Last modified: January 14, 2021
Optum Care, an affiliate of UnitedHealthcare, will now manage the following services for some UnitedHealthcare Medicare Advantage HMO members in Colorado:
This means you’ll follow a new process for some of your patients who are members of the affected plans.
Affected members will have the Payer ID LIFE1 listed on their member ID card. For all other members, continue to follow the UnitedHealthcare processes outlined in the Administrative Guide.
Members of the following UnitedHealthcare Medicare Advantage HMO plans who have chosen an Optum Care Network, Optum Colorado Springs or New West Physicians primary care provider (PCP) will be managed by Optum Care:
You can verify UnitedHealthcare member eligibility online or by phone:
Prior authorization is required for certain services based on the member’s plan. Request prior authorization at least 14 days before the planned date of elective services in one of the following ways:
Call 888-685-8491 to notify Optum Care of hospital admissions within one business day of the admission.
Submit claims for the affected Optum Care members in one of the following ways:
Call UnitedHealthcare at 866-574-6088.