Optum Care Network

Summary

Optum Care Network is a dental, medical, and vision payer. Claims route under payer ID OCN01, with 4 alternate IDs in use across clearinghouses. Through clearinghouses it supports eligibility checks, professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.

At a glance

Payer ID

OCN01Also seen as 2940, 4730, NMG01, TALMG

Also known as

Alliance Independent Practice Association, Arta Western, Greater Valley, Harrimon Jones, Healthcare Partners

Clearinghouse transaction setup

Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.

Common questions

What is the payer ID for Optum Care Network?

The payer ID for Optum Care Network is OCN01. Alternate IDs seen across clearinghouses include 2940, 4730, NMG01, TALMG.

Does Optum Care Network require ERA enrollment?

Yes. Optum Care Network requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.

What types of coverage does Optum Care Network offer?

Optum Care Network covers dental, medical, and vision.

Can I submit claims to Optum Care Network electronically?

Yes. Optum Care Network is reachable through clearinghouses for eligibility checks, professional claims, institutional claims, and electronic remittance. Electronic claims are supported for professional (837P) and institutional (837I).