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Ca optum request 2025

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The document is a Facility Network Request Form and Credentialing Application for Optum/OptumHealth Behavioral Solutions of California. It outlines the requirements for facilities seeking to join the Optum provider network, including credentialing standards, necessary documentation, and information about levels of care offered. The application requires details about the facility's organizational information, accreditation, licensure, insurance coverage, staffing, and service delivery capabilities. Compliance with ongoing credentialing requests every 36 months is emphasized to maintain network quality.

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Click ‘Get Form’ to open the ca optum request in the editor.
Begin by filling out the 'Organizational Facility Identifying Information' section. Provide your facility's legal name, administrative address, and contact details accurately.
In the 'Identify Levels of Care Facility Desires to Contract' section, select the appropriate levels of care you wish to contract for. Ensure you check all relevant options.
Complete the 'Organizational Provider Contact Information' section by entering details for key contacts at your facility, including names and roles.
Fill in the 'Accreditation' and 'Licensure/Certification' sections with accurate information regarding your facility's credentials and licenses.
Review all entries for accuracy before signing at the end of the form. Ensure that all required documents are attached as specified in the preparation checklist.

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Versions	Form popularity	Fillable & printable
2017	4.7 Satisfied (61 Votes)
2015	4.3 Satisfied (54 Votes)
2014	4.1 Satisfied (71 Votes)

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Why is Optum sending me a letter?

If you are currently an Optum patient, you may also call us at 877-267-8861 for help finding an Optum provider or location near you.

Is Optum the same as UnitedHealthcare?

-based HCA Healthcare has roughly 37,000 physicians, Bloomberg reports. Still, Optum outpaces Oakland, Calif. -based Kaiser Permanentes roughly 22,000 physicians by 8,000.

What exactly does Optum do?

The following plans are not administered by OptumRx: Blue Shield of California (Access+ HMO, Trio HMO, EPO, and Blue Shield Medicare PPO)

What is Optum in California?

Were a leading medical group in Southern California for members in Los Angeles, Orange, San Diego, Riverside and San Bernardino counties.

Is Optum under the Blue Shield of California?

UnitedHealth Group has two distinct business platforms: Optum and UnitedHealthcare. This cohesive partnership offers an array of health services and health benefits.