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Optum, Inc. is an American pharmacy benefit manager and health care provider. It is a subsidiary of UnitedHealth Group since 2011. UHG formed Optum by merging its existing pharmacy and care delivery services into the single Optum brand, comprising three main businesses: OptumHealth, OptumInsight and OptumRx.
About Optum Optum Health provides care directly through local medical groups and ambulatory care systems, including primary, specialty, urgent and surgical care to 101 million consumers.
UnitedHealth Group has two distinct business platforms: Optum and UnitedHealthcare. This cohesive partnership offers an array of health services and health benefits.
The OptumHealth Care Solutions, LLC (OptumHealth) forms are communication tools. They are the vehicle by which a provider reports critical case elements and communicates these and the treatment plan for a patient to OptumHealth. The change in a patient's status as a result of treatment is the outcome from treatment.
If your injuries possibly give rise to a personal injury claim or a potential lawsuit (for example, a car accident, a work injury, a slip-and-fall accident, etc.), Optum wants to know, because it's their job to find out if your health insurance company might have a right to be reimbursed out of your settlement.
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An established patient presents, but a clinical submission has not been previously sent. \u2022 An established patient presents with treatment needs (time period and/or visits and/or specific services) that go beyond those levels indicated in your most recent clinical submission response.
The Patient Summary Form was created for certain UHC plans to provide the insurance company with an explanation for the patient's visit and confirm the need for treatment.

clinical submission optum