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. Appeals Status/Education (Business Hours), Claim Processing/Payment Status (Business Hours), Request for Claim Reprocessing/Adjustment (Business Hours), Claim Escalation/Complex Claim (Business Hours), Request for After Hours Admit Reference Number (After Hours), Participant Eligibility Verification (Business Hours), Direct phone number(please include extension if applicable), Questions related to accessing the Incedo Provider Portal, Issues with uploading 837s into the Incedo Provider Portal, Technical questions about electronic claims submission, Questions about a PRA or 835 transactions, Payment information - ex: payment number, check information, Assistance with MDHs provider enrollment, Assistance navigating the eligibility, pre-authorization process and claims payment process, Assistance in determining whether services proposed are eligible for reimbursement under Medicaid/BHA, Help resolving claims problems and open issues, Questions about the grievance and appeals processes for providers, Assistance with completing and understanding authorization requirements, Register an email address to receive Provider Alerts from Optum Maryland. Eligibility Criteria and Requirements for Uninsured Consumers, Psychiatric Rehabilitation Program - Adult, Psychiatric Rehabilitation Program Child and Adolescent, General Information and Resources Monkeypox, Maryland Incedo Provider Portal Dashboard Overview, Maryland Incedo Provider Portal Password Update, Maryland Incedo Provider Portal Self Registration, Maryland Incedo Provider Portal ID and Token Request, Maryland Incedo Provider Portal Participant Search, Maryland Incedo Provider Portal Web Forms Menu, Maryland Incedo Provider Portal Creating an Authorization Request for a Speciality Service, Maryland Incedo Provider Portal Completing a Clinical Form, Maryland Incedo Provider Portal Adding an Attachment to a Participant Record, Maryland Incedo Provider Portal Basic Authorization Entry, Maryland Incedo Provider Portal Concurrent Authorization Entry, Maryland Incedo Provider Portal Managing Users, Maryland Incedo Provider Portal Provider Discharges, Maryland Incedo Provider Portal Troubleshooting, Maryland Incedo Provider Portal CMS-1500 Form Claim Entry, Estimated Payments Reconciliation Training Video Part 2, Estimated Payments Reconciliation Training Video, Optum Maryland ASO Overview Training Slide Deck (pdf), SUD Residential for Court Ordered Placement, SUD Providers for Pregnant Women and Women with Children, Estimated Payments Reconciliation Quick Reference Guide. Please enable scripts and reload this page. Incedo Provider Portal Quick Reference Guide, The March Provider Council Meeting will be held onFriday, March 10th at 10:00 am EST. Please turn on JavaScript and try again. Box 30531 Salt Lake City, UT 84130 Key Phone Numbers: Please click the drop-down icon to view contact information. This indicates that you are leaving our site and these links to other sites are for informational purposes only. tVMvC When contacting this email address, please include the following information in the body of the email alongside your issue: marylandproviderrelations@optum.com (Please write "Provider Alerts" in the email subject line). January 2023 Provider Training Calendar. November 2022 Provider Training Calendar. (800) 888-1965, TTY 711 All rights reserved. Toll Free Phone Number : 1-800-888-1965, TTY 711 Providers received this payment via physical check that was distributed . About Us:Learn more about the MDH/BHA and Optum Maryland partnership. 1-855-427-4682. 179 0 obj
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CHAMPION-ECHO is an educational research project aiming to increase prescriber knowledge and competence in using clozapine. Please click. Example inquiry reason for contacting this email address: *We recommend providers to only send inquires to the appropriate designated email address to ensure that Optum Maryland efficiently serves you. (COMAR 10.09.36.06 B (3)). CSA Training. Privacy Policy | Terms of Use | Site Map | Accessibility Note:Adobe Acrobat Readeris required to view and print PDFs. (800) 888-1965, TTY 711 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: 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. 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. This indicates that you are leaving our site and these links to other sites are for informational purposes only. Check the website often as it continues to grow to better serve you! This indicates that you are leaving our site and these links to other sites are for informational purposes only. 159 0 obj
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O4 Utility Nav Items. March 2020 Training Schedule. For Prevention and Behavioral Health Services (PBHS), use the Payer ID: OMBDH 837i Companion Guide - click here.837p Companion Guide - click here. If you're an Optum Care provider, you can access the information you need securely. hbbd```b``U i&d/#` "l.>dqA$WX2$wE4ev=$Q x
Provider Resources - Optum. Incedo Provider Portal is easy to use, secure and available 24/7. Select a login based on your location. Monday - Friday: 8:00 AM to 6:00 PM EST, Participant Help to Find a Provider: 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. %%EOF Providers will have the ability to enter their own end dates and charges in the Incedo Provider Portal. 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. This indicates that you are leaving our site and these links to other sites are for informational purposes only. Q.4 For corrected claims submission for DOS prior to date 12/29/19 submitted to Beacon, do Optum Maryland Call Center Optum Maryland Fax Number Optum Maryland Claims Appeal Fax Number Provider Enrollment Recipient Enrollment - Maryland Health Connection EVS - Eligibility Verification Email Addresses: Top April 2020 Training Schedule. Salt Lake City, UT 84130, Optum Maryland
(866) 342-6892. We are working to fix this issue as soon as possible. <>/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
Optum Nondiscrimination Notice and Language Services, see here. MDH/BHA and Optum Maryland offer education and community events. Providers received this payment via physical check that was distributed . 1-866-234-8913. 13 0 obj endstream P.O. A registration link will be posted at the beginning of the month. Privacy Policy | Terms of Use | Site Map | Accessibility Note:Adobe Acrobat Readeris required to view and print PDFs. Find out what that means for you! Individuals and families Providers and organizations Employers Brokers and consultants Can't find what you are looking for? <> Maryland Behavioral Health resources, information and more, Participant Questions Call Toll-Free: Box 30532
BHA Vaccine Hesitancy Webinar. Incedo Provider Portal Brain Injury. Incedo Provider Portal is used verify eligibility, enter requests for authorizations and to submit claims. hVmo8+%H+$ October 2022 Provider Training Calendar. .e Optum Maryland P.O. MDH/BHA and Optum Maryland offer education and community events. Q.4 For corrected claims submission for DOS prior to date 12/29/19 submitted to Beacon, do Claims may be submitted online using Incedo Provider Portal, through a clearinghouse using Electronic Data Interchange (EDI) with 837batch files or by U.S. Mail. The website has sections for participants and families as well as providers of mental health services. An Optum Maryland dedicated line to assist with questions related to general information, eligibility, verification, and claim payment status. Optum Maryland gives care to people served by the Maryland Department of Health (MDH), Behavioral Health Administration (BHA). DORS Training 1.27.20. endobj Payment Period for United Health Group (UHG) / Optum Behavioral Health Providers (Optum) The Maryland Department of Health (MDH) is preparing to enter into the next phase of reconciliation to resolve the differences in the estimated claims paid from January 1, 2020 through August, 3, 2020, with actual claims submitted for those dates of service. The provider may then register with Optum Incedo Provider Portal - Once approved, the provider may also complete the Provider Referral . Copyright Maryland.gov. Optum Maryland FAQs 1 BH2567_01/2020 United Behavioral Health operating under the brand Optum Optum Maryland . *Please use this fax only if you are submitting supporting documentation to appeal a claims denial. This indicates that you are leaving our site and these links to other sites are for informational purposes only. Optum Maryland gives care to people served by the Maryland Department of Health (MDH), Behavioral Health Administration (BHA). 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. 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. CHAMPION-ECHO is an educational research project aiming to increase prescriber knowledge and competence in using clozapine. We invite you to look through this site to see the many ways we can serve you. <> (800) 888-1965, TTY 711 This indicates that you are leaving our site and these links to other sites are for informational purposes only. Please click the drop-down icon to view contact information. MDH/BHA and Optum Maryland offer education and community events. Clinical Manager. News and Events:Stay up-to-date on upcoming Maryland mental health news, training and events. 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! O4 Dynamic Alert Site Logo. Data interchange between a practitioner, physician, psychologist, or a social worker and a payer. They are at the heart of all we do. 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: To view the September Provider Council Meeting Presentation. 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. Skip to main content. Optum Maryland has run an off-cycle payment process which was mailed on January 9, 2020. It looks like your browser does not have JavaScript enabled. O4 Text Component. Incedo Claims Training Participant Guide. A.3 Yes, in Optum's Incedo Provider Portal, you can find the status of claims. <> February 2020 Training Schedule. endobj Note: Providers should press two and follow prompts. It is the responsibility of the facility to update MDH when a rate change occurs so that claims are paid at the correct amount. Click on either the Participants and Families or the Providers tab to see the information that applies to you. 9-8-8 (Available 24/7), Optum Crisis Line Available 24/7: June 2020 Training Schedule. We invite you to look through this site to see the many ways we can serve you. Toll-free number:1-800-888-1965, TTY 711 - Providers should press two andfollow prompts. For current HSA, FSA and HRA account holders, find support at the link below or call us today. 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. Optum Maryland gives care to people served by the Maryland Department of Health (MDH), Behavioral Health Administration (BHA). You have the right to get help and information in your language at no cost. 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. endstream
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endobj . Optum Maryland has provided a listing of Mental Health, Substance Use Disorder and other specific levels of care by fee schedules for Providers to use. Contact us O4 Utility Nav Items. 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 The Incedo Provider Connect system is designed to work with the Google Chrome browser. After enrollment in Maryland Medicaid, Providers register with Optum using Incedo provider portal. For the Incedo Provider Portal guide, click here. Optum Maryland will accept paper CMS - 1500 forms for practitioner/professional services or Uniform Billing (UB)-04 forms for inpatient and outpatient facility claims. 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. %%EOF
News /Events. %PDF-1.5
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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 . 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. News and Events:Stay up-to-date on the upcoming Maryland mental health news and training and events. October 2022 Provider Training Calendar. EDI / Electronic claims: Electronic Data Interchange (EDI) is the exchange of information for routine business transactions in a standardized computer format. P.O. 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. (800) 888-1965, TTY 711 About Us:Learn more about the MDH/BHA and Optum Maryland partnership. 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