Optum Pinnacle Medical Group
medical
Summary
Optum Pinnacle Medical Group is a medical payer operating in California. Claims route under payer ID 95271, with 2 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
95271Also seen as 1106, 3945- Service area
- CA
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 Pinnacle Medical Group?
- The payer ID for Optum Pinnacle Medical Group is 95271. Alternate IDs seen across clearinghouses include 1106, 3945.
- Does Optum Pinnacle Medical Group require ERA enrollment?
- Yes. Optum Pinnacle Medical Group requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
- What states does Optum Pinnacle Medical Group cover?
- Optum Pinnacle Medical Group operates in CA. Coverage can differ by plan and product line, so confirm the specific plan before you file.
- What types of coverage does Optum Pinnacle Medical Group offer?
- Optum Pinnacle Medical Group covers medical.
- Can I submit claims to Optum Pinnacle Medical Group electronically?
- Yes. Optum Pinnacle Medical Group is reachable through clearinghouses for professional claims, institutional claims, and electronic remittance. Electronic claims are supported for professional (837P) and institutional (837I).
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 Spot something out of date?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.