Hello,

 

Recently, Optum has been denying my non-bundled claims entirely.  I have reached out to them using the live chat option on the Optum website.  I noticed it all depends on who you get, some of the people do not understand the billing rules and have tried to tell me that my type of bill is wrong.  Yesterday, I just had to tell the person I was chatting with, that I had to go and would try back later.  Then I tried again and got someone who understood and was sending my claims back to be processed correctly.

 

I don’t understand why all of a sudden there are issues, things were going pretty good.

 

Marnie

Lakewood Health System Home Care & Hospice

218 894 8324

 

 

 

From: billers@list.mnhomecare.org <billers@list.mnhomecare.org> On Behalf Of Kaitlin Johnson
Sent: Thursday, October 21, 2021 12:15 PM
To: billers@list.mnhomecare.org
Subject: Optum

 

**External Sender**

 

Hello Everyone!

 

Optum VA is suddenly paying my non-bundled claims as bundled episodes, I have call 2 people at Optum and they are both telling me that it's paid correctly but this doesn't seem right to me.

 

There are no HIPPS codes on the claims and claims are sent as non-bundled. Authorizations are also non-bundled.

 

Wondering if this has happened with any of your claims?

 

--

Kaitlin Johnson, RN

Lake Region Home Health

(320) 354-5858

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