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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


Care Management Referral

Care Management Referral Form


Compliance attestation

Provider center PCP reporting user guide

User guide

OCN Prior Authorization Form 2022

OCN Prior Authorization form effective 2022


Tapestry Prior Auth Entry Quick Reference

Entry and review prior authorization request


Outpatient Surgical procedures

Site of Services: CPT/HCPCS Codes


OCN Prior Authorization Provider Alert

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


OCN provider reference materials

Compliance roadmap

Annual FDR compliance attestation roadmap


2022 Provider Manual - Medicare

Provider Manual


2021 Provider Manual - Medicaid

Medicaid Manual


2022 Provider Manual - Medicare

Provider Manual


2022 Quick Reference Guide

Provider quick reference guide