New OptumHealth Update

New Categories for Private Label Product

Beginning May 1, 2012 OptumHealth (OHV) will begin classifying all private label products including progressives and anti-reflective coatings in their standard category unless an exception has been given to the product.  TSO private label products will be in the following categories as of May 1:

  • MiraVa – OHV Deluxe Category – Modifier L2
  • MiraVa Plus – OHV Deluxe Category – Modifier L2
  • View Shield AR – OHV Standard Category – Modifier A1
  • View Shield Enhanced – OHV Platinum Category – Modifier A3

Beginning May 1 modifier A4 (non-formulary AR) and modifier L5 (non-formulary progressive) will default to A1 and L1 respectively on standard products.  To make sure you are reimbursed correctly you must use the correct modifier as stated above.  All other private label products will fall into the OHV standard category.  If you are using other private label products send a list of those products to Ann Deen.