It is crazy, it all depends on who you chat with or talk to. I did a chat a while back and was told it was a system issue and to allow 30 days as Optum would do a query to see what claims did not pay and then reprocess. After waiting
more than 30 days, I decided to call Optum last week. I was fortunate enough to get a very nice person on the line who had all of my claims reprocessed, she even told me what the payment would be for each claim. Unfortunately, I think we need to keep calling
or chatting until we get someone who knows what they are doing. What a mess over there.
Marnie
Lakewood Health System Home Care & Hospice
218 894 8324
From: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
On Behalf Of Hanson,April
Sent: Wednesday, December 15, 2021 10:51 AM
To: billers@list.mnhomecare.org
Subject: Optum Appeal
|
**External Sender** |
Good morning,
I am wondering if anyone has had luck getting their claims that are denying by Optum for the following reason resolved.
One representative the last time told me it was a system issue and would be resolved allow 30 days to reprocess. Chatted with another rep today who told me it is not a system issue and I would
need to appeal. Is everyone getting this same response? Has anyone had any luck appealing. Thanks!
April Hanson
Patient Accounts
Perham Living
Ph: 218.347.1894
F: 218.347.1885
Dedicated to health and wellness throughout life.
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