COMPLETE REMITTANCE AND REIMBURSEMENT SOLUTION

OptumHealth Electronic Payments and Statements are part of a complete remittance and reimbursement solution designed to eliminate costly manual and paper-based processes. Both print and electronic transactions can be managed from a single data file, providing efficient support for today’s paper-based providers while seamlessly migrating to more effective electronic processing.

VALUE

• Achieve administrative savings and operational efficiencies
• Eliminate costly manual and paper-based processes
• Seamlessly migrate from paper to electronic processes

LARGE ENROLLED PROVIDER BASE

More than 333,000 health care professionals, more than 50,000 provider groups, are enrolled today across all 50 states. Nearly $2 billion in electronic fund transfers and 8–10 million electronic remittance advices are processed monthly. Payers can quickly activate many of their high volume providers and achieve meaningful cost savings. OptumHealth Financial Services can assess your provider network today to confirm the number of active provider enrollees and quantify immediate savings potential. For most payers, 20–40 percent of claims originate from provider groups already enrolled in the Electronic Payments and Statements Network. These claims are immediately eligible for electronic processing.

EFFECTIVE PROVIDER ENROLLMENT CAMPAIGNS

Electronic Payments and Statements feature integrated enrollment campaigns that motivate paper-based providers to shift to more cost-effective electronic solutions. OptumHealth Financial Services communicates program benefits to providers, captures provider transaction preferences, and encourages providers to adopt the Electronic Payments and Statements solution. Thousands of new provider Taxpayer Identification Numbers (TINs) are enrolled monthly.