Information for health care professionals
Provider claim reconsideration request forms
Use these forms for the Optum Care Network–Utah.
Managed Infertility Program Prior Authorization Form
Oxford providers may use this form to submit for infertility/fertility prior authorization.
Optum Care ACE Smart Edits
Learn more about the Advanced Communication Engine and the edits currently in place.
Claims provider manual
Our provider claims guide offers our network providers key information and support in submitting claims.
Provider claim reconsideration request form
Use these forms for the South Carolina market.
Provider claim reconsideration request forms
Use this form to challenge, appeal or request reconsideration of a claim.
Optum Care ACE quick reference guide
Get important details about the Advanced Communication System.
Sleep Testing Referral Form — Colorado
This form is for healthcare providers who want to refer a patient to the Optum Sleep Study. Referral options include overnight sleep studies, CPT, MSLT and more.
Provider claim reconsideration request form
Use this form to challenge, appeal or request reconsideration of a claim.
Online prior authorization submissions
View important benefits of submitting prior authorizations online using the prior authorization module (Curo)
Understanding 2026 Medicare Part D changes
These changes affect all Medicare Part D members regardless of insurance carrier. See how Optum Specialty Pharmacy can help you navigate these changes.
Optum-WA physician/provider change form
Please use this form to request demographic updates, remit address changes, or updates to your practice information.
Optum-OR physician/provider change form
Please use this form to request demographic updates, remit address changes, or updates to your practice information.
SNF list
Providers directing community SNF admissions should reference the Arizona contracted SNF list.
Provider claim reconsideration request form
Use this form to challenge, appeal or request reconsideration of a claim.
Provider Claim Reconsideration Request Form
Use this form to challenge, appeal or request reconsideration of a claim.
Provider claim reconsideration request form - CT
Challenge, appeal or request reconsideration of a claim.
Provider claim reconsideration request form
Use this form to challenge, appeal or request reconsideration of a claim.
Provider Claim Reconsideration Request Form
Challenge, appeal or request reconsideration of a claim.
Prior authorization requirements — California
View CPT/procedure codes requiring provider authorization before services for Medicare, Medi-Cal and Commercial.
Optum Care management intake form
To refer to Optum Care management, submit a completed intake form.
Optum Provider Change Form
lease use this form to request demographic updates, remit address changes, or updates to your practice information.
Fertility Solutions Provider Prior Authorization Form
UHC providers may use this form to submit for infertility/fertility prior authorization.
Provider claim reconsideration request form - APN
Challenge, appeal or request reconsideration of a claim.
Formulary Updates for Providers
Optum helps minimize patient disruption by providing guidance during formulary cycle updates, allowing for greater medication adherence.
Provider claim reconsideration request form
Use this form to challenge, appeal or request reconsideration of a claim.