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This will take 3-6 months depending on the facility(s), health plans, and State of practice involved. Many OptumCare business entities utilize CAQH as their repository.
Mental health credentialing means going through the process of becoming a member of an insurance panel. The ultimate goal is to be listed as an in-network therapist by a specific insurance company. Unfortunately, you cant apply to one place and be credentialed with every insurance company simultaneously.
Please review the Credentialing FAQs to see if we have an answer to your question. If not, please contact Provider Services at: (800) 873-4575. If you have other questions about doing business with OptumHealth Physical Health, please contact Provider Services at: (800) 873-4575 or send us an email.
Who can provide EAP services? All Optum contracted therapists may provide, and are encouraged to provide, EAP services to members who have the EAP benefit. Optum does not have a separate EAP network, so there is no additional credentialing or contracting required to provide EAP services.
How do I join the OptumHealth Care Solutions - Physical Health Network? You must first sign a Participating Provider Agreement (PPA) that describes the legal and regulatory requirements of joining the network. Once you agree to the contractual terms in the PPA, you must complete and submit a credentialing application.
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Optum Pay, formerly known as Electronic Payments Statements (EPS). With Optum Pay, claim* payments are deposited directly into your bank account as soon as possible. That shortens your revenue cycle, which can make running a successful business a whole lot easier.
What to have ready One Healthcare ID. Licensing and certification details. National Provider Identifier (NPI) number. W-9. Work and education histories. Proof of insurance liability face sheet. Current Council for Affordable Quality Healthcare (CAQH) ID, if applicable*

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