How accurate and complete are your submissions?
Your organization’s data, resources and needs are unique. Optum takes a customized approach to its Submission Services. We combine consultative services and technology to provide you transparency and workflow tools via a self-service portal.
It’s what sets us apart from vendors that take a one-size-fits-all approach. We can work with you and your unique data needs. We will intake, transform and submit your data to the Centers for Medicare and Medicaid Services (CMS), the Department of Health and Human Services (HHS) and State Managed Medicaid for your submission needs.
We can tailor it to meet your needs and match your data. Optum submissions platform offers:
- A self-service, interactive portal where you can view and track submissions by claim DOS and file — also facilitates client-driven error correction
- An easy-to-use dashboard provides summary and detail reporting
- The ability to see data error details such as value assessment of risk-adjustable services with new and unique diagnosis codes
Key benefits
Analytics
We can detect errors prior to submission using pre-filtering logic.
Accuracy
We submit encounter data to CMS with consistent acceptance rate over 99% and over 99% consistent acceptance rate for HHS EDGE server data.
Speed and scale
We submit data to CMS multiple times per day, within same day of receipt and we can accommodate all file sizes, no matter how big or small.
Convenience
Our self-service portal enables you to view and track submissions by claim DOS and file. Clients can drive error correction via the portal.
Support
Consultative client support team to assist with maximizing submission data accuracy, throughput and acceptance
Industry insights
Report
Optum named a leader in Everest Group’s Revenue Cycle Management (RCM) Platforms PEAK Matrix® Assessment for 2026.
Report
We're proud to be recognized as the Frost Radar™ Revenue Cycle Management Operations 2025 growth and innovation leader.
On-demand webinar
Hear from Optum experts on how hospitals can successfully manage cost and quality across 5 episodes of care under the new CMS model, TEAM.
Product information and resources
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Infographic
Submission services: Encounter data to CMS