Optum Claims Manager Professional

Optum® Claims Manager Professional identifies certain-to-deny claims and unbilled services by prescreening for clinical coding relationships and billing errors, based on payer adjudication. Practices using Claims Manager leverage a collaborative, unified platform with advanced clinical editing capabilities to help shorten accounts receivable cycles and maximize revenue.

Optum Claims Manager Professional helps your organization:
  • Correct claims at the least costly point — before they leave your system
  • Proactively identify missed revenue for unbilled services
  • Reduce denial rates and administrative expenses due to incorrect coding
  • Take advantage of a consistent, automated standard to comply with government and commercial regulations
  • Configure current system rules and create your own custom edits in minutes to meet billing and reimbursement needs
Powerful content and rules-based editing

The Optum KnowledgeBase powers Claims Manager with more than 130 million code-to-code relationships to prescreen claims. Combined with your custom edits, this rules-based tool helps ensure your organization has the content and insights to receive timely reimbursement and make better business decisions.

The KnowledgeBase is maintained by a team of 140 clinical and technical experts who ensure clients receive precise regulatory updates related to Medicare, national and state-specific Medicaid and commercial guidelines.

We're ready to put our solutions to work for you. Let's start the conversation.
Contact Us
share

Please complete the short form below to help guide our discussion.

First name:*
Last name:*
Company:*
Job title:*
Business phone:*
Email:*
Address 1:*
Address 2:
City:
State/Province:*
Zip/Postal Code:
How can we help you?*
*Required
Optum respects your privacy, view our Privacy Policy.
    
 

An Optum professional will contact you shortly. To speak with us sooner call 1-866-223-4730 or email optum360@optum.com.