Advancing DME benefits management

FEMALE VOICEOVER: You want what's best for your members, and so do we. We believe in a holistic, member-centric approach to durable medical equipment benefits management. Our comprehensive DME Navigator solution integrates all steps into an end-to-end digital experience. The goal? Getting the right medical equipment, for the right patient, at the right time, driving consistent cost savings for you and your members. Let's say your member needs a standard wheelchair after surgery. With DME Navigator, we make ordering equipment a seamless experience. The clinician only needs to go to one place to easily complete and track an order. She doesn't have to leave her clinical workflow because it's EHR integrated, enabling our digital ordering system to seamlessly conduct an eligibility verification for your member. Our platform intuitively presents DME equipment and supply options from our extensive network of high quality, cost efficient suppliers across the nation. If the selected equipment requires prior authorization, the health plan's clinical coverage criteria is presented electronically, in a user-friendly, question answer format. Once complete, the status of the prior authorization request is delivered in real time. This provides transparency at the point of care, so the clinician is confident that the right wheelchair is ordered for your member's specific need. Once the wheelchair is ordered, the work continues behind the scenes. The vast majority of documentation and data is already collected and shared, reducing the back and forth between clinicians and suppliers, meaning faster fulfillment and on time delivery. The member is able to track their order, chat with the supplier, and receive delivery confirmation, communication that is visible to the entire care team. This helps get the wheelchair to the member with reliable on time delivery, resulting in fewer discharge delays and happier members. Finally, when it's time for network suppliers to submit claims, we are there to ensure it goes smoothly. By combining advanced claims editing technology with a robust DME content suite and upstream data feeds, DME Navigator performs automated claims reviews in real time. It does this by verifying accurate billing, catching errors and inconsistencies between what was billed and what was authorized, enforcing coverage requirements, and identifying waste and abuse. Once a claim has been verified, Optum will price the claim using pre-negotiated competitive rates, to drive consistent cost savings for you and your members. Modernize your DME benefits management offering with us so, together, we can revolutionize the healthcare experience and get your members the equipment they need, when they need it. Learn more today.