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Optum Pay - Chapter 10, 2021 UnitedHealthcare Administrative Guide

Optum Pay offers electronic funds transfer (EFT)/direct deposit and electronic remittance advice (ERA) services brought to you by UnitedHealthcare. Optum Pay is the standard method for receiving payments and provider remittance advice (PRA) from us.

Optum Pay delivers electronic payments, and provides online remittance advice and 835 files to health care providers, hospitals or facilities.

If you use a billing service company, Optum Pay created a new portal, just for third party billing service companies. The billing service first needs to enroll for access to Optum Pay.

After your billing service enrolls, they are able to setup users on their Optum Pay account and then associate their Optum Pay account with your practice. This enables them to access the claim payment information needed to post and close claims.

You may choose to receive electronic payments by direct deposit/EFT into your organization’s bank account or by virtual card payment (VCP). With VCP, you do not need to supply your bank account information to Optum as you process payments using your credit card point of sale terminal. The EFT initial set-up, or a change in banking information will take approximately 10 business days for processing and bank account validation. Your current credit card processing fees apply. You can confirm those rates with merchant processor directly.

Optum Pay posting and balancing with direct deposit

  1. Receive email notifications when EFT claim payments are processed for your organization.
  2. Log into Optum Pay and view, save, or print remittance advice to post payments manually to your practice management system. You also can auto-post using the electronic remittance advice 835/ERA.
  3. Enroll with your clearinghouse to receive the 835 file directly from them.