OptumHealth Care Solutions, LLC 2025

1. Click ‘Get Form’ to open the Fax Cover Sheet in the editor.
2. Begin by filling in the 'Provider State' field to specify your location.
3. Enter the 'Date' and the 'Number of Pages' being sent, including the cover sheet.
4. In the 'To' section, ensure you have 'OptumHealth Care Solutions' listed correctly.
5. Complete the 'From' section with your name and contact details, including phone number.
6. Direct your fax to a specific person by filling in their name under 'Attention'.
7. Indicate the health plan and submission number for clarity on your documentation.
8. List patient names and corresponding page numbers as needed for each document included.
9. Select any relevant documentation types included, such as Pediatric or Neurologic Documentation.
10. Add any additional notes in the memo section before finalizing your document.

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