer intermediary is experiencing issues affecting Institutional report generation for some claims submitted Sept. 9, 2026.

Payer impacted:

CPID 5676 Alliance Behavioral Healthcare

The payer intermediary has been unable to generate and deliver the reports for some claims submitted on Sept. 9, 2026.

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

If you have any questions, please contact Customer Support and refer to Case Number 10967146.

9/17/2026

New Real-Time Eligibility 270/271 Connection Available

Optum is pleased to announce the availability of Real-time Eligibility Inquiry and Response 270/271 for the below payer, effective September 16, 2026:

Payer Name:  Stewart C Miller and Company
Industry Payer ID:  None
IMN Real Time ID:  10937
Exchange Real Time ID:  10937
Optum IEDI Real Time ID:  10937
Payer Enrollment Required:  No
Connection Type: X12

Eligibility Subscriber

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

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

9/16/2026

Beacon of Life Electronic Claims Connection No Longer Available

Effective September 16, 2026, the payer listed below is no longer available at Optum for claims, processing.

Payer Name: Beacon of Life
Claims CPIDs: 8234, 2086
Industry Standard Payer ID: 65432
Reason: Payer no longer offers an electronic connection to which Optum can connect.

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

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

9/16/2026

Beacon of Life Electronic Claims Connection No Longer Available

Effective September 16, 2026, the payer listed below is no longer available at Optum for claims, processing.

9/16/2026

New Real Time Claim Status 276/ 277 Connection Available

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

Payer Name:  WPS COMMERCIAL/REGULAR BUSINESS
Industry Payer ID:  SX022
IMN Real Time ID:  SX022
Exchange Real Time ID:  WPSCR
Optum IEDI Real Time ID:  10878
Payer Enrollment Required:  No
Connection Type: X12

Search Options:
Claim Status Inquiry Subscriber

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

9/16/2026

Processing Issue for Multiple Payer IDs

Due to an Optum processing issue, Institutional and Professional claims released to Optum September 11, 2026, 5:00 a.m.-September 16, 2026, 7:00 a.m. CT have been delayed in transmission to the payer.

Payers impacted:

CPID 5925 Kaiser Permanente Hawaii
CPID 6772 Kaiser Permanente Hawaii
CPID 1931 Kaiser Foundation Health Plan of Colorado
CPID 2439 Kaiser Foundation Health Plan of Colorado
CPID 8546 Kaiser Foundation Health Plan of Georgia
CPID 1846 Kaiser Foundation Health Plan of Georgia
CPID 7506 Kaiser Foundation Health Plan of the Mid-Atlantic States
CPID 2819 Kaiser Foundation Health Plan of the Mid-Atlantic States
CPID 2582 Kaiser Foundation Health Plan of Northern California Region
CPID 3781 Kaiser Foundation Health Plan of Northern California Region
CPID 1544 Kaiser Foundation Health Plan of the Northwest
CPID 2266 Kaiser Foundation Health Plan of the Northwest
CPID 4576 Kaiser Foundation Health Plan of Southern California Region
CPID 1703 Kaiser Foundation Health Plan of Southern California Region

Optum is working diligently to resolve the issue.

This delay affects claims released to Optum September 11, 2026, 5:00 a.m.-September 16, 2026, 7:00 a.m. CT

Action Required: None, please be aware of the processing issue. An update will be provided once impacted claims are released to the payer.

If you have any questions, please contact Customer Support and refer to Case Number INC-000005573.

9/16/2026

Payers impacted:

Payer ID: RH002
Payer name: Kaiser Foundation Health Plan of the Northwest
Inst CPID 1544
Prof CPID 2266

Payer ID: RH003
Payer name: Kaiser Foundation Health Plan of Colorado
Inst CPID 1931
Prof CPID 2439

Payer ID: RH008
Payer name: Kaiser Foundation Health Plan of Georgia
Inst CPID 8546
Prof CPID 1846

Payer ID: RH009
Payer name: Kaiser Foundation Health Plan of Northern California Region
Inst CPID 2582
Prof CPID 3781

Payer ID: RH010
Payer name: Kaiser Foundation Health Plan of the Mid-Atlantic States
Inst CPID 7506
Prof CPID 2819

Payer ID: 94123 / RH0011
Payer name: Kaiser Permanente Hawaii
Inst CPID 5925
Prof CPID 6772

Payer ID: 94134
Payer name: Kaiser Foundation Health Plan of Southern California Region
Inst CPID 4576
Prof CPID 1703

Optum is working diligently to resolve the issue.

This delay affects claims released to Optum September 11, 2026, 5:00 a.m.-September 16, 2026, 7:00 a.m. CT.

Action Required: None, please be aware of the processing issue. An update will be provided once impacted claims are released to the payer.

If you have any questions, please contact Customer Support and refer to Case Number INC-000005573.

9/16/2026

Report Generation Delay for CPID 8972 MetroPlus Health Plan

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

Payer impacted:

CPID 8972 MetroPlus 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 10965521.

9/16/2026

Report Generation Delay for CPID 6405 Cigna Health Plans

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

Payer impacted:

CPID 6405 Cigna Health Plans

The payer intermediary has been unable to generate and deliver the reports for some claims submitted Sept. 15, 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 10964933.

9/16/2026

Electronic Routing Change for CPIDs 6702 Vantage Medical Group Encounters

Effective September 16, 2026, Optum will change electronic claims routing for the following payer:

Payer Name: Vantage Medical Group Encounters
Professional CPID: 6702
Industry Standard Payer ID: PPM02
Payer Claim Enrollment Required: No
Secondary Claims Accepted: No
Claim Par Status: Non Par
Claim Fee: $0.10

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.

9/16/2026

Electronic Routing Change for CPIDs 6702 Vantage Medical Group Encounters

Effective September 16, 2026, Optum will change electronic claims routing for the following payer:

Payer Name: Vantage Medical Group Encounters
Professional CPID: 6702
Current Edit Master: PE_O007
New Edit Master: PE_T007
Industry Standard Payer ID: PPM02
Payer Claim Enrollment Required: No
Secondary Claims Accepted: No
Claim Par Status: Non Par

Enrollment Requirements:
Claims:

Payer enrollment for electronic claims is not required.

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

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

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

9/16/2026

Electronic Claims Connection Suspended

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

Payer Name: Albuquerque Public Schools
Payer ID: 85600
Reason: Payer unavailable electronically.

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

9/15/2026

Albuquerque Public Schools Electronic Eligibility Connection No Longer Available

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

Payer Name:  Albuquerque Public Schools
Industry Payer ID:  85600
IMN Real Time ID: ALPBS
Exchange Real Time ID: ALPBS
CPIDs:  4518, 1220
Connection Type: X12

Reason: Payer no longer offers an electronic connection.

 Action Required: None.

9/15/2026

Electronic Claims Connection Suspended

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

Payer Name: Albuquerque Public Schools
CPID(s): 1220, 4518
Industry Standard Payer ID: 85600
Reason: Payer unavailable electronically.

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

9/15/2026

Electronic Eligibility Connection Suspended

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

Payer Name: Marpai Health
Industry Standard Payer ID: 35245
IMN Real Time ID: 35245
Exchange Real Time ID: MARPAI
Optum IEDI Real Time ID: 35245

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

9/15/2026

Report Generation Delay for CPIDs 1598 and 1479 VAFSC/ICE Health Service Corps

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

Payer impacted:

CPID 1598 VAFSC/ICE Health Service Corps
CPID 1479 VAFSC/ICE Health Service Corps

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 10963613.

9/15/2026

Report Generation Delay for CPID 2778 Altais Care Network

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

Payer impacted:

CPID 2778 Altais Care Network

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 10963510.

9/15/2026

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

A payer intermediary is experiencing issues affecting Institutional report generation for some claims submitted Sept. 9, 2026.

Payer impacted:

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

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

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

If you have any questions, please contact Customer Support and refer to Case Number 10961916.

9/15/2026

Report Generation Delay for CPID 1733 Doctors Professional Services Consultants (DPSC)

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

Payer impacted:

CPID 1733 Doctors Professional Services Consultants (DPSC)

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

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

If you have any questions, please contact Customer Support and refer to Case Number 10963007.

9/15/2026

Update: Electronic Routing Change for CPIDs 3878 and 4931 Automated Group Administration

Update:
Optum continues to work with the payer to establish the new electronic claims routing connection for Automated Group Administration. At this time, claims will continue to be held pending completion of the new route. Once the new route is established, all held claims will be released for processing.

We appreciate your patience during this transition. Please watch for future notifications regarding the status of this transition.

Original sent September 1, 2026:
Optum will be changing electronic claims routing for the below payer. We are currently working with the payer to establish the new route. Effective September 1, 2026, Optum will temporarily hold claims for this payer until the new route is in place. Once the route is established, all held claims will be released for processing. Please watch for future notifications regarding the status of this transition.

Payer Name: Automated Group Administration
Professional CPID: 3878
Current Edit Master: PE_E049
New Edit Master: PE_T007
Institutional CPID: 4931
Current Edit Master: HE9E049
New Edit Master: HE9T007
Industry Standard Payer ID: 37280
Payer Claim Enrollment Required: No
Professional Secondary Claims Accepted: Yes
Institutional Secondary Claims Accepted: No
Claim Par Status: Par

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 and watch for future notifications:

Revalidate unreleased claims to edit correctly under new edit master which will be available with the 9/2/2026 edit release.
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.

9/15/2026

New Electronic Claims Connections Available

Optum has new electronic claims connections available:

Payer Name: Tricare Overseas Program
Professional Payer ID: 12X46
Payer Enrollment Required: Yes
Secondary Claims Accepted: No
Payer Location: National
Par Status: Par

Action Required: 

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

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

9/15/2026

Report Generation Delay for CPIDs 5661 and 6423 RevClaims

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.

9/15/2026

999 Payer Batch Rejections for CPID 6791 Community Health Choice - HIM

Professional claims transmitted July 15, 2026, from Optum to the payer listed below were not processed by the payer due to a 999 Batch Rejection.

CPID 6791 Community Health Choice - HIM

A resolution has been implemented and the claims were retransmitted to the payer Sept. 15, 2026.

Action Required: Please be aware of possible duplicate rejections.

If you have any questions, please contact Customer Support and refer to Case Number INC-000005569.

9/15/2026

Report Generation Delay for CPID 3591 Priority Health of Michigan

A payer is experiencing issues affecting Institutional report generation for some claims submitted Sept.9 2026.

Payer impacted:

CPID 3591 Priority Health of Michigan

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 10963009.

9/15/2026

New Electronic Claims Connections Available

Optum has new electronic claims connections available:

Payer Name: Tricare Overseas Program
Professional Payer ID: 12X46
Payer Enrollment Required: Yes
Secondary Claims Accepted: No
Payer Location: National
Par Status: Par

Action Required: 

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

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

9/15/2026

Payer Consolidation - Anthem Blue Cross Blue Shield of Kentucky

Effective October 9, 2026, claims currently exchanged with the following payer must use a different payer ID:

Payer Name: Anthem Blue Cross Blue Shield of Kentucky
Payer ID: 00660, KYBLS
Claim Type: Professional

Payer IDs 00660, KYBLS will be terminated effective October 9, 2026.

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

Institutional Payer ID: 12B11
Professional Payer ID: SB660

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.

9/15/2026

Payer Consolidation - Anthem Blue Cross Blue Shield of Nevada

Effective October 9, 2026, claims currently exchanged with the following payer must use a different payer ID:

Payer Name: Anthem Blue Cross Blue Shield of Nevada
Payer ID: 00265, NVBLS
Claim Type: Professional
Payer ID: 00265
Claim Type: Institutional

Payer IDs 00265, NVBLS will be terminated effective October 9, 2026.

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

Institutional Payer ID: 12B20
Professional Payer ID: SB765

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.

9/15/2026

Payer Consolidation - Anthem Blue Cross Blue Shield of Indiana

Effective October 9, 2026, claims currently exchanged with the following payer must use a different payer ID:

Payer Name: Anthem Blue Cross Blue Shield of Indiana
Payer ID: 00630, INBLS
Claim Type: Professional
Payer ID: 00130
Claim Type: Institutional

Payer IDs 00630, INBLS, 00130, will be terminated effective October 9, 2026.

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

Institutional Payer ID: 12B09
Professional Payer ID: SB630

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.

9/15/2026

New Payer Name and Payer ID Change

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

Previous Payer Name: Hollywood Presbyterian Medical Center - St Vincent IPA
New Payer Name: PDT Hollywood Presbyterian-St Vincent
Professional CPID: 7802
Institutional CPID: 8570
Previous Industry Standard Payer ID: AMM19
New Industry Standard Payer ID: PDT02

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

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

9/15/2026

New Payer Name and Payer ID Change

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

Previous Payer Name: Hollywood Presbyterian Medical Center - St Vincent IPA
New Payer Name: PDT Hollywood Presbyterian-St Vincent
Professional CPID: 7802
Professional Edit Master: PE_T007
Institutional CPID: 8570
Institutional Edit Master: HE9T007
Previous Industry Standard Payer ID: AMM19
New Industry Standard Payer ID: PDT02

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

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

Action Required:

None, no Payer Alias changes are needed.

9/15/2026

Claims processing delay

Due to an internal processing issue, there is a delay affecting some Professional and Institutional claims submissions from September 10 to current for Moda Health.

Payer name: Moda Health
Payer ID: 93098
Professional CPID: 7498
Institutional CPID: 2576
iEDI payer ID:13350

Additional updates will be forwarded as more information becomes available.

Action Required: Please be aware of a delay in the delivery of someclaims for the dates above. Do not resubmit claims.

If you have any questions, feel free to contact your Customer Support Team and refer to Case Number INC-000005564.

9/15/2026

Payer Planned Delay in Electronic Remittance Advice (ERA) for Payer ID 58234 Alliant Health Plans

Due to a planned payer processing update, there will be a delay in Professional and Institutional Electronic Remittance Advice (ERA) for the following payer for check dates of September 14, 2026 through September 18, 2026. ERA processing will resume on September 22, 2026.

Payers affected:

Payer ID 58234 Alliant Health Plans

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

If you have any questions, feel free to contact your Customer Support Team and refer to Case Number 10953906.

9/14/2026

999 Payer Batch Rejections for CPID 5460 Blue Shield of California

Professional claims transmitted to the payer listed below from Optum Sept. 10, 2026 were not processed by the payer due to a 999 Batch Rejection.

Payer impacted:

CPID 5460 Blue Shield of California Home Infusion Therapy

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

Action Required: None.

If you have any questions, please contact Customer Support and refer to Case Number 10960909.

9/14/2026

Report Generation Delay for CPID 3519 New York Medicare Empire

A payer intermediary is experiencing issues affecting Institutional report generation for some claims submitted Sept. 4-7, 2026.

Payer impacted:

CPID 3519 New York Medicare Empire

The payer intermediary has been unable to generate and deliver the reports for some claims submitted Sept. 4-7, 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 10960766.

9/14/2026

Payer impacted:

CPID 5676 Alliance Behavioral Healthcare

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

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

If you have any questions, please contact Customer Support and refer to Case Number 10960747.

9/14/2026

Update: Report Generation Delay for CPIDs 8918 and 4445 Insurance Management Services Texas

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

Payer impacted:

CPID 8918 Insurance Management Services Texas
CPID 4445 Insurance Management Services Texas

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

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

Original notice sent Sept. 9, 2026:

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

Payer impacted:

CPID 4445 Insurance Management Services Texas

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

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

If you have any questions, please contact Customer Support and refer to Case Number 10952790.

9/14/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: Premier Administrative Solutions

Industry Standard Payer ID: 65415

Payer Enrollment Required: Yes

Remittance Par Status: Transitional

Payer Location: Florida

Payer Name: LaSalle Health Plan

Industry Standard Payer ID: LHP01

Payer Enrollment Required: Yes

Remittance Par Status: Non Par

Payer Location: California

Payer Name: LaSalle Medical Associates

Industry Standard Payer ID: LSMA2

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.
To access the new enrollment forms, please visit IEDI.

9/11/2026

Electronic Claims connection No Longer Available

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

Payer Name: Fringe Benefit Coordinators (Medical and Accident)

Industry Standard Payer ID: 59204

Reason: Payer no longer in business.

Action Required: Please make any necessary system changes.

9/11/2026

Electronic Routing Change

Effective September 10, 2026, Optum changed electronic remittance routing for the following payer:

Payer Name: Alliant Health Plans
Industry Standard Payer ID: 58234
Payer Remittance Enrollment Required: Yes
Remittance Par Status: Non Par

Enrollment Requirements:
Remittance:

Payer enrollment for electronic remittance is required.
- Providers currently receiving electronic remittance through Optum do not need to complete a new enrollment form.
- Providers that had completed remit enrollments on or after 1/20/2026 must complete a new remit 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.
Enrollment forms must be submitted and approved to begin receiving electronic remittance through Optum.
To access the new enrollment forms, please visit IEDI.

9/11/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: LaSalle Health Plan
Institutional CPID: 1945
Professional CPID: 2212
Industry Standard Payer ID: LHP01
Line of Business (LOB) Code: H7B
Payer Enrollment Required: Yes
Remittance Par Status: Non Par
Remittance Fee: N/A
Payer Location: California

Payer Name: LaSalle Medical Associates
Institutional CPID: 1626
Professional CPID: 1862
Industry Standard Payer ID: LSMA2
Line of Business (LOB) Code: H8L
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.

9/11/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: LaSalle Health Plan
Institutional CPID: 1945
Professional CPID: 2212
Industry Standard Payer ID: LHP01
Payer Enrollment Required: Yes
Remittance Par Status: Non Par
Remittance Fee: N/A
Payer Location: California

Payer Name: LaSalle Medical Associates
Institutional CPID: 1626
Professional CPID: 1862
Industry Standard Payer ID: LSMA2
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.

9/11/2026

Payer Planned Delay in Electronic Remittance Advice (ERA) for CPIDs 2589, 3793 Alliant Health Plans

Due to a planned payer processing update, there will be a delay in Professional and Institutional Electronic Remittance Advice (ERA) for the following payer for check dates of September 14, 2026, through. September 18, 2026. ERA Processing will resume on September 22, 2026:

CPID 2589 Alliant Health Plans
CPID 3793 Alliant Health Plans

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

If you have any questions, feel free to contact your Customer Support Team and refer to Case Number 10953906.

9/11/2026

Remit missing, Payer ID 95677, Check Date September 2, 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:

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.

9/11/2026

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

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.

9/11/2026

Veterans Administration (VA) Payer Eligibility Scheduled Maintenance

The Veterans Administration (VA) has planned system maintenance that will require their eligibility verification system to be unavailable for both payer IDs 84146 and 12115. The maintenance window will start on September 12, 2026, at 8 a.m. ET, with an estimated completion of 9 p.m. ET on September 13, 2026. Please note that eligibility transactions will be down during this schedule maintenance.

9/11/2026

Enrollment Form Change

The following payers have changed their Remittance enrollment form: 

Payer ID 56089 TRILLIUM HEALTH RESOURCES MEDICAID DIRECT STATE

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

To access the new enrollment form, please visit IEDI. 

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

9/11/2026

New Real-Time Eligibility 270/271 Connection Available

Optum is pleased to announce the availability of Real-time Eligibility Inquiry and Response 270/271 for the below payer, effective September 10, 2026:

Payer Name:  Highmark Western and Northeastern New York
Industry Payer ID:  55204
IMN Real Time ID:  55204
Exchange Real Time ID:  HLTNOW
Optum IEDI Real Time ID:  55204
Payer Enrollment Required:  No
Connection Type: X12

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

9/11/2026

Electronic Reactivation for West Suburban Health Providers

Effective September 10, 2026, Optum will reactivate electronic claims routing for the following payer:

Payer Name: West Suburban Health Providers
Payer ID: 80942
Payer Claim Enrollment Required: No
Secondary Claims Accepted: Yes
Claim Par Status: Non Par

Enrollment Requirements:

Claims:

Payer enrollment for electronic claims is not required.

Report Changes:

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

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

Make any necessary system changes.

9/11/2026

Fringe Benefit Coordinators (Medical and Accident) Electronic Claims connection No Longer Available

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

Payer Name: Fringe Benefit Coordinators (Medical and Accident)
Claims CPIDs: 5247, 8944
Industry Standard Payer ID: 59204
Reason: Payer no longer in business.

Action Required: Please make any necessary system changes.

9/11/2026

Duplicate Claims Transmission for Multiple Payers

We have identified an intermittent processing issue that impacted a subset of Institutional and Professional claims released July 13, 2026-August 19, 2026. Due to this issue, some claim files were inadvertently processed twice within our internal systems. The issue was identified and corrected August 20, 2026. As a result, some duplicate claims were submitted to payers. We apologize for the inconvenience.

Action Required: Be aware of potential duplicate rejections.

If you have questions, contact support with Case # INC-000005321.

9/11/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: Premier Administrative Solutions
Institutional CPID: 7008
Professional CPID: 9290
Industry Standard Payer ID: 65415
Payer Enrollment Required: Yes
Remittance Par Status: Transitional
Remittance Fee: N/A
Payer Location: Florida

Action Required:

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

9/11/2026

New Electronic Remittance Connections Available

Optum has new electronic remittance connections available:

Payer Name: Premier Administrative Solutions
Institutional CPID: 7008
Professional CPID: 9290
Industry Standard Payer ID: 65415
Line of Business (LOB) Code: E88
Payer Enrollment Required: Yes
Remittance Par Status: Transitional
Remittance Fee: N/A
Payer Location: Florida

Action Required:

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

9/11/2026

Electronic Claims Connection Suspended

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

Payer Name: Easy Care MSO LLC
Industry Standard Payer ID: ECMSO
Reason: Payer unavailable electronically.

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

9/11/2026

Electronic Claims Connection Suspended

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

Payer Name: Easy Care MSO LLC
CPIDs: 1125, 1574
Industry Standard Payer ID: ECMSO
Reason: Payer unavailable electronically.

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

9/11/2026

Report Generation Delay for CPID 3519 New York Medicare Empire

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

Payer impacted:

CPID 3519 New York Medicare Empire

The payer intermediary has been unable to generate and deliver the reports for some claims submitted Sept. 4, 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 10957932.

9/11/2026

Electronic Routing Change for CPIDs 3793 and 2589 Alliant Health Plans

Effective September 10, 2026, Optum will change electronic remittance routing for the following payer:

Payer Name: Alliant Health Plans
Professional CPID: 3793
Institutional CPID: 2589
Industry Standard Payer ID: 58234
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 do not need to complete a new enrollment form.
- Providers that had completed remit enrollments on or after 1/20/2026 must complete a new remit 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.

9/10/2026

Electronic Routing Change for CPIDs 3793 and 2589 Alliant Health Plans

Effective September 10, 2026, Optum will change electronic remittance routing for the following payer:

Payer Name: Alliant Health Plans
Professional CPID: 3793
Institutional CPID: 2589
Industry Standard Payer ID: 58234
Line of Business Code (LOB): U8Q
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 do not need to complete a new enrollment form.
- Providers that had completed remit enrollments on or after 1/19/2026 must complete a new remit enrollment form.
- New providers must complete a new enrollment form.

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

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

9/10/2026

New Real-Time Eligibility 270/271 Connection Available

Optum is pleased to announce the availability of Real-time Eligibility Inquiry and Response 270/271 for the below payer, effective September 10, 2026:

Payer Name:  Highmark Western and Northeastern New York
Industry Payer ID:  55204
IMN Real Time ID:  55204
Exchange Real Time ID:  HLTNOW
Optum IEDI Real Time ID:  55204
Payer Enrollment Required:  No
Connection Type:  X12

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

9/10/2026

CarePartners of Connecticut Real-Time Eligibility 270/271 Connection Now Available

Optum is pleased to announce the availability of Real-time Eligibility Inquiry and Response 270/271 for the below payer, effective September 10, 2026:

Payer Name:  CarePartners of Connecticut
Industry Payer ID:  16307
IMN Real Time ID:  16307
Exchange Real Time ID:  CARPC
Optum IEDI Real Time ID:  16307
Payer Enrollment Required:  No
Connection Type: X12

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

9/10/2026

Edit Master changes for CPID 8838 Podiatry Plan and CPIDs 7141, 7686 Physicians Choice Medical Group of San Luis Obispo

Optum is changing Edit Masters for the following payers, effective September 10, 2026:

Payer Name: Podiatry Plan
Professional CPID: 8838
Current Edit Master: PE_O007
New Edit Master: PE_T007
Industry Standard Payer ID: PODIA

Payer Name: Physicians Choice Medical Group of San Luis Obispo
Professional CPID: 7141
Current Edit Master: PE_O007
New Edit Master: PE_T007
Institutional CPID: 7686
Current Edit Master: HE9O007
New Edit Master: HE9T007
Industry Standard Payer ID: SLOS1

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.

9/10/2026

Report Generation Delay for CPID 5428 QualChoice of Arkansas

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

Payer impacted:

CPID 5428 QualChoice of Arkansas

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

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

If you have any questions, please contact Customer Support and refer to Case Number 10955626.

9/10/2026

New Payer Name

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

Previous Payer Name: Trillium Health Resources
New Payer Name: Trillium Health Resources Medicaid Direct State
Standard Payer ID: 56089

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

9/9/2026

Edit Master changes for CPIDs 9268 and 6090 Longevity Health Plan of North Carolina

Optum is changing Edit Masters for the following payer, effective September 9, 2026:

Payer Name: Longevity Health Plan of North Carolina
Professional CPID: 9268
Current Edit Master: PE_O007
New Edit Master: PE_T007
Institutional CPID: 6090
Current Edit Master: HE9O007
New Edit Master: HE9T007
Industry Standard Payer ID: LNC01

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.

9/9/2026

New electronic claims connections available

Optum has new electronic claims connections available:

Payer Name: Evernorth Care Solutions
Payer ID: 62350
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: National
Par Status: Transitional

Action Required:

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

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

9/9/2026

New Payer Name

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

Previous Payer Name: Trillium Health Resources
New Payer Name: Trillium Health Resources Medicaid Direct State
Professional CPID: 6284
Institutional CPID: 5658
Industry Standard Payer ID: 56089

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

9/9/2026

New Payer Name

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

Previous Payer Name: Trillium Health Resources
New Payer Name: Trillium Health Resources Medicaid Direct State
Professional CPID: 6284
Professional Edit Master: PE_E049
Institutional CPID: 5658
Institutional Edit Master: HE9E049
Current Industry Standard Payer ID: 56089
Remit Line of Business (LOB) Code: U7W

Action Required: 

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

9/9/2026

New Electronic Claims Connections Available

Optum has new electronic claims connections available:

Payer Name: Evernorth Care Solutions
Institutional CPID: 7945
Professional CPID: 2789
Industry Standard Payer ID: 62350
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: National
Claims Fee: N/A
Par Status: Transitional

Action Required:

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

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

9/9/2026

Report Generation Delay for CPID 2490 Wellmark Blue Cross Blue Shield of South Dakota

A payer intermediary is experiencing issues affecting Professional report generation for some claims submitted from Aug. 28, 2026 through Aug. 31, 2026.

Payer impacted:

CPID 2490 Wellmark Blue Cross Blue Shield of South Dakota

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 10953207.

9/9/2026

New Payer Edit for CPID 4551

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 September 16, 2026:

INTE02A041: INVALID CLAIM NOTE TEXT - When entered, the Claim Note Text must only contain alphanumeric characters and spaces. Note: If this requirement does not apply to your billing situation, you can override the edit within the Error Text. LOOP 2300 NTE02

Edit applies to:

CPID 4551 1199SEIU Family of Funds

Action Required: Please be aware of updated edit requirements.

9/9/2026

Update: Report Generation Delay for CPID 6405 Cigna Health Plans

Update: The payer intermediary 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. 3, 2026:
A payer intermediary is experiencing issues affecting Professional report generation for some claims submitted since Sept. 2, 2026.

Payer impacted:

CPID 6405 Cigna Health Plans

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

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

If you have any questions, please contact Customer Support and refer to Case Number 10945401.

9/9/2026

Report Generation Delay for CPID 6284 Trillium Health Resources

A payer intermediary is experiencing issues affecting Professional report generation for some claims submitted on Sept. 2, 2026.

Payer impacted:

CPID 6284 Trillium Health Resources

The payer intermediary has been unable to generate and deliver the reports for some claims submitted Sept. 2, 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 10953658.

9/9/2026

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:

11752 – ClaimsBridge High Performance Network
FLCPC – Florida Complete Care

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.

9/9/2026

Report Generation Delay for CPID 4445 Insurance Management Services Texas

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

Payer impacted:

CPID 4445 Insurance Management Services Texas

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

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

If you have any questions, please contact Customer Support and refer to Case Number 10952790.

9/9/2026

Report Generation Delay for CPIDs 8047 and 9765 Central Valley Medical Providers

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

Payer impacted:

CPID 8047 Central Valley Medical Providers
CPID 9765 Central Valley Medical Providers

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 10951572.

9/9/2026

UHSM "Member Not Found" Rejection Correction and Required Resubmissions

Some claims submitted to UHSM (Unite Health Share Ministries) and processed between May 1 and September 4 may have incorrectly received a "Member Not Found" rejection.

The underlying issue has been addressed, and claims should now process as expected.

Payer Name: UHSM - Unite Health Share Ministries

Payer ID: WESHR
Professional CPID: 3857
Institutional CPID: 9077

Payer ID: UHSM1
Professional CPID: 3450
Institutional CPID: 9001

Action Required: Please identify and resubmit any claims that received a "Member Not Found" rejection in error during the impacted period.

If you have any questions, feel free to contact your Customer Support Team and refer to INC-000005525.

We apologize for any inconvenience and appreciate your patience while this issue was being resolved.

9/9/2026

Electronic Reactivation and Routing Change for CPIDs 6137, 4620 West Suburban Health Providers

Effective September 10, 2026, Optum will reactivate and change electronic claims routing for the following payer:

Payer Name: West Suburban Health Providers
Professional CPID: 6137
Institutional CPID: 4620
Industry Standard Payer ID: 80942
Payer Claim Enrollment Required: No
Secondary Claims Accepted: Yes
Claim Par Status: Non Par
Claim Fee: $0.10

Enrollment Requirements:

Claims:

Payer enrollment for electronic claims is not required.

Report Changes:

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

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

Make any necessary system changes.

9/9/2026

Report Generation Delay for multiple CPIDs

A payer intermediary is experiencing issues affecting Professional report generation for some claims submitted Aug. 28-31, 2026.

Payer impacted:

CPID 1404 Wellmark Blue Cross Blue Shield of Iowa
CPID 6733 Wellmark Blue Cross Blue Shield of Iowa Crossover

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

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

If you have any questions, please contact Customer Support and refer to Case Number 10952861.

9/9/2026

Eligibility termination for payer ID 38308 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: Christian Brothers Services
Payer ID: 38308

Reason: Payer no longer offers an electronic connection

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.

9/9/2026

Update: Report Generation Delay for CPID 1733 Doctors Professional

Update: The payer intermediary has been unable to generate and deliver the reports for some claims submitted Aug. 3-5, 2026.

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

Original notice sent Aug. 13, 2026:
A payer intermediary is experiencing issues affecting Professional report generation for some claims submitted since Aug. 3, 2026.

Payer impacted:

CPID 1733 Doctors Professional Services Consultants (DPSC)

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

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

If you have any questions, please contact Customer Support and refer to Case Number 10419136.

9/9/2026

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

Update: The payer has been unable to generate and deliver the reports for some claims submitted Aug. 13-17, 2026.

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

Original notice sent Aug. 14, 2026:
The payer listed below is experiencing issues affecting Professional report generation for some claims submitted since Aug. 3, 2026.

Payer impacted:

CPID 2460 First Managed Care Options, Inc.

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

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

If you have any questions, please contact Customer Support and refer to Case Number 10421314.

9/8/2026

Electronic Reactivation and Routing Change for CPIDs 6137, 4620 West Suburban Health Providers

Effective September 10, 2026, Optum will reactivate and change electronic claims routing for the following payer:

Payer Name: West Suburban Health Providers
Professional CPID: 6137
Current Edit Master: PE_E049
New Edit Master: PE_B800
Institutional CPID: 4620
Current Edit Master: HE9E049
New Edit Master: HE9B801
Industry Standard Payer ID: 80942
Payer Claim Enrollment Required: No
Secondary Claims Accepted: Yes
Claim Par Status: Non Par

Enrollment Requirements:
Claims:

Payer enrollment for electronic claims is not required.

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

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

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

9/8/2026

Report Generation Delay for CPIDs 2081 and 8226 Community Care IPA

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

Payer impacted:

CPID 2081 Community Care IPA
CPID 8226 Community Care IPA

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 10951690.

9/8/2026

Lincoln Heritage Life Insurance Company Electronic Eligibility Connection No Longer Available

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

Payer Name:  Lincoln Heritage Life Insurance Company
IMN Real Time ID: LCNHG
Exchange Real Time ID: LCNHG
Optum iEDI Real Time ID: 10749
Connection Type: X12

Reason: Payer no longer offers an electronic connection.

Action Required: None.

9/8/2026

Report Generation Delay for CPID 4680 Optimum HealthCare Services

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

Payer impacted:

CPID 4680 Optimum HealthCare Services

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 10951050.

9/8/2026

Report Generation Delay for CPID 2859 Ascension Living HOPE PACE

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

Payer impacted:

CPID 2859 Ascension Living HOPE 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 10950890.

9/8/2026

Electronic Routing Change for CPIDs 8729 and 4005 Golden Physicians Medical Group

Effective September 8, 2026, Optum will change electronic claims routing for the following payer:

Payer Name: Golden Physicians Medical Group
Professional CPID: 8729
Institutional CPID: 4005
Industry Standard Payer ID: MPM43
Payer Claim Enrollment Required: No
Secondary Claims Accepted: No
Claim Par Status: Non Par
Claim Fee: $0.10

Enrollment Requirements:

Claims:

Payer enrollment for electronic claims is not required.

Report Changes:

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

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

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

9/8/2026

Electronic Routing Change for CPIDs 8729 and 4005 Golden Physicians Medical Group

Effective September 8, 2026, Optum will change electronic claims routing for the following payer:

Payer Name: Golden Physicians Medical Group
Professional CPID: 8729
Edit Master: PE_T007
Institutional CPID: 4005
Edit Master: HE9T007
Industry Standard Payer ID: MPM43
Payer Claim Enrollment Required: No
Secondary Claims Accepted: No
Claim Par Status: Non Par

Enrollment Requirements:

Claims:

Payer enrollment for electronic claims is not required.

Report Changes:

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

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

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

9/8/2026

Report Generation Delay for CPID 8073 Longevity Health Plan of Colorado

A payer intermediary is experiencing issues affecting Institutional report generation for some claims submitted Aug. 25, 2026.

Payer impacted:

CPID 8073 Longevity Health Plan of Colorado

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 10950858.

9/8/2026

Report Generation Delay for CPIDs 3506 and 4423 Medical Mutual of Ohio

A payer intermediary is experiencing issues affecting Institutional and Professional report generation for some claims submitted since Aug. 25, 2026.

Payer impacted:

CPID 3506 Medical Mutual of Ohio
CPID 4423 Medical Mutual of Ohio

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

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

If you have any questions, please contact Customer Support and refer to Case Number 10950793.

9/8/2026

Report Generation Delay for CPID 6671 HealthSun

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

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

Payer impacted:

CPID 6671 HealthSun

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

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

If you have any questions, please contact Customer Support and refer to Case Number 10950695.

9/8/2026

Report Generation Delay for CPID 6405 Cigna Health Plans

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

Payer impacted:

CPID 6405 Cigna Health Plans

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

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

If you have any questions, please contact Customer Support and refer to Case Number 10945401.

9/4/2026

New Electronic Claims Connections Available

Optum has new electronic claims connections available:

Payer Name: Mishe Health
Payer ID: MISHE
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: National
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.

9/4/2026

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 payer:

93658 – Alliance Coal Health Plan

CB159 – Advisory Health Administrators

CVM02 – Central Valley Medical Providers

EPF03 – El Paso First Health Plans CHIP

VTRIQ – Vetriq

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.

9/4/2026

Electronic Routing Change for CPIDs 2061 and 8196 Devoted Health

Effective September 2, 2026, Optum will change electronic remittance routing for the following payer:

Payer Name: Devoted Health
Professional CPID: 8196
Institutional CPID: 2061
Industry Standard Payer ID: DEVOT
Payer Remittance Enrollment Required: Yes
Remittance Par Status: Transitional
Remittance Fee: N/A

Enrollment Requirements:

Remittance:

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

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

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

9/4/2026

Edit Master changes for CPIDs 7123 Physician Health Network and 9143 Physician Healthcare Integration IPA

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

Payer Name: Physician Health Network
Professional CPID: 7123
Current Edit Master: PE_O007
New Edit Master: PE_T007
Industry Standard Payer ID: MHCM2

Payer Name: Physician Healthcare Integration IPA
Professional CPID: 9143
Current Edit Master: PE_O007
New Edit Master: PE_T007
Industry Standard Payer ID: POP10

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

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

9/4/2026

Univera New Real-Time Claim Status 276/ 277 Connection Available

Optum is pleased to announce the availability of Real-time Claim Status Inquiry and Response 276/277 for the below payer, effective September 2, 2026:

Payer Name:  Univera
Industry Payer ID:  UNINW
IMN Real Time ID:  SX086
Exchange Real Time ID:  UNIVNY
Optum IEDI Real Time ID:  10535
Payer Enrollment Required:  No
Connection Type: X12

Search Options:
Claim Status Inquiry Subscriber

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

Claim Status Inquiry Dependent

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

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.

9/4/2026

Report Generation Delay for CPID 6405 Cigna Health Plans

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

Payer impacted:

CPID 6405 Cigna Health Plans

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

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

If you have any questions, please contact Customer Support and refer to Case Number 10945401.

9/4/2026

Delay in Electronic Remittance Advice (ERA) for North American Medical Management - Northern California

Due to a payer processing issue, there has been a delay in Professional and Institutional Electronic Remittance Advice (ERA) for the following payers for check dates of July 25, 2026-present:

CPID 1782, North American Medical Management - Northern California
CPID 2931, North American Medical Management - Northern California

Additional updates will be forwarded as more information becomes available.

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

If you have any questions, feel free to contact your Customer Support Team and refer to Case Number INC-000005423.

9/4/2026

New Electronic Claims Connections Available

Optum has new electronic claims connections available:

Payer Name: Mishe Health
Professional CPID: 2255
Institutional CPID: 2501
Industry Standard Payer ID: MISHE
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: National
Claims Fee: N/A
Par Status: Non Par

Action Required:

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

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

9/4/2026

Resolved: Issue with 275 Attachment Transaction Processing

Resolved: UnitedHealthcare recently identified and resolved an issue that impacted the processing of a subset of EDI 275 attachment transactions submitted August 27-September 3, 2026.

Following successful testing, the corrective update is scheduled for deployment tonight, September 3, 2026.

For EDI 275 attachments submitted August 27-September 3 that received the rejection message, “Claim 5-day hold period expired, released downstream without attachment,” no further action is required, as the timeframe to associate the attachment with the claim has expired.

For attachments submitted on or after September 1 that received the rejection message, “Other,” please resubmit the attachment for processing.

We appreciate your patience and understanding and thank you for your continued partnership as we worked to resolve this issue.

Original notice sent August 27, 2026

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

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

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

Payers affected are:

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

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

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

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

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

9/3/2026

Update: Report Generation Delay for CPID 5676 Alliance Behavioral Healthcare

Update: The payer intermediary has been unable to generate and deliver the reports for some claims submitted Aug. 24, 2026 and Aug. 25, 2026.

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

Original notice sent Sept. 2, 2026:
A payer intermediary is experiencing issues affecting Institutional report generation for some claims submitted since Aug. 24, 2026.

Payer impacted:

CPID 5676 Alliance Behavioral Healthcare

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 10942300.

9/3/2026

Electronic Claims Connection Suspended

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

Payer Name: Silver Star PACE
Payer ID: 97691
Reason: Payer unavailable electronically.

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

9/2/2026

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

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

Payer impacted:

CPID 7403 Blue Cross Blue Shield of New Mexico

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

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

If you have any questions, please contact Customer Support and refer to Case Number 10942724.

9/2/2026

Report Generation Delay for CPID 2766 MDwise Medicare Advantage

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

Payer impacted:

CPID 2766 MDwise Medicare Advantage

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

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

If you have any questions, please contact Customer Support and refer to Case Number 10942312.

9/2/2026

Report Generation Delay for CPID 5676 Alliance Behavioral Healthcare

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

Payer impacted:

CPID 5676 Alliance Behavioral Healthcare

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 10942300.

9/2/2026

Fee Change for Claim Payers

The claim fee will change for the following payers:

APS Healthcare
Exchange CPIDs: 7638, 6857
Current Fee: $0.10
New Fee: $0.00
Effective Date: 9/1/2026

Blue Ridge Independence at Home PACE
Exchange CPIDs: 1906, 2152
Current Fee: $0.00
New Fee: $0.10
Effective Date: 10/1/2026

Complete Senior Care
Exchange CPIDs: 1596, 1433
Current Fee: $0.00
New Fee: $0.10
Effective Date: 10/1/2026

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

9/2/2026

PAR Status Changes for Real Time Payers

Effective October 1, 2026, the PAR Status will change for the following real time payer:

Payer Name: HIP of New York
IMN ID: HIPNY
iEDI ID: 10406
Transaction: Eligibility
New PAR Status: Non Par

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

9/2/2026

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: PHCS Multiplan - Group Resources
CPIDs: 2053 8192
Industry Standard Payer ID: 28680
Reason: Payer unavailable electronically.

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

9/2/2026

Electronic Eligibility Connection Suspended

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

Payer Name: State Mutual Med Supp
Industry Standard Payer ID: 10750
IMN Real Time ID: 10750
Exchange Real Time ID: STMMS
Optum IEDI Real Time ID: 10750

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

9/2/2026

Payer Change for Suspended CPIDs 8701, 3072 Hollywood Presbyterian Medical Center - San Judas IPA

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

Payer Name: Hollywood Presbyterian Medical Center - San Judas IPA
Professional CPID: 8701
Institutional CPID: 3072
Remittance Available: No
Industry Standard Payer ID: 73331

CPIDs 8701 and 3072 Hollywood Presbyterian Medical Center - San Judas IPA will be terminated effective immediately.

Providers should transition to the following payer for electronic claims:

Payer Name: Hollywood Presbyterian San Judas
Professional CPID: 3441
Institutional CPID: 8989
Remittance Available: No
Industry Standard Payer ID: MPM49
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.

Original notification sent September 1, 2026:

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

Payer Name: Hollywood Presbyterian Medical Center - San Judas IPA
CPID(s): 3072, 8701
Industry Standard Payer ID: 73331
Reason: Payer unavailable electronically.

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

9/2/2026

Payer Change for CPIDs 7618, 6840 United Care Medical Group

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

Payer Name: United Care Medical Group
Professional CPID: 6840
Institutional CPID: 7618
Remittance Available: No
Industry Standard Payer ID: ADCUC

CPIDs 7618, 6840 United Care Medical Group will be terminated effective September 2, 2026.

Claims sent on or after September 2, 2026, must begin using the following:

Payer Name: Prospect Medical Systems
Professional CPID: 3287
Institutional CPID: 8684
Remittance Available: Yes
Industry Standard Payer ID: PROSP
Claim Par Status: Non Par
Claim Fee: N/A
Remittance Par Status: Non Par
Remittance Fee: N/A

Enrollment Requirements:
Claims:

Payer enrollment for electronic claims is not required.

Remittance:

Payer enrollment for electronic remittance is required.
- Providers currently receiving electronic remittance through Optum for CPIDs 3287, 8684, Prospect Medical Systems do not need to complete a new enrollment form.
- Providers not receiving electronic remittance through Optum for CPIDs 3287, 8684, Prospect Medical Systems must complete a new enrollment form.
- New providers must complete a new enrollment form.

Action Required:

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

9/2/2026

Report Generation Delay for CPID 4714 Medigold HMO

A payer intermediary is experiencing issues affecting Professional report generation for some claims submitted since Aug. 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 10942436.

9/2/2026

Electronic Claims Connection Suspended

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

Payer Name: Leon Medical Center Health Plan
Payer ID: 37316
Reason: Payer unavailable electronically.

Payer Name: PHCS Multiplan - Group Resources
Payer ID: 28680
Reason: Payer unavailable electronically.

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

9/2/2026

Electronic Claims Connection Suspended

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

Payer Name: Leon Medical Center Health Plan
CPIDs: 2282 2924
Industry Standard Payer ID: 37316
Reason: Payer unavailable electronically.

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

9/2/2026

Par Status Change for Claims and Remittance Payers

The PAR Status changed/will change for the following claim and remittance payers:

American Health Resources
Exchange CPID: 7545, 1893
iEDI ID: AHR01
Transaction: Claims - Prof/Inst
New PAR Status: Transitional
Effective Date: Sept. 1, 2026

AmeriHealth Caritas North Carolina
Exchange CPID: 4083, 8859
iEDI ID: 81671
Transaction: Claims - Prof/Inst
New PAR Status: Par
Effective Date: Oct. 1, 2026

Aspirion MVA
Exchange CPID: 7670, 7113
iEDI ID: 46478
Transaction: Claims - Prof/Inst
New PAR Status: Par
Effective Date: Oct. 1, 2026

Aspirion MVA
Exchange CPID: 7670, 7113
iEDI ID: 46478
Transaction: Remittance - Prof/Inst
New PAR Status: Transitional
Effective Date: Oct. 1, 2026

Blue Ridge Independence at Home PACE
Exchange CPID: 1906, 2152
iEDI ID: R3464
Transaction: Claims - Prof/Inst
New PAR Status: Non Par
Effective Date: Oct. 1, 2026

CareCentrix
Exchange CPID: 7658, 5266
iEDI ID: 11345
Transaction: Claims - Prof/Inst
New PAR Status: Transitional
Effective Date: Oct. 1, 2026

CareCentrix Blue Cross Blue Shield of Michigan
Exchange CPID: 9469
iEDI ID: 11349
Transaction: Claims - Professional
New PAR Status: Transitional
Effective Date: Oct. 1, 2026

CareCentrix Fallon & Mass General Brigham
Exchange CPID: 1016, 7839
iEDI ID: 11346
Transaction: Claims - Prof/Inst
New PAR Status: Transitional
Effective Date: Oct. 1, 2026

Carecentrix Florida Blue
Exchange CPID: 4042, 8770
iEDI ID: 11347
Transaction: Claims - Prof/Inst
New PAR Status: Transitional
Effective Date: Oct. 1, 2026

Carecentrix Horizon
Exchange CPID: 1017, 7840
iEDI ID: 11348
Transaction: Claims - Prof/Inst
New PAR Status: Transitional
Effective Date: Oct. 1, 2026

CareCentrix Wellcare
Exchange CPID: 4016
iEDI ID: 11350
Transaction: Claims - Institutional
New PAR Status: Transitional
Effective Date: Oct. 1, 2026

Colonial Medical Eastern Caribbean
Exchange CPID: 4043, 8772
iEDI ID: 22287
Transaction: Claims - Institutional
New PAR Status: Gateway
Effective Date: Sept. 1, 2026

Complete Senior Care
Exchange CPID: 1596, 1433
iEDI ID: R3485
Transaction: Claims - Prof/Inst
New PAR Status: Non Par
Effective Date: Oct. 1, 2026

Continuum Health Solutions Worker Comp
Exchange CPID: 7013, 9295
iEDI ID: 59557
Transaction: Claims - Prof/Inst
New PAR Status: Par
Effective Date: Oct. 1, 2026

Denver Health Medical Plan, Inc
Exchange CPID: 3019, 8269
iEDI ID: 65456
Transaction: Claims - Prof/Inst
New PAR Status: Transitional
Effective Date: Oct. 1, 2026

Diversified Benefit Administrators
Exchange CPID: 3549, 1819
iEDI ID: DBA20
Transaction: Claims - Prof/Inst
New PAR Status: Transitional
Effective Date: Oct. 1, 2026

El Camino Health
Exchange CPID: 7020, 9404
iEDI ID: ELC01
Transaction: Claims - Prof/Inst
New PAR Status: Transitional
Effective Date: Sept. 1, 2026

ElderServe Health Inc.
Exchange CPID: 3085, 8779
iEDI ID: 05178
Transaction: Claims - Prof/Inst
New PAR Status: Par
Effective Date: Oct. 1, 2026

Empire Healthcare IPA
Exchange CPID: 8075, 2864
iEDI ID: EHI01
Transaction: Claims - Prof/Inst
New PAR Status: Transitional
Effective Date: Sept. 1, 2026

Employers Coalition On Health (ECOH)
Exchange CPID: 4277, 8994
iEDI ID: 27008
Transaction: Claims - Prof/Inst
New PAR Status: Par
Effective Date: Oct. 1, 2026

Firstcare STAR Medicaid MCO/Firstcare & Firstcare Advantage HMO
Exchange CPID: 1656, 5854
iEDI ID: 94998
Transaction: Claims - Prof/Inst
New PAR Status: Transitional
Effective Date: Sept. 1, 2026

FirstCarolinaCare
Exchange CPID: 4077, 8821
iEDI ID: FCC01
Transaction: Claims - Prof/Inst
New PAR Status: Transitional
Effective Date: Oct. 1, 2026

Forest County Potawatomi Insurance
Exchange CPID: 9674, 7727
iEDI ID: 25059
Transaction: Claims - Prof/Inst
New PAR Status: Transitional
Effective Date: Sept. 1, 2026

Gonzaba Medical Group
Exchange CPID: 3017, 8266
iEDI ID: GMGSA
Transaction: Claims - Prof/Inst
New PAR Status: Non Par
Effective Date: Oct. 1, 2026

Health Alliance Medical Plans of Illinois
Exchange CPID: 2509, 2494
iEDI ID: 77950
Transaction: Claims - Prof/Inst
New PAR Status: Transitional
Effective Date: Oct. 1, 2026

Health Claims Service
Exchange CPID: 3267
iEDI ID: 82018
Transaction: Claims - Professional
New PAR Status: Non Par
Effective Date: Oct. 1, 2026

Hennepin Health
Exchange CPID: 1566, 2787
iEDI ID: 60058
Transaction: Claims - Prof/Inst
New PAR Status: Par
Effective Date: Oct. 1, 2026

Hennepin Health
Exchange CPID: 1566, 2787
iEDI ID: 60058
Transaction: Remittance - Prof/Inst
New PAR Status: Transitional
Effective Date: Oct. 1, 2026

Highmark Blue Cross Blue Shield of Delaware Health Options
iEDI ID: 47181
Transaction: Claims - Professional
New PAR Status: Non Par
Effective Date: Oct. 1, 2026

Millette Administrators
Exchange CPID: 8078, 2869
iEDI ID: MAI60
Transaction: Claims - Prof/Inst
New PAR Status: Transitional
Effective Date: Sept. 1, 2026

Mississippi Physicians Care Network
Exchange CPID: 9639, 2179
iEDI ID: 64084
Transaction: Claims - Prof/Inst
New PAR Status: Par
Effective Date: Oct. 1, 2026

Pan-American Life Insurance Company
Exchange CPID: 7642, 6861
iEDI ID: 04218
Transaction: Claims - Prof/Inst
New PAR Status: Gateway
Effective Date: Oct. 1, 2026

PHP Network
Exchange CPID: 7508, 7747
iEDI ID: RP097
Transaction: Claims - Prof/Inst
New PAR Status: Gateway
Effective Date: Oct. 1, 2026

Primary Care Coalition
Exchange CPID: 6044, 9198
iEDI ID: PCCMC
Transaction: Claims - Prof/Inst
New PAR Status: Transitional
Effective Date: Oct. 1, 2026

Provider Partners Health Plans of Texas
Exchange CPID: 7023, 9407
iEDI ID: 31405
Transaction: Claims - Prof/Inst
New PAR Status: Transitional
Effective Date: Oct. 1, 2026

Summit Administration Services
Exchange CPID: 9524, 1114
iEDI ID: 86083
Transaction: Claims - Prof/Inst
New PAR Status: Transitional
Effective Date: Oct. 1, 2026

Sutter Connect - Santa Rosa
Exchange CPID: 4701
iEDI ID: 77304
Transaction: Claims - Professional
New PAR Status: Transitional
Effective Date: Oct. 1, 2026

Trillium Health Resources
Exchange CPID: 5658, 6284
iEDI ID: 56089
Transaction: Claims - Prof/Inst
New PAR Status: Par
Effective Date: Oct. 1, 2026

Trillium Health Resources
Exchange CPID: 5658, 6284
iEDI ID: 56089
Transaction: Remittance - Prof/Inst
New PAR Status: Transitional
Effective Date: Oct. 1, 2026

UCS CAM Administrative Services, Inc
Exchange CPID: 3033
iEDI ID: 63985
Transaction: Claims - Institutional
New PAR Status: Transitional
Effective Date: Oct. 1, 2026

Unified Group Services
Exchange CPID: 4542, 3838
iEDI ID: 35198
Transaction: Claims - Prof/Inst
New PAR Status: Gateway
Effective Date: Oct. 1, 2026

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

9/2/2026

Payer Change for United Care Medical Group

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

Payer Name: United Care Medical Group
Remittance Available: No
Payer ID: ADCUC

Payer ID ADCUC United Care Medical Group will be terminated effective October 1, 2026.

Claims sent on or after October 1, 2026, must begin using the following:

Payer Name: Prospect Medical Systems
Remittance Available: Yes
Payer ID: PROSP
Claim Par Status: Non Par
Remittance Par Status: Non Par

Enrollment Requirements:
Claims:

Payer enrollment for electronic claims is not required.

Remittance:

Payer enrollment for electronic remittance is required.
- Providers currently receiving electronic remittance through Optum for Prospect Medical Systems do not need to complete a new enrollment form.
- Providers not receiving electronic remittance through Optum for Prospect Medical Systems must complete a new enrollment form.
- New providers must complete a new enrollment form.

Action Required:

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

9/1/2026

Electronic Routing Change for CPIDs 3878 and 4931 Automated Group Administration

Optum is changing electronic claims routing for the below payer. We are currently working with the payer to establish the new route. Effective September 1, 2026, Optum will temporarily hold claims for this payer until the new route is in place. Once the route is established, all held claims will be released for processing. Please watch for future notifications regarding the status of this transition.

Payer Name: Automated Group Administration
Professional CPID: 3878
Current Edit Master: PE_E049
New Edit Master: PE_T007
Institutional CPID: 4931
Current Edit Master: HE9E049
New Edit Master: HE9T007
Industry Standard Payer ID: 37280
Payer Claim Enrollment Required: No
Professional Secondary Claims Accepted: Yes
Institutional Secondary Claims Accepted: No
Claim Par Status: Par

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 and watch for future notifications:

Revalidate unreleased claims to edit correctly under new edit master which will be available with the September 2, 2026 edit release.
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.

9/1/2026

Payer Name: Automated Group Administration
Professional CPID: 3878
Institutional CPID: 4931
Industry Standard Payer ID: 37280
Payer Claim Enrollment Required: No
Professional Secondary Claims Accepted: Yes
Institutional Secondary Claims Accepted: No
Claim Par Status: Par
Claim Fee: N/A

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 and watch for future notfications:

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

9/1/2026

Payer Change for Suspended CPIDs 8701, 3072 Hollywood Presbyterian Medical Center - San Judas IPA

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

Payer Name: Hollywood Presbyterian Medical Center - San Judas IPA
Professional CPID: 8701
Professional Edit Master: PE_T007
Institutional CPID: 3072
Institutional Edit Master: HE9T007
Industry Standard Payer ID: 73331

CPIDs 8701 and 3072 Hollywood Presbyterian Medical Center - San Judas IPA will be terminated effective immediately.

Providers should transition to the following payer for electronic claims:

Payer Name: Hollywood Presbyterian San Judas
Professional CPID: 3441
Professional Edit Master: PE_T007
Institutional CPID: 8989
Institutional Edit Master: HE9T007
Industry Standard Payer ID: MPM49
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:

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.

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

Payer Name: Hollywood Presbyterian Medical Center - San Judas IPA
CPID(s): 3072, 8701
Industry Standard Payer ID: 73331
Reason: Payer unavailable electronically.

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

9/1/2026

Update: Claim Processing Delay Resolved

Update: This issue is resolved. Delayed claims for these payers were delivered August 31, 2026.

Original notice sent Aug. 31, 2026
Due to an internal processing issue, there is a delay affecting Professional and Institutional claims submissions for the following payers August 27-present:

Payers affected:

Payer Name: Coastal Care
CPIDs: 2091, 7841
Payer ID: 47394

Payer Name: Evolutions Healthcare Systems
CPIDs: 3956, 4438
Payer ID: 59313

Payer Name: JVHL (Joint Venture Hospital Laboratories) (Multiple payer IDs and CPIDs)
Payer ID: J8
CPIDs: 4995, 2759

Payer ID: M5
CPIDs: 8683, 7270

Payer ID: J1
CPIDs: 4978, 2760

Payer ID: MD
CPIDs: 4596, 1256

Payer ID: KC
CPIDs: 8942, 5273

Payer ID: JJ
CPIDs: 4981, 2277

Payer ID: MJ
CPIDs: 2030, 8166

Payer ID: J9
CPIDs: 4980, 2732

Payer ID: JQ
CPIDs: 4982, 4268

Payer ID: KP
CPIDs: 4587, 1255

Payer ID: KQ
CPIDs: 4648, 6170

Payer ID: KD
CPIDs: 3653, 5858

Payer ID: JW
CPIDs: 4991, 4261

Payer ID: MB
CPIDs: 7538, 7755

Payer ID: JB
CPIDs: 4992, 2764

Payer ID: MT
CPIDs: 7908, 2709

Payer ID: JG
CPIDs: 4988, 2769

Payer ID: JH
CPIDs: 4989, 5270

Payer ID: KV
CPIDs: 6629, 6730

Payer ID: K7
CPIDs: 5929, 4795

Payer ID: J2
CPIDs: 4990, 3213

Payer ID: MN
CPIDs: 4071, 8815

Payer ID: MQ
CPIDs: 7909, 2710

Payer ID: JZ
CPIDs: 4998, 4260

Payer ID: MP
CPIDs: 8058, 9776

Payer ID: MK
CPIDs: 4033, 8761

Payer ID: KR
CPIDs: 4746, 6169

Payer ID: J5
CPIDs: 4996, 3215

Payer ID: JR
CPIDs: 4897, 3216

Payer ID: MS
CPIDs: 8056, 9772

Payer ID: MM
CPIDs: 4032, 8760

If you have any questions, feel free to contact your Customer Support Team and refer to Case Number INC-000005491.

9/1/2026

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

Update: The payer intermediary has been unable to generate and deliver the reports for some claims submitted Aug. 19, 2026-Aug. 25, 2026.

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

Original notice sent Aug. 28, 2026:
A payer intermediary is experiencing issues affecting Professional and Institutional report generation for some claims submitted since Aug. 19, 2026.

Payer impacted:

CPID 2296 MetroPlus Health Plan
CPID 8972 MetroPlus Health Plan

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

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

If you have any questions, please contact Customer Support and refer to Case Number 10933529.

9/1/2026

Update: Report Generation Delay for CPID 6695 Center for Elders Independence

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

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

Original notice sent Aug. 28, 2026:
A payer is experiencing issues affecting Institutional report generation for some claims submitted on Aug. 8, 2026.

Payer impacted:

CPID 6695 Center for Elders Independence

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

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

If you have any questions, please contact Customer Support and refer to Case Number 10935222.

9/1/2026

Payer Change for CPIDs 7618, 6840 United Care Medical Group

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

Payer Name: United Care Medical Group
Professional CPID: 6840
Professional Edit Master: PE_T007
Institutional CPID: 7618
Institutional Edit Master: HE9T007
Industry Standard Payer ID: ADCUC
Line of Business Code (LOB): N/A

CPIDs 7618, 6840 United Care Medical Group will be terminated effective September 2, 2026.

Claims sent on or after September 2, 2026, must begin using the following:

Payer Name: Prospect Medical Systems
Professional CPID: 3287
Professional Edit Master: PE_T007
Institutional CPID: 8684
Institutional Edit Master: HE9T007
Industry Standard Payer ID: PROSP
Line of Business Code (LOB): J1W
Claim Par Status: Non Par
Remittance Par Status: Non Par
Remittance Fee: N/A

Enrollment Requirements:
Claims:

Payer enrollment for electronic claims is not required.

Remittance:

Payer enrollment for electronic remittance is required.
- Providers currently receiving electronic remittance through Optum for CPIDs 3287, 8684, Prospect Medical Systems do not need to complete a new enrollment form.
- Providers not receiving electronic remittance through Optum for CPIDs 3287, 8684, Prospect Medical Systems must complete a new enrollment form.
- New providers must complete a new enrollment form.

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

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

9/1/2026

Electronic Claims Connection Suspended

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

Payer Name: Hollywood Presbyterian Medical Center - San Judas IPA
Payer ID: 73331

Reason: Payer unavailable electronically.

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

9/1/2026

New Electronic Claims Connections Available

Optum has new electronic claims connections available:

Payer Name: LaSalle Health Plan
Payer ID: LHP01
Payer Enrollment Required: No
Secondary Claims Accepted: Yes
Payer Location: California
Par Status: Par

Action Required: 

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

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

9/1/2026

Report Generation Delay for CPID 6405 Cigna Health Plans

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

Payer impacted:

CPID 6405 Cigna Health Plans

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

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

If you have any questions, please contact Customer Support and refer to Case Number 10938118.

9/1/2026

Report Generation Delay for CPIDs 7056 and 9438 Shared Health Mississippi

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

Payer impacted:

CPID 7056 Shared Health Mississippi
CPID 9438 Shared Health Mississippi

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

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

If you have any questions, please contact Customer Support and refer to Case Number 10940013.

9/1/2026

Christian Brothers Services Electronic Eligibility Connection No Longer Available

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

Payer Name: Christian Brothers Services
Industry Payer ID: 38308
IMN Real Time ID: 38308
Exchange Real Time ID: CBSER
CPIDs:  4674, 6202
Optum iEDI Real Time ID: 38308
Connection Type: X12

Reason: Payer no longer offers an electronic connection.  

Action Required: None

9/1/2026

Optum Alert: Update: Issue with 275 Attachment Transaction Processing for Select UnitedHealthcare Payer IDs

Update: UnitedHealthcare has advised that the earlier-reported processing issue is affecting a subset of 275 attachments submitted. The technical teams have identified the root cause and are actively validating a corrective fix prior to deployment.

Action Required: Providers and Submitters should not proactively resubmit impacted transactions at this time. Because delayed attachments cannot be reliably matched back into claims that have already progressed through adjudication workflows, resubmission is not currently recommended. Providers should instead continue to monitor claim activity and be prepared to submit documentation through the Payer's standard documentation request process if additional records are requested during claim review.

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

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

Original notice sent August 27, 2026:

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

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

Payer IDs:

CPID 3429 UnitedHealthcare
• CPID 3550 UnitedHealthcare
• CPID 3432 UnitedHealthcare Community Plan / Arizona
• CPID 1585 UnitedHealthcare Community Plan / Arizona
• CPID 6283 UnitedHealthcare Community Plan of Kansas
• CPID 5646 UnitedHealthcare Community Plan of Kansas
• CPID 1886 UnitedHealthcare Community Plan of Michigan
• CPID 8577 UnitedHealthcare Community Plan of Michigan
• CPID 1227 UnitedHealthcare Community Plan of Missouri
• CPID 4527 UnitedHealthcare Community Plan of Missouri
• CPID 2806 UnitedHealthcare Community Plan of New Jersey Medicaid
• CPID 7510 UnitedHealthcare Community Plan of New Jersey Medicaid
• CPID 6442 UnitedHealthcare Community Plan of Tennessee
• CPID 4523 UnitedHealthcare Community Plan of Tennessee
• CPID 6485 UnitedHealthcare / Oxford Health Plans
• CPID 6549 UnitedHealthcare / Oxford Health Plans
• CPID 2690 UnitedHealthcare New Mexico Medicaid
• CPID 1856 UnitedHealthcare New Mexico Medicaid

UnitedHealthcare Action

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

Submitter Action

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

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

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

9/1/2026

Electronic Routing Change for CPIDs 3773, 2538 Community Health Choice and CPIDs 6791, 6687 Community Health Choice – HIM

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

Payer Name: Community Health Choice
Professional CPID: 3773
Institutional CPID: 2538
Industry Standard Payer ID: 48145
Payer Claim Enrollment Required: No
Secondary Claims Accepted: Yes
Claim Par Status: Transitional
Claim Fee: N/A

Payer Name: Community Health Choice - HIM
Professional CPID: 6791
Institutional CPID: 6687
Industry Standard Payer ID: 60495
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.

9/1/2026

PAR Status Change for Claim/ERA Payers

The PAR Status will change for the following claim and remittance payers:

9/1/2026

Electronic Claims Connection Suspended

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

Payer Name: Hollywood Presbyterian Medical Center - San Judas IPA
CPID(s): 3072, 8701
Industry Standard Payer ID: 73331
Reason: Payer unavailable electronically.

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

9/1/2026

Older Payer Updates

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

GET OLDER UPDATES

Payer Updates (September 2026)

September 2026

September Payer Processing Issues

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