OptumHealth (Spectera) Update

Introducing New Billing Guidelines

OptumHealth has made the claims billing process easier for providers.  The new Billing Guide includes a list of CPT codes for routine vision examinations and a crosswalk between HCPS codes and the proprietary OptumHealth Vision claims modifier codes. 

New and Improved Provider Claims Statement

In an effort to improve the provider experience, the OptumHealth Vision Provider Claims Statement has a new and improved format. 

New Process for Necessary Contact Lenses

OptumHealth has streamlined the process for Necessary Contact Lens authorizations.  You are no longer required to request a pre-authorization for contact lens materials when providing services to Necessary Contact Lens wearers.  After you verify member eligibility, just submit the updated Necessary Contact Lens Eligibility Form along with your CMS-1500 form. 

New Options Coming Soon

  • More clearinghouse options for electronic claim filing coming this summer, including Emdeon.
  • How to change or cancel an existing authorization.
  • By the end of 2012, the OptumHealth brand name will be replaced.
  • Announcing Bridge2Health:  helping patients manage their overall health as well as any chronic health conditions

Note: All forms and details on the above topics are available at optumhealthvision.com