%PDF-1.5 % We are working to fix this issue as soon as possible. It is the responsibility of the facility to update MDH when a rate change occurs so that claims are paid at the correct amount. (866) 342-6892. About Us:Learn more about the MDH/BHA and Optum Maryland partnership. Click on either the Participants and Families or the Providers tab to see the information that applies to you. The Incedo Provider Connect system is designed to work with the Google Chrome browser. They are at the heart of all we do. May 27, 2021, 5:02pm: Optum Maryland is aware that some users are experiencing issues accessing the Incedo Provider Portal, or are receiving Server Error messages. June 2020 Training Schedule. Providers can choose any clearinghouse vender to submit claims using EDI. Top Optum Maryland gives care to people served by the Maryland Department of Health (MDH), Behavioral Health Administration (BHA). O4 Utility Nav Items. Maryland Behavioral Health resources, information and more, During Business Hours: Monday - Friday, 8:00 AM - 6:00 PM EST (Crisis line available 24/7), Participant Questions and Help to Find a Provider Call Toll-Free: Optum Maryland has created this Incedo Provider Portal Claims Management Quick Reference Guide to assist providers in researching the status of claim files and individual claims. Disclaimer: The contents of this website and any information contained herein are intended solely for the use by providers and care coordinators and may contain confidential and/or privileged information which is legally protected from disclosure pursuant to the HIPAA and HITECH laws and/or other applicable law.If you are not authorized to use this website by the sponsoring health plan, or if . If you are a person or a family member seeing a MDH/BHA provider, you can access relevant information with the touch of a finger: Services:Find out more about the many recovery-oriented services that MDH/BHA funds through local mental health centers! (800) 888-1965, TTY 711. (800) 888-1965, TTY 711 Uninsured Eligibility: Provider Training Guide. Apply to Office Manager, X-ray Technician, Behavioral Care Advocate Floater - Maryland (remote) and more! Important: Use only for submitting supporting documentation to appeal a claims denial. Optum Maryland will accept paper CMS - 1500 forms for practitioner/professional services or Uniform Billing (UB)-04 forms for inpatient and outpatient facility claims. Contact us O4 Utility Nav Items. hbbd```b``U i&d/#` "l.>dqA$WX2$wE4ev=$Q x See the scenarios below for timely claim filing guidelines: Claims must be submitted and received within 12 months of the earliest date of service on the claim, or if the service was a hospital inpatient service, the date of discharge, or if the service was provided in a nursing or rehabilitation facility the month of service.Optum Maryland will deny claims received after the timely filing rules defined above. November 2022 Provider Training Calendar. (866) 342-6892. TheProvider Alertsare important updates from Optum and the Department. 19 Optum Maryland jobs available in Maryland on Indeed.com. Toll-free number:1-800-888-1965, TTY 711 - Providers should press two andfollow prompts. Privacy Policy | Terms of Use | Site Map | Accessibility Note:Adobe Acrobat Readeris required to view and print PDFs. Salt Lake City, UT 84130. News /Events. 10 0 obj 13 0 obj endobj endstream endobj 160 0 obj <. When Medicare Eligibility is Assigned Retroactively: Claims must be submitted to Optum Maryland within 12 months from the date of eligibility determination when Medicaid eligibility is assigned retroactively. 1-855-427-4682. May 2020 Training Schedule. O4 Global Search. Optum Maryland P.O. 1-866-234-8913. 9-8-8 (Available 24/7), Optum Crisis Line Available 24/7: Please contact the Center's Program Director if you have any questions on this initiative or the Center's resources: Kristen Beall. Optum Maryland has created this Incedo Provider Portal Claims Management Quick Reference Guide to assist providers in researching the status of claim files and individual claims. Optum Maryland gives care to people served by the Maryland Department of Health (MDH), Behavioral Health Administration (BHA). Eligibility Criteria and Requirements for Uninsured Consumers, Psychiatric Rehabilitation Program - Adult, Psychiatric Rehabilitation Program Child and Adolescent, General Information and Resources Monkeypox, Incedo Provider Portal Quick Reference Guide. FOR ASSISTANCE. Specific file names of claim files are not required by Optum Maryland. Box 30531 Salt Lake City, UT 84130 Key Phone Numbers: Please click the drop-down icon to view contact information. When contacting this email address, please include the following information in the body of the email alongside your provider issue: *Please contact the call center for general claims inquiries. On October 1, 2013, a . If you are a person or a family member seeing a MDH/BHA provider, you can access relevant information with the touch of a finger: Services:Find out more about the many recovery-oriented services that MDH/BHA funds through local mental health centers! ` =3 This indicates that you are leaving our site and these links to other sites are for informational purposes only. Clinical Manager. EDI / Electronic claims: Electronic Data Interchange (EDI) is the exchange of information for routine business transactions in a standardized computer format. Provider Resources - Optum. <>/Filter/FlateDecode/ID[<48A47017A3D269AC57A5B8D275349B0F><46F5C81932AEB2110A008045FBE4FF7F>]/Index[10 34]/Info 9 0 R/Length 88/Prev 51784/Root 11 0 R/Size 44/Type/XRef/W[1 2 1]>>stream You have the right to get help and information in your language at no cost. Privacy Policy | Terms of Use | Site Map | Accessibility Note:Adobe Acrobat Readeris required to view and print PDFs. Individuals and families Providers and organizations Employers Brokers and consultants Can't find what you are looking for? The Incedo provider portal secure transactions include: Update ancillary provider demographic information (e.g., hours, languages spoken) Eligibility inquiry Initiate authorization requests Electronic claim submission Salt Lake City, UT 84130, Optum Maryland Participant Questions Call Toll-Free: JavaScript is required to use content on this page. endstream After logging into Incedo Provider Portal, use the Incedo Provider Portal user Guide for instructions on entering a claim or for submitting an electronic file of claims. October 2022 Provider Training Calendar. (800) 888-1965, TTY 711 This indicates that you are leaving our site and these links to other sites are for informational purposes only. October 2022 Provider Training Calendar. CSA Training. Example inquiry reasons for contacting this email address: When contacting this email address, please include the following information in the body of the email alongside your providerissue: *To obtain a token, please click hereto complete the provider survey. If Medicare benefits are exhausted or if Medicare will deny benefits for another reason, the provider must submit claims to Medicare within Medicares timely filing limits and submit the claim and Explanation of Medicare benefits (EOMB) to Optum Maryland within 12 months of date of service or 120 days from the Medicare remittance date as shown on the EOMB, whichever is later. 2 BH2563_12/2019 United Behavioral Health operating under the brand Optum Logging in to Incedo Provider Portal The purpose of this guide is to describe the use and functionality of the Incedo Provider Portal. <> Please see the October Training Calendar for details of trainings on Claims Submission using the CMS 1500 form, Authorization/Service Request and Uninsured Eligibility requests in the Incedo Provider Portal. Optum Maryland FAQs 1 BH2567_01/2020 United Behavioral Health operating under the brand Optum Optum Maryland . ^U^P -NZY1#Xp*b "$L9I08"X.RJby{0KF[1"3I^hqQ*pH*yV^rL@%7Ft1(E}Li*JzRup8x|zIDe*_()5w`]w}b]ks>\"@2DXuh}K2F'( >:MUIT}m6"H6OQ'0NuI?1ORp>J5'Sj.5E%IRB~%bM *~#w(u{n5)|~zE.% WKWqY24x]"n=?1'~Hr%x}0}0EJBi&)&oa ~+gV]9n&6mc. 11 0 obj For current HSA, FSA and HRA account holders, find support at the link below or call us today. hbbd``b`j~@q3`WAM \b K D\w3Ho$6 b 5L3Ao~0 ( - Sign in . February 2020 Training Schedule. 2017 All rights reserved. Stay up-to-date on upcoming Maryland mental health news, training and events. Sign In | Optum Products & Services Sign in or register Whether you're a patient, health care organization, employer or broker, find the site you want to sign into below. About Us:Learn more about the MDH/BHA and Optum Maryland partnership. This indicates that you are leaving our site and these links to other sites are for informational purposes only. Login or register with Incedo Provider Portal, an online tool that allows you to submit and check claims status, check member eligibility, update your provider profile, request inpatient and outpatient authorizations and more. A.3 Yes, in Optum's Incedo Provider Portal, you can find the status of claims. endobj The timely filing limit for claims is 120 days from the date of the other carriers EOB, or 12 months from the first date of service, whichever is later. . If you are not authorized to use this website by the sponsoring health plan, or if this is not a user account that was designated specifically for your use; access is strictly prohibited. November 2022 Provider Training Calendar. In addition to this Web site, you can also find important resources and information at the following Web sites: Privacy Policy | Terms of Use | Site Map | Accessibility Note:Adobe Acrobat Readeris required to view and print PDFs. Please click each item for further details. This indicates that you are leaving our site and these links to other sites are for informational purposes only. endstream (COMAR 10.09.36.06 B (3)). January 2023 Provider Training Calendar. O4 Dynamic Alert Site Logo. This article provides general claim filing information for online and paper claim submissions, proof of loss, and timely filing guidelines, and related links to additional resources and troubleshooting for claims and provider systems. March 2020 Training Schedule. %PDF-1.5 % Click low to move all $0 claims to the top of the listing. Please turn on JavaScript and try again. Note: Providers should press two and follow prompts. The mailing address for completed claim forms and required attachments is: Optum MarylandP O Box 30531Salt Lake City, UT 84130. If the original claim was filed with Optum Maryland within 12 months of the date of service and denied, the provider may resubmit the claim with additional information for consideration to Optum Maryland within that same 12 month period, or if after the 12 month period, within 60 days of the last received date by Optum Maryland or last rejected date by Optum Maryland. Below is an anticipated schedule of releases. Authorizations are required for services not covered or exhausted by Medicare for those services that typically require an authorization (COMAR 10.09.36.06 B (2) a b). Health (6 days ago) WebBehavioral Health Providers Provider Resources - Provider Resources Provider Tools Procedure for Resolving Disputes Over Negative Balances Incedo and CARC Denial Maryland.optum.com . Incedo Provider Portal is used verify eligibility, enter requests for authorizations and to submit claims. You have the right to get help and information in your language at no cost. Office: (667) 214-2123. <> tVMvC "Fiasco," "debacle," and "administrative nightmare" were among the words behavioral health providers and legislators used to describe the ongoing claims reconciliation process with the Maryland Department of Health (MDH) and its system vendor, Optum, at the House Health and Human Services Subcommittee meeting last week. Eligibility Criteria and Requirements for Uninsured Consumers, Psychiatric Rehabilitation Program - Adult, Psychiatric Rehabilitation Program Child and Adolescent, General Information and Resources Monkeypox, Incedo Provider Portal Quick Reference Guide, PBHS Reimbursement Schedule B (Eff-07-01-18 Rev-03-14-19).pdf, PBHS Reimbursement Schedule A (Eff-07-01-18 Rev-03-14-19).pdf, PBHS PRP and Special Services Rates (Eff-07-01-19).pdf, PBHS Individual Practitioner and OMHC Rates (Eff-07-01-19).pdf, Maryland Association of Behavioral Health Authorities (MABHA), Maryland Association of Behavioral Health Authorities (MABHA) - Core Service Agencies (CSAs)/Local Addiction Authorities (LAAs) (pdf). OPTUM Remaining Authorization Units Feature in Incedo Provider Portal OPTUM Timely Filing Waiver OPTUM Updates to Clinical Request Form OPTUM Vaccine Administration Information Form OPTUM Maryland PBHS LOC Appendix BH2555 FINAL OPTUM Changes to CARC Codes OPTUM Provider Alert - Individual Provider License Expiration Monday - Friday: 8:00 AM to 6:00 PM EST, All Providers: Questions, Referrals, Crisis Calls: Requirements Added to eviCore Partnership, JHHC New Health Care Performance and Quality, JHHC Site of Service Policy Update Effective June 15,2022, New Preauthorization Requirements for CertainProvider-Administered Medications, MLN Revisions to Medicare Part BPneumococcal for Medicare Benefit MM12723, CMS MLN Matters Mental Health Visits viaTelecommunications for Rural Health May 2022, CMS Unveils More User-Friendly MedicareWebsite CMS. CHAMPION-ECHO is an educational research project aiming to increase prescriber knowledge and competence in using clozapine. Thus, as you consider our request for the immediate replacement of Incedo and Optum's promises of future Incedo functionality, we invite you to consider these facts: Ohio. Optum Maryland FAQs 1 BH2567_01/2020 United Behavioral Health operating under the brand Optum Optum Maryland . Optum provides clinical staff coverage 24 hours/day, 7 days/week, 365 days/year to respond to all member and provider calls, including emergent, urgent and routine calls. Please click here for full details. An Optum Maryland dedicated line to assist with questions related to general information, eligibility, verification, and claim payment status. News and Events:Stay up-to-date on upcoming Maryland mental health news, training and events. Maryland 2-1-1, Provider Questions Call Toll-Free: If you are a person or a family member seeing a MDH/BHA provider, you can access relevant information with the touch of a finger: Optum Specialty Pharmacy customer service. After enrollment in Maryland Medicaid, Providers register with Optum using Incedo provider portal. P.O. Address:Send postal mail to the following address: Optum Maryland Incedo Provider Portal Brain Injury. Advancing The Value of Care. maryland.optum.com October 2020 BH2555_122019 Maryland Public Behavioral Health System (PBHS) Level of Care Appendix Click on the links below for specific information on available Levels of Care: . <>stream . Box 30532 startxref April 2020 Training Schedule. 179 0 obj <>/Filter/FlateDecode/ID[<5B6A138A1EB17A4A9A613D6755F54D64>]/Index[159 73]/Info 158 0 R/Length 103/Prev 136342/Root 160 0 R/Size 232/Type/XRef/W[1 3 1]>>stream Providers will have the ability to enter their own end dates and charges in the Incedo Provider Portal. If you are a person or a family member seeing a MDH/BHA provider, you can access relevant information with the touch of a finger: Optum Maryland has run an off-cycle payment process which was mailed on January 9, 2020. For services and providers covered by Medicare, submit claims directly to Medicare following Medicares timely filing guidelines. Get customer support. Please click the drop-down icon to view contact information. More information and resources can be found throughout the website. Please enable JavaScript in your browser. Find out what that means for you! O4 Utility Nav. For full details, please see this provider alert. Optum Nondiscrimination Notice and Language Services, see here. Optum Financial customer service. 04-30-21: Incedo Provider Portal - Authorization Entry Issue Resolved 04-09-21: Incedo Provider Portal Accessibility 2023 Optum Maryland has run an off-cycle payment process which was mailed on January 9, 2020. Monday - Friday: 8:00 AM to 6:00 PM EST, Participant Help to Find a Provider: We welcome your continued commitment to the Maryland network and encourage new providers to join us in our mission to help people live their lives to the fullest potential. Please note that submitting inquiries to an email address not designated for a specific issue may delay a response. Monday - Friday: 8:00 AM to 6:00 PM EST, Optum Public Toll Free Help Line: Out-of-state psychiatric hospitals are paid at a Host State Medicaid Rate. A.3 Yes, in Optum's Incedo Provider Portal, you can find the status of claims. Maryland Behavioral Health resources, information and more, Participant Questions Call Toll-Free: Administration ( BHA ) BHA ) Maryland on Indeed.com BH2567_01/2020 United Behavioral Health resources information! Filing guidelines requests for authorizations and to submit claims directly to Medicare following Medicares timely filing guidelines claim and. Terms of Use | optum maryland incedo Map | Accessibility Note: Providers should press andfollow... Link below or call Us today 10.09.36.06 b ( 3 ) ) MDH/BHA. Note: Providers should press two andfollow prompts, submit claims news and optum maryland incedo Optum and the.... 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