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Optum Care Network delivers value


Optum Care Network Providers can elect to participate in a diverse portfolio of over 200 ambulatory/community-based care centers including diagnostic and surgical services, gaining new patients and revenue sources to grow their practice. Optum Care Network Providers have access to industry-leading clinical integration tools to improve efficiency, communication and care coordination, all while strengthening their practice's financial health. We provide physicians with resources to reduce their administrative burden, allowing more time for direct patient care and less time on paperwork. While you're focused on improving patient outcomes, we're focused on improving practice outcomes.

Health care has become increasingly more competitive for private practices. The Optum Care Network is your dedicated partner, helping you to not only succeed but to thrive. We have built a collaborative, connected network of community-based primary care and specialty providers throughout Washington that deliver the highest quality care that is affordable for patients and profitable to practices. Some of the many services provided by the Optum Care Network include:



  • Contract management
  • Network marketing initiatives
  • Care management services
  • Cutting-edge technologies to improve clinical integration
  • Coding, credentialing and documentation support
  • Revenue enhancement


OCN provider forms

Annual UM Criteria Notification 2021


Utilization Management Annual Criteria Notification

Notification

Care Management Referral


Care management referral form


Referral

Compliance attestation


Provider center PCP reporting user guide


User guide



OCN Prior Authorization Form 07/21

OCN Prior Authorization form effective July 1, 2021

Form

OCN Prior Authorization Form 2022

OCN Prior Authorization form effective 2022

Form

OCN Prior Authorization List

OCN Prior Authorization List Effective July 1, 2021

List



OCN Prior Authorization Provider Alert

OCN Prior Authorization Provider Alert - Effective Jan. 1, 2022

Alert

Outpatient Surgical procedures


Site of Services: CPT/HCPCS Codes


Procedures

Tapestry Prior Auth Entry Quick Reference

Entry and review prior authorization request


Reference



OCN provider reference materials

Compliance roadmap

Annual FDR compliance attestation roadmap

Roadmap

OCN Provider Binder

OCN Provider Binder

Binder

Provider Manual - Medicaid

Medicaid Manual on NPN site

Manual



Provider Manual - Medicare

Medicare overview and manual

Manual

Quick Reference Quide

Provider quick reference guide

QRG