Optum - Complex Medical Conditions (CMC)
medical
Summary
Optum - Complex Medical Conditions (CMC) is a medical payer. Claims route under payer ID 41194, with 4 alternate IDs in use across clearinghouses. Through clearinghouses it supports professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.
At a glance
- Payer ID
41194Also seen as 3824, 41194MA, 9513, UNTDRN- Also known as
- OptumHealth Care Solutions, United Resource Networks
Clearinghouse transaction setup
Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.
| Transaction | Enrollment | Typical setup |
|---|---|---|
| Professional claims (837P) | Not required | Immediate |
| Institutional claims (837I) | Not required | Immediate |
| ERA / remittance (835) | Required | Several weeks |
Common questions
- What is the payer ID for Optum - Complex Medical Conditions (CMC)?
- The payer ID for Optum - Complex Medical Conditions (CMC) is 41194. Alternate IDs seen across clearinghouses include 3824, 41194MA, 9513, UNTDRN.
- Does Optum - Complex Medical Conditions (CMC) require ERA enrollment?
- Yes. Optum - Complex Medical Conditions (CMC) requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
- What types of coverage does Optum - Complex Medical Conditions (CMC) offer?
- Optum - Complex Medical Conditions (CMC) covers medical.
- Can I submit claims to Optum - Complex Medical Conditions (CMC) electronically?
- Yes. Optum - Complex Medical Conditions (CMC) is reachable through clearinghouses for professional claims, institutional claims, and electronic remittance. Electronic claims are supported for professional (837P) and institutional (837I).
Related payers
Compiled from public payer resources and clearinghouse catalogs. Details change often, so confirm with the payer before relying on them. Spot something out of date? Tell us and we will fix it.