For further updates about the Change Healthcare cybersecurity issue, please visit Change Healthcare Cyber Response.
For imaging solutions, please visit us at Change Healthcare Enterprise Imaging.
Update - Optum will continue to work toward a solution to this issue.
Next update will be at 8 p.m. ET or when significant progress has been made.
Oct 11, 2024 - 17:02 EDT
Next update will be at 8 p.m. ET or when significant progress has been made.
Oct 11, 2024 - 17:02 EDT
Update - Optum is working on a solution to this issue.
Next update will be at 5 p.m. ET or when further updates are available.
Oct 11, 2024 - 15:09 EDT
Next update will be at 5 p.m. ET or when further updates are available.
Oct 11, 2024 - 15:09 EDT
Update - Optum continues to work towards a resolution to this issue.
Next update will be at 3 p.m. ET or when further updates are available.
Oct 11, 2024 - 14:06 EDT
Next update will be at 3 p.m. ET or when further updates are available.
Oct 11, 2024 - 14:06 EDT
Update - Optum continues to work towards a resolution to this issue.
Next update will be at 2 p.m. ET or when further updates are available.
Oct 11, 2024 - 13:19 EDT
Next update will be at 2 p.m. ET or when further updates are available.
Oct 11, 2024 - 13:19 EDT
Identified - Optum has identified the issue and is working toward a solution.
Next update will be at 1:10 p.m. ET or when further updates are available.
Oct 11, 2024 - 12:42 EDT
Next update will be at 1:10 p.m. ET or when further updates are available.
Oct 11, 2024 - 12:42 EDT
Investigating - Pharmacy customers are currently experiencing a degradation in performance.
Optum is triaging the issue and will provide an update at 12:30 p.m. ET or when further updates are available.
We apologize for the inconvenience this situation has caused you.
INC0628572
Oct 11, 2024 - 11:54 EDT
Optum is triaging the issue and will provide an update at 12:30 p.m. ET or when further updates are available.
We apologize for the inconvenience this situation has caused you.
INC0628572
Oct 11, 2024 - 11:54 EDT
Update - CMS has now also issued programmatic waivers for Tennessee and South Carolina. Please see the below for details.
Oct 03, 2024 - 12:25 EDT
Oct 03, 2024 - 12:25 EDT
Investigating - Due to the President’s state of emergency declaration for Florida, Georgia, and North Carolina, CMS has issued programmatic waivers based on Section 1135 of the Social Security Act. Both Public Health Declarations as well as the Social Security Act waiver may be found in the downloads section of the CMS Emergency Response and Recovery web site: https://www.cms.gov/about-cms/what-we-do/emergency-response/current-emergencies.
We will notify you if/when additional states receive programmatic waivers.
We have confirmed with the DME MACs that they will support the use of the “CR” modifier on claims for items and services for which Medicare payment is conditioned on the presence of a “formal waiver” including, but not necessarily limited to, waivers granted under 1135(b) of the Social Security Act.
Optum MedRx is prepared to accept the “CR” modifier for any appropriate claims and continues to support providers and beneficiaries impacted in times of need. If you have any questions or concerns, please contact your Account Manager or Optum MedRx Pharmacy Support.
Additional details and materials are available on the CMS Emergency page referenced above. Please check back frequently for updates.
REF 788100
Sep 30, 2024 - 13:23 EDT
We will notify you if/when additional states receive programmatic waivers.
We have confirmed with the DME MACs that they will support the use of the “CR” modifier on claims for items and services for which Medicare payment is conditioned on the presence of a “formal waiver” including, but not necessarily limited to, waivers granted under 1135(b) of the Social Security Act.
Optum MedRx is prepared to accept the “CR” modifier for any appropriate claims and continues to support providers and beneficiaries impacted in times of need. If you have any questions or concerns, please contact your Account Manager or Optum MedRx Pharmacy Support.
Additional details and materials are available on the CMS Emergency page referenced above. Please check back frequently for updates.
REF 788100
Sep 30, 2024 - 13:23 EDT
Investigating - Assurance Reimbursement Management is experiencing an issue with intermittent performance.
This may result in:
•Error upon login
Optum is working to resolve this issue. We will notify you as soon as additional information becomes available.
We apologize for any inconvenience.
Action Required: Clear browser cache and retry login.
INC39409020 REF 783450
Sep 24, 2024 - 08:09 EDT
This may result in:
•Error upon login
Optum is working to resolve this issue. We will notify you as soon as additional information becomes available.
We apologize for any inconvenience.
Action Required: Clear browser cache and retry login.
INC39409020 REF 783450
Sep 24, 2024 - 08:09 EDT
Monitoring - Centers for Medicare & Medicaid Services and Noridian have released two notifications regarding recent Influenza CPT codes that have received erroneous denials. See the notification details in the below links:
Noridian: Article Detail - JE Part B - Noridian (noridianmedicare.com)
CMS: 2024-09-19-MLNC | CMS
In summary, CMS has stated that they are aware of the following issues:
- CPT 90658 (IIV3 VACCINE SPLT 0.5 ML IM): CMS “is holding claims for dates of service on or after Aug. 1, 2024, until Oct. 7, 2024. Your Medicare Administrative Contractor will reprocess any denied claims by November 1, 2024. You don’t need to take any action.”
- Noridian “is aware of flu vaccines procedure codes 90653, 90656 and 90661 denied incorrectly with CARC CO16 "Claim/service lacks information or has submission/billing error(s)". This issue impacted claims with dates of service on/after Aug. 1, 2024.
The system update was completed Sept. 12, 2024 to no longer deny the impacted procedure codes for dates of service on/after Aug. 1, 2024. Noridian will conduct a mass adjustment for claims denied in error.
Optum MedRX will continue to monitor and provide updates on the situation as possible.
REF 781650
Sep 20, 2024 - 10:40 EDT
Noridian: Article Detail - JE Part B - Noridian (noridianmedicare.com)
CMS: 2024-09-19-MLNC | CMS
In summary, CMS has stated that they are aware of the following issues:
- CPT 90658 (IIV3 VACCINE SPLT 0.5 ML IM): CMS “is holding claims for dates of service on or after Aug. 1, 2024, until Oct. 7, 2024. Your Medicare Administrative Contractor will reprocess any denied claims by November 1, 2024. You don’t need to take any action.”
- Noridian “is aware of flu vaccines procedure codes 90653, 90656 and 90661 denied incorrectly with CARC CO16 "Claim/service lacks information or has submission/billing error(s)". This issue impacted claims with dates of service on/after Aug. 1, 2024.
The system update was completed Sept. 12, 2024 to no longer deny the impacted procedure codes for dates of service on/after Aug. 1, 2024. Noridian will conduct a mass adjustment for claims denied in error.
Optum MedRX will continue to monitor and provide updates on the situation as possible.
REF 781650
Sep 20, 2024 - 10:40 EDT
About This Site
If you are experiencing an issue not listed here, please contact Optum support. This site may not reflect status in real time, since status could be delayed.
As you may know, Change Healthcare is now combining with Optum. Throughout the brand migration process, both brand identities may be visible in our markets.
Tell us how we're doing.
Change Healthcare Enterprise
?
Operational
Clinical Decision Support
Major Outage
CareSelect®
?
Operational
InterQual® AutoReview
Operational
InterQual® Cloud Solutions
?
Operational
InterQual® Coordinated Care
?
Operational
InterQual® Criteria
Operational
InterQual® Customize
?
Operational
InterQual® Review Manager – Hosted
?
Operational
InterQual® Review Manager – Installed
Operational
Patient Education
Operational
InterQual® Government Services
Major Outage
Clinical Network
Major Outage
Clinical Document Collector API
?
Major Outage
Clinical Exchange Channel Partners including ePrescribe and Orders & Results
?
Operational
Clinical Exchange Labs and Hospitals
Operational
CommonWell
?
Operational
Cost Transparency
Major Outage
Predictive Engagement
?
Major Outage
Provider Directory
?
Major Outage
True View
?
Major Outage
Customer Portals
Major Outage
Client Access System
?
Operational
ConnectCenter
?
Operational
Customer Care Hub
Operational
Customer Connection
Major Outage
Download Connect
Operational
Enrollment Central
Operational
Vision
Major Outage
Dental Network
Major Outage
Dental Claim Attachments
?
Major Outage
Dental Converge
?
Major Outage
Dental Credentialing Manager
?
Major Outage
Dental EDI Network
?
Major Outage
Dental Practice Analytic Insights
?
Major Outage
Dental Revenue Cycle Insights
?
Major Outage
Government Eligibility, Enrollment & Member Engagement
Major Outage
Enrollment Advocate (Dual Enrollment, Advocate & Recert Complete, My Advocate, Part D Complete & Community Advocate, SSI Enrollment Advocate)
Partial Outage
Smart Connect, Smart Appointment Scheduling, & Clinical Care Visits
?
Major Outage
Medical Network Services (eligibility, enrollment and clearinghouse)
Major Outage
Advanced Claim Management
?
Major Outage
Batch claims transmission
?
Operational
Remittance/ERA transmission
?
Operational
Real-time eligibility transactions
?
Operational
Hosted Payer Services (HPS)
Operational
Medical claim attachments
?
Operational
Paper-to-EDI (P2E)/Claims Automation
?
Major Outage
Payer Connectivity Services
?
Operational
Revenue Analytics
Major Outage
Medical Network APIs
Major Outage
Claims Responses and Reports API
?
Operational
Claims Status API
?
Operational
Eligibility API
?
Operational
Institutional Claims API
?
Operational
Payer Finder website and API
?
Major Outage
Professional Claims API
?
Operational
Medical Record Retrieval & Clinical Review
Operational
Clinical Abstraction
?
Operational
Medical Record Retrieval
?
Operational
Patient Engagement & Experience
Major Outage
Shop Book and Pay
?
Major Outage
Virtual Front Desk
?
Major Outage
Payer Communications and Payment Services
Operational
Communications Complete - Payer
Operational
Payer Enrollment Services
?
Operational
Payment Network Advocate
?
Operational
Settlement Advocate
?
Operational
Payment Integrity
Major Outage
DRG Validation
Major Outage
Hospital Bill Audit
Major Outage
Hospital Billing Validation/Short Stay Bill Validation
Major Outage
Pharmacy Benefits & TPA
Operational
Medicaid Pharmacy Benefits Services
?
Operational
Smart Commercial Pharmacy Services
?
Operational
Pharmacy Solutions
Degraded Performance
Absolute AR
?
Operational
Converge Rx
?
Degraded Performance
Enterprise Pharmacy System
?
Degraded Performance
Exchange Dx
?
Operational
Explore Dx
?
Operational
MedRx
?
Operational
Network Solutions (ePrescribing)
?
Operational
Point-of-Sale Rx
?
Operational
Rx Assist
?
Operational
Rx CardFinder Services
?
Operational
Rx Connect Solution
?
Operational
Rx Edit
?
Operational
Turn Rx
?
Operational
Provider Communications and Payment Services
Major Outage
Communications Complete - Provider
Major Outage
Payment Automation
?
Partial Outage
SmartPay for Providers
?
Major Outage
SmartPay Plus for Providers
Operational
Provider Network Optimization
Major Outage
Contract Manager
Operational
Provider Manager
Major Outage
Reimbursement Manager
Operational
Revenue Cycle Management
Major Outage
AccuPost
?
Major Outage
Acuity Revenue Cycle Analytics
?
Operational
Ahi Lobby
?
Operational
AhiQA
?
Operational
Ambulatory Claims Manager
?
Major Outage
Assurance Reimbursement Management
?
Degraded Performance
Claims & Denials Advisor
?
Major Outage
Claims & Denials Management
Major Outage
Clearance Patient Access Suite
?
Operational
Financial Clearance Services
?
Partial Outage
National Payments Connector
?
Degraded Performance
Patient Engagement Suite
Operational
Revenue Integrity (Coding Services)
?
Operational
Revenue Performance Advisor
Operational
Risk Adjustment & Quality
Major Outage
Compliance Reporter
?
Operational
Dx Gap Advisor
?
Major Outage
Edge Complete
?
Major Outage
Encounter Complete
?
Major Outage
Risk View
?
Operational
Risk Adjustment Coding
?
Major Outage
Value-Based Care
Major Outage
Business Process as a Service (BPaaS)
?
Major Outage
HealthQx
?
Operational
Prometheus Analytics
?
Operational
Risk Manager
Operational
Third-Party Administration
?
Major Outage
Operational
Degraded Performance
Partial Outage
Major Outage
Maintenance
Scheduled Maintenance
InterQual® System Maintenance
Aug 17, 2024 00:00-07:00 EDT
This message is intended for InterQual® customers.
The following InterQual hosted solutions will be undergoing maintenance this weekend:
• InterQual® Cloud Solutions
• InterQual® AutoReview
• InterQual® Coordinated Care
• InterQual® Customize
• InterQual® Review Manager - Hosted
The solutions will be available during the maintenance windows below, though users may experience degraded performance while network maintenance activities are occurring:
• Saturday, Aug. 17, midnight, ET to 7 a.m. ET
• Saturday, Aug. 17, 10:01 p.m. ET to Sunday, Aug. 18, 7 a.m. ET
In addition, InterQual® Review Manager - Hosted will be unavailable due to database maintenance during the window below:
• Friday, Aug. 16, 9 p.m. ET to 11 p.m. ET
• Note: All other InterQual hosted solutions will be available during this window
Contact Information
For any additional information or assistance, sign in to the Customer Care Hub and submit a new case to Product Support.
REF 752650
Posted on Aug 13, 2024 - 15:18 EDT
The following InterQual hosted solutions will be undergoing maintenance this weekend:
• InterQual® Cloud Solutions
• InterQual® AutoReview
• InterQual® Coordinated Care
• InterQual® Customize
• InterQual® Review Manager - Hosted
The solutions will be available during the maintenance windows below, though users may experience degraded performance while network maintenance activities are occurring:
• Saturday, Aug. 17, midnight, ET to 7 a.m. ET
• Saturday, Aug. 17, 10:01 p.m. ET to Sunday, Aug. 18, 7 a.m. ET
In addition, InterQual® Review Manager - Hosted will be unavailable due to database maintenance during the window below:
• Friday, Aug. 16, 9 p.m. ET to 11 p.m. ET
• Note: All other InterQual hosted solutions will be available during this window
Contact Information
For any additional information or assistance, sign in to the Customer Care Hub and submit a new case to Product Support.
REF 752650
Posted on Aug 13, 2024 - 15:18 EDT
Errata notification August 22, 2024
Aug 22, 2024 10:00-10:10 EDT
The purpose of this communication is to inform you of errors identified that could potentially affect the outcome of a review in the following InterQual® module. This corrected content will be available in the InterQual 2024 October release.
• Behavioral Health Child and Adolescent Psychiatry
For detailed information about this issue and the appropriate update, refer to the 2024 Known Issues List, located in the InterQual® Resource Center. Go to Clinical Resources, select Known Issues List, and then select 2024 Known Issues List.
Contact information
For any additional information or assistance, log in to the Customer Care Hub and submit a new case to Product Support.
REF 758600
Posted on Aug 22, 2024 - 09:58 EDT
• Behavioral Health Child and Adolescent Psychiatry
For detailed information about this issue and the appropriate update, refer to the 2024 Known Issues List, located in the InterQual® Resource Center. Go to Clinical Resources, select Known Issues List, and then select 2024 Known Issues List.
Contact information
For any additional information or assistance, log in to the Customer Care Hub and submit a new case to Product Support.
REF 758600
Posted on Aug 22, 2024 - 09:58 EDT
Correction: InterQual® Cloud Solutions August 23, 2024 Software Release
Aug 23, 2024 23:00-23:10 EDT
Update -
Correction: InterQual® Cloud Solutions August 23, 2024 Software Release at 11 p.m. ET
Scheduled - This message is intended for InterQual® Cloud Solutions customers.
We are pleased to announce the August 23, 2024 release of the InterQual® Cloud solutions, which includes these updates:
• Latest subset version is now automatically selected on the Subset Overview screen
• InterQual® Connect Medical Review Service API v2.2
• Enhanced display of clinical data in InterQual® AutoReview automated reviews
Visit the What’s New page on the InterQual® Resource Center to learn more about these updates for the products listed below:
• InterQual® Connect Medical Review Service
• InterQual® AutoReview
• InterQual® Anonymous Review
• InterQual® Transparency
• InterQual® Online
• InterQual® Mobile
Contact Information
For any additional information or assistance, log in to the Customer Care Hub and submit a new case to Product Support.
REF 756850
Aug 20, 2024 - 13:42 EDT
Scheduled - This message is intended for InterQual® Cloud Solutions customers.
We are pleased to announce the August 23, 2024 release of the InterQual® Cloud solutions, which includes these updates:
• Latest subset version is now automatically selected on the Subset Overview screen
• InterQual® Connect Medical Review Service API v2.2
• Enhanced display of clinical data in InterQual® AutoReview automated reviews
Visit the What’s New page on the InterQual® Resource Center to learn more about these updates for the products listed below:
• InterQual® Connect Medical Review Service
• InterQual® AutoReview
• InterQual® Anonymous Review
• InterQual® Transparency
• InterQual® Online
• InterQual® Mobile
Contact Information
For any additional information or assistance, log in to the Customer Care Hub and submit a new case to Product Support.
REF 756850
Aug 20, 2024 - 13:42 EDT
Scheduled -
This message is intended for InterQual® Cloud Solutions customers.
We are pleased to announce the August 2024 release of the InterQual® Cloud solutions, which includes these updates:
• Latest subset version is now automatically selected on the Subset Overview screen
• InterQual® Connect Medical Review Service API v2.2
• Enhanced display of clinical data in InterQual® AutoReview automated reviews
Visit the What’s New page on the InterQual® Resource Center to learn more about these updates for the products listed below:
• InterQual® Connect Medical Review Service
• InterQual® AutoReview
• InterQual® Anonymous Review
• InterQual® Transparency
• InterQual® Online
• InterQual® Mobile
Contact Information For any additional information or assistance, log in to the Customer Care Hub and submit a new case to Product Support.
REF 756850 8/20/2024
Aug 23, 2024 - 23:00 EDT
We are pleased to announce the August 2024 release of the InterQual® Cloud solutions, which includes these updates:
• Latest subset version is now automatically selected on the Subset Overview screen
• InterQual® Connect Medical Review Service API v2.2
• Enhanced display of clinical data in InterQual® AutoReview automated reviews
Visit the What’s New page on the InterQual® Resource Center to learn more about these updates for the products listed below:
• InterQual® Connect Medical Review Service
• InterQual® AutoReview
• InterQual® Anonymous Review
• InterQual® Transparency
• InterQual® Online
• InterQual® Mobile
Contact Information For any additional information or assistance, log in to the Customer Care Hub and submit a new case to Product Support.
REF 756850 8/20/2024
Aug 23, 2024 - 23:00 EDT
InterQual® 2024 September content release
Sep 6, 2024 11:00-11:10 EDT
We are pleased to announce that the InterQual 2024 September content release is now available for all InterQual® Cloud Solutions customers as of Friday, September 6, 2024.
This content release includes updates to the following modules:
• Medicare Behavioral Health Navigator
• Medicare Imaging Navigator
• Medicare Molecular Diagnostics and Lab Navigator
• Medicare Pharmacy Navigator
• Medicare Post-Acute and Durable Medical Equipment Navigator
• Medicare Procedures Navigator
For Clinical Revisions and additional details about this release, go to the What’s New page on the InterQual® Resource Center and then select InterQual Content.
InterQual Cloud Solutions updates
If your organization has configured your environment to disable new criteria releases by default, you will need to log in to the Administration module and enable the criteria when you are ready to start using it.
Contact Information
For additional information or assistance, log in to the Customer Care Hub and submit a new case to Product Support.
REF 769900
Posted on Sep 06, 2024 - 10:58 EDT
This content release includes updates to the following modules:
• Medicare Behavioral Health Navigator
• Medicare Imaging Navigator
• Medicare Molecular Diagnostics and Lab Navigator
• Medicare Pharmacy Navigator
• Medicare Post-Acute and Durable Medical Equipment Navigator
• Medicare Procedures Navigator
For Clinical Revisions and additional details about this release, go to the What’s New page on the InterQual® Resource Center and then select InterQual Content.
InterQual Cloud Solutions updates
If your organization has configured your environment to disable new criteria releases by default, you will need to log in to the Administration module and enable the criteria when you are ready to start using it.
Contact Information
For additional information or assistance, log in to the Customer Care Hub and submit a new case to Product Support.
REF 769900
Posted on Sep 06, 2024 - 10:58 EDT
Enhancing your Customer Support experience!
Sep 11, 2024 09:00 - Sep 18, 2024 09:00 EDT
We are pleased to announce changes to enhance your customer support experience.
As part of our commitment to streamline issue resolution, make it easier to do business with us, improve the Optum customer experience, and retain and grow customer relationships, we are offering customers a new way to view the information they need when they need it.
To create a more user-friendly experience for you, beginning Sept. 11, 2024, you will only need to select Printing and Fulfillment – CPS.
As a refresher, the following self-service options are available in the Customer Care Hub, giving you faster, easier access to Optum support:
-Opening a support case
-Adding attachments to a case
-Filtering cases and checking case status
-View onboarding cases
-Searching for self-service learning and resources
-And more...
If you need information about a case that is not found on the Customer Care Hub, you can open a new case to request the information.
Please reach out to your client manager or contact support if you have additional questions.
Posted on Sep 10, 2024 - 14:45 EDT
As part of our commitment to streamline issue resolution, make it easier to do business with us, improve the Optum customer experience, and retain and grow customer relationships, we are offering customers a new way to view the information they need when they need it.
To create a more user-friendly experience for you, beginning Sept. 11, 2024, you will only need to select Printing and Fulfillment – CPS.
As a refresher, the following self-service options are available in the Customer Care Hub, giving you faster, easier access to Optum support:
-Opening a support case
-Adding attachments to a case
-Filtering cases and checking case status
-View onboarding cases
-Searching for self-service learning and resources
-And more...
If you need information about a case that is not found on the Customer Care Hub, you can open a new case to request the information.
Please reach out to your client manager or contact support if you have additional questions.
Posted on Sep 10, 2024 - 14:45 EDT
InterQual® Cloud Solutions Software Release
Sep 19, 2024 20:00 - Sep 26, 2024 20:00 EDT
This message is intended for InterQual® Cloud Solutions customers.
We are pleased to announce the release of the InterQual® Cloud solutions version 407, which includes the following updates:
• Prepared support for required sign-in with One Healthcare ID (see Action Required below).
• Added LCD and NCD revision notices to the Subset Overview page for Medicare Navigator subsets.
• Additional enhancements listed on the What’s New page on the InterQual® Resource Center.
This release will be deployed to the integ (non-production) environment Thursday, Sept. 19, 2024, 8:00 p.m. ET, and to the production environment Oct. 10, 11:00 p.m. ET.
Action Required: Sign-in changes
Starting Oct. 1, 2024, signing in with One Healthcare ID will be required for all non-SSO users accessing the integ (non-prod) environment. Starting Oct. 17, signing in with One Healthcare ID will be required for some users accessing the production environment.
Visit the What’s New page on the InterQual® Resource Center to learn how to create a One Healthcare ID and link it to your InterQual account to prepare for these upcoming changes.
Contact Information
For any additional information or assistance, log in to the Customer Care Hub and submit a new case to Product Support.
REF 778950
Posted on Sep 16, 2024 - 17:09 EDT
We are pleased to announce the release of the InterQual® Cloud solutions version 407, which includes the following updates:
• Prepared support for required sign-in with One Healthcare ID (see Action Required below).
• Added LCD and NCD revision notices to the Subset Overview page for Medicare Navigator subsets.
• Additional enhancements listed on the What’s New page on the InterQual® Resource Center.
This release will be deployed to the integ (non-production) environment Thursday, Sept. 19, 2024, 8:00 p.m. ET, and to the production environment Oct. 10, 11:00 p.m. ET.
Action Required: Sign-in changes
Starting Oct. 1, 2024, signing in with One Healthcare ID will be required for all non-SSO users accessing the integ (non-prod) environment. Starting Oct. 17, signing in with One Healthcare ID will be required for some users accessing the production environment.
Visit the What’s New page on the InterQual® Resource Center to learn how to create a One Healthcare ID and link it to your InterQual account to prepare for these upcoming changes.
Contact Information
For any additional information or assistance, log in to the Customer Care Hub and submit a new case to Product Support.
REF 778950
Posted on Sep 16, 2024 - 17:09 EDT
InterQual® Review Manager Hosted Maintenance
Sep 26, 2024 21:00 - Sep 27, 2024 03:00 EDT
This message is intended for InterQual® Review Manager Hosted customers.
The InterQual® Review Manager Hosted production environment will be undergoing routine maintenance during the maintenance window below:
• Start: Thursday, Sep. 26, 2024, 9:00 p.m. ET
• End: Friday, Sep. 27, 2024, 3:00 a.m. ET
Customers will experience up to 60 minutes of downtime during this 6-hour maintenance window.
Contact Information
For any additional information or assistance, log onto the Customer Care Hub and submit a new case to Product Support.
REF 784550
Posted on Sep 25, 2024 - 12:09 EDT
The InterQual® Review Manager Hosted production environment will be undergoing routine maintenance during the maintenance window below:
• Start: Thursday, Sep. 26, 2024, 9:00 p.m. ET
• End: Friday, Sep. 27, 2024, 3:00 a.m. ET
Customers will experience up to 60 minutes of downtime during this 6-hour maintenance window.
Contact Information
For any additional information or assistance, log onto the Customer Care Hub and submit a new case to Product Support.
REF 784550
Posted on Sep 25, 2024 - 12:09 EDT
InterQual® 2024 October Content Release
Oct 4, 2024 09:00-09:10 EDT
We are pleased to announce that the InterQual® 2024 October content release is now available for all InterQual® Cloud Solutions customers as of Friday, October 4, 2024.
This content release includes updates to the following modules:
• InterQual® Child and Adolescent Psychiatry Criteria
• InterQual® Behavioral Health Services Criteria
• InterQual® Durable Medical Equipment Criteria
• InterQual® Imaging Criteria
• InterQual® Molecular Diagnostics Criteria
• InterQual® Procedures Criteria
• InterQual® Specialty Rx Non Oncology Criteria
• InterQual® Specialty Referral Criteria
• InterQual® Retrospective Monitoring Criteria
• The ASAM Criteria® Navigator
• Medicare Behavioral Health Navigator
• Medicare Imaging Navigator
• Medicare Molecular Diagnostics and Lab Navigator
• Medicare Pharmacy Navigator
• Medicare Post-Acute and Durable Medical Equipment Navigator
• Medicare Procedures Navigator
For Clinical Revisions and additional details about this release, go to the What’s New page on the InterQual® Resource Center and then select InterQual Content.
InterQual® Cloud Solutions updates
If your organization has configured your environment to disable new criteria releases by default, you will need to log in to the Administration module and enable the criteria when you are ready to start using it.
Contact information
For additional information or assistance, log in to the Customer Care Hub and submit a new case to Product Support. Product Support is also available by email at interqualsupport@optum.com and by phone at 1-800-CRITERIA (274-8374).
REF 792050
Posted on Oct 04, 2024 - 07:45 EDT
This content release includes updates to the following modules:
• InterQual® Child and Adolescent Psychiatry Criteria
• InterQual® Behavioral Health Services Criteria
• InterQual® Durable Medical Equipment Criteria
• InterQual® Imaging Criteria
• InterQual® Molecular Diagnostics Criteria
• InterQual® Procedures Criteria
• InterQual® Specialty Rx Non Oncology Criteria
• InterQual® Specialty Referral Criteria
• InterQual® Retrospective Monitoring Criteria
• The ASAM Criteria® Navigator
• Medicare Behavioral Health Navigator
• Medicare Imaging Navigator
• Medicare Molecular Diagnostics and Lab Navigator
• Medicare Pharmacy Navigator
• Medicare Post-Acute and Durable Medical Equipment Navigator
• Medicare Procedures Navigator
For Clinical Revisions and additional details about this release, go to the What’s New page on the InterQual® Resource Center and then select InterQual Content.
InterQual® Cloud Solutions updates
If your organization has configured your environment to disable new criteria releases by default, you will need to log in to the Administration module and enable the criteria when you are ready to start using it.
Contact information
For additional information or assistance, log in to the Customer Care Hub and submit a new case to Product Support. Product Support is also available by email at interqualsupport@optum.com and by phone at 1-800-CRITERIA (274-8374).
REF 792050
Posted on Oct 04, 2024 - 07:45 EDT
InterQual Cloud Solutions Software Release
Oct 10, 2024 23:00-23:01 EDT
Scheduled -
This message is intended for InterQual® Cloud Solutions customers.
We are pleased to announce the release of the InterQual® Cloud solutions version 408, which includes the following updates:
• InterQual® AutoReview summary enhancements
• Sign-in changes for non-SSO users
• Additional improvements and fixes
This release will be deployed on Thursday, Oct. 10, 2024, at 11 p.m. ET. For additional details, see the What’s New page on the InterQual® Resource Center.
Action Required: Sign-in changes
On Oct. 17, signing in with One Healthcare ID will be required for all admin users accessing the production environment. Starting on Oct. 31 through Dec. 31, signing in with One Healthcare ID will be required for all non-SSO users on an organization-by-organization basis. Visit the What’s New page on the InterQual® Resource Center to learn more.
Contact Information
For additional information or assistance, sign in to the Customer Care Hub and submit a new case to Product Support.
REF 793800
Oct 08, 2024 - 16:51 EDT
We are pleased to announce the release of the InterQual® Cloud solutions version 408, which includes the following updates:
• InterQual® AutoReview summary enhancements
• Sign-in changes for non-SSO users
• Additional improvements and fixes
This release will be deployed on Thursday, Oct. 10, 2024, at 11 p.m. ET. For additional details, see the What’s New page on the InterQual® Resource Center.
Action Required: Sign-in changes
On Oct. 17, signing in with One Healthcare ID will be required for all admin users accessing the production environment. Starting on Oct. 31 through Dec. 31, signing in with One Healthcare ID will be required for all non-SSO users on an organization-by-organization basis. Visit the What’s New page on the InterQual® Resource Center to learn more.
Contact Information
For additional information or assistance, sign in to the Customer Care Hub and submit a new case to Product Support.
REF 793800
Oct 08, 2024 - 16:51 EDT
System Maintenance – Clearinghouse Database Maintenance
Oct 11, 2024 23:00 - Oct 12, 2024 17:00 EDT
This message is intended for Assurance EDI customers.
Optum will be performing maintenance on our database. As part of that maintenance, we will be shutting down claims and remit processing on October 11, 2024, from 11:00 p.m. ET to October 12, 2024 5:00 p.m. ET.
Assurance EDI and ConnectCenter customers need to be aware of the following:
• The ConnectCenter application will not be available during the event
• The Enrollment Central application will not be available during the event
• The Collaboration Compass application will not be available during the event
• All transaction processing will be unavailable during the maintenance. This includes
• Claims
• Remittance
• Claim Status
• Eligibility
• Authorization/Referral
• The InfoExchange application will not be available during the event
• API clients that use our Claims Submission and Claims Validation API will not be able to utilize that API until the event has completed
• API clients that use our Claims Response and Reports API to pick up reports can retrieve reports created prior to the event beginning but no new reports will be available until the event has completed
• Claims will not be delivered to the payer until the event has completed
• Remits will not be retrieved or processed from payers until the event has completed
Begin: Friday, October 11, 2024, at 11:00 p.m. ET
End: Saturday, October 12, 2024, at 5:00 p.m. ET
Action Required by You
Please be advised of the maintenance schedule above and adjust your processes accordingly. Please follow your normal escalation path in the unlikely event you experience issues.
For additional information or assistance, please contact product support at assuranceedi.support@optum.com or by phone at 800-527-8133, option 2.
REF 767052
Posted on Oct 09, 2024 - 13:11 EDT
Optum will be performing maintenance on our database. As part of that maintenance, we will be shutting down claims and remit processing on October 11, 2024, from 11:00 p.m. ET to October 12, 2024 5:00 p.m. ET.
Assurance EDI and ConnectCenter customers need to be aware of the following:
• The ConnectCenter application will not be available during the event
• The Enrollment Central application will not be available during the event
• The Collaboration Compass application will not be available during the event
• All transaction processing will be unavailable during the maintenance. This includes
• Claims
• Remittance
• Claim Status
• Eligibility
• Authorization/Referral
• The InfoExchange application will not be available during the event
• API clients that use our Claims Submission and Claims Validation API will not be able to utilize that API until the event has completed
• API clients that use our Claims Response and Reports API to pick up reports can retrieve reports created prior to the event beginning but no new reports will be available until the event has completed
• Claims will not be delivered to the payer until the event has completed
• Remits will not be retrieved or processed from payers until the event has completed
Begin: Friday, October 11, 2024, at 11:00 p.m. ET
End: Saturday, October 12, 2024, at 5:00 p.m. ET
Action Required by You
Please be advised of the maintenance schedule above and adjust your processes accordingly. Please follow your normal escalation path in the unlikely event you experience issues.
For additional information or assistance, please contact product support at assuranceedi.support@optum.com or by phone at 800-527-8133, option 2.
REF 767052
Posted on Oct 09, 2024 - 13:11 EDT
System Maintenance – Clearinghouse Database
Oct 11, 2024 23:00 - Oct 12, 2024 17:00 EDT
This message is intended for Clearance EDI customers.
Optum will be doing maintenance on our database. As part of that maintenance, we will be shutting down eligibility processing on October 11, 2024, from 11 p.m. ET until October 12, 2024, 5 p.m. ET.
Clearance EDI customers will be unable to perform the following during this migration:
• Customers that submit real time eligibility will be UNABLE to submit real time transactions during the event
• Customers that submit eligibility using a batch file will be UNABLE to submit eligibility files to Optum during the event
• Customers that submit eligibility transactions using ConnectCenter will be UNABLE to submit eligibility requests during the event
• Customers that view historical eligibility data using ConnectCenter will be UNABLE to review those transactions during the event.
Begin: Fri., Oct. 11, 2024, at 11 p.m. ET
End: Sat., Oct. 12, 2024, at 5 p.m. ET
Action Required by You
Please be advised of the maintenance schedule above and adjust your processes accordingly. Please follow your normal escalation path in the unlikely event you experience issues.
For additional information or assistance, please contact product support at Clearance.Support@optum.com or by phone at 800-527-8133, option 4.
REF 767050
Posted on Oct 09, 2024 - 13:20 EDT
Optum will be doing maintenance on our database. As part of that maintenance, we will be shutting down eligibility processing on October 11, 2024, from 11 p.m. ET until October 12, 2024, 5 p.m. ET.
Clearance EDI customers will be unable to perform the following during this migration:
• Customers that submit real time eligibility will be UNABLE to submit real time transactions during the event
• Customers that submit eligibility using a batch file will be UNABLE to submit eligibility files to Optum during the event
• Customers that submit eligibility transactions using ConnectCenter will be UNABLE to submit eligibility requests during the event
• Customers that view historical eligibility data using ConnectCenter will be UNABLE to review those transactions during the event.
Begin: Fri., Oct. 11, 2024, at 11 p.m. ET
End: Sat., Oct. 12, 2024, at 5 p.m. ET
Action Required by You
Please be advised of the maintenance schedule above and adjust your processes accordingly. Please follow your normal escalation path in the unlikely event you experience issues.
For additional information or assistance, please contact product support at Clearance.Support@optum.com or by phone at 800-527-8133, option 4.
REF 767050
Posted on Oct 09, 2024 - 13:20 EDT
Scheduled Maintenance – October 2024
Oct 13, 2024 07:00-13:00 EDT
Optum will be completing planned system maintenance according to the following maintenance schedule for the month of October.
Maintenance Schedule
Begin: Oct. 13, 6 a.m. CT / 7 a.m. ET
End: Oct. 13, noon CT / 1 p.m. ET
(Duration of 6 hours)
System functionality will be intermittent during this scheduled maintenance window. The impacted services are as follows:
• FTP connectivity
• File importing and reporting
• Client Access System (CAS)
• API connectivity
If you have any questions or concerns, please contact our support team through the Customer Care Hub.
What you need to do?
Please be advised of the maintenance and adjust your schedule or processes as needed.
We appreciate your patience,
Optum
REF 793300
Posted on Oct 07, 2024 - 16:15 EDT
Maintenance Schedule
Begin: Oct. 13, 6 a.m. CT / 7 a.m. ET
End: Oct. 13, noon CT / 1 p.m. ET
(Duration of 6 hours)
System functionality will be intermittent during this scheduled maintenance window. The impacted services are as follows:
• FTP connectivity
• File importing and reporting
• Client Access System (CAS)
• API connectivity
If you have any questions or concerns, please contact our support team through the Customer Care Hub.
What you need to do?
Please be advised of the maintenance and adjust your schedule or processes as needed.
We appreciate your patience,
Optum
REF 793300
Posted on Oct 07, 2024 - 16:15 EDT
Scheduled Maintenance for Payer Communications and Payment Services – October 2024
Oct 18, 2024 22:00 - Oct 19, 2024 07:00 EDT
Optum will be completing planned system maintenance according to the following maintenance schedule for the month of October.
Maintenance Schedule
Begin:Oct 18, 9 p.m. CT/ 10 p.m. ET
End: Oct 19, 6 a.m. CT/ 7 a.m. ET
(Duration of 9 hours)
System functionality will be intermittent during this scheduled maintenance window. The impacted services are as follows:
• FTP connectivity
• File importing and reporting
• Client Access System (CAS)
• API connectivity
If you have any questions or concerns, please contact our support team through the Customer Care Hub.
What you need to do?
Please be advised of the maintenance and adjust your schedule or processes as needed.
We appreciate your patience,
Optum
REF#793302
Posted on Oct 07, 2024 - 15:41 EDT
Maintenance Schedule
Begin:Oct 18, 9 p.m. CT/ 10 p.m. ET
End: Oct 19, 6 a.m. CT/ 7 a.m. ET
(Duration of 9 hours)
System functionality will be intermittent during this scheduled maintenance window. The impacted services are as follows:
• FTP connectivity
• File importing and reporting
• Client Access System (CAS)
• API connectivity
If you have any questions or concerns, please contact our support team through the Customer Care Hub.
What you need to do?
Please be advised of the maintenance and adjust your schedule or processes as needed.
We appreciate your patience,
Optum
REF#793302
Posted on Oct 07, 2024 - 15:41 EDT
Network Maintenance Oct. 18-20, 2024
Oct 18, 2024 22:01 - Oct 20, 2024 07:01 EDT
The Clinical Exchange Network team will be performing maintenance on ePrescribe and Orders & Results:
Friday, Oct. 18, 2024, 10:01 p.m.-Saturday, Oct. 19, 2024, 7:00 a.m. ET.
Saturday, Oct. 19, 2024, 8:01 p.m. ET-Sunday, Oct. 20, 2024, 7:00 a.m. ET.
You may experience brief interruptions for applications and services throughout the weekend while these network maintenance activities occur.
REF 783800
Posted on Oct 02, 2024 - 10:05 EDT
Friday, Oct. 18, 2024, 10:01 p.m.-Saturday, Oct. 19, 2024, 7:00 a.m. ET.
Saturday, Oct. 19, 2024, 8:01 p.m. ET-Sunday, Oct. 20, 2024, 7:00 a.m. ET.
You may experience brief interruptions for applications and services throughout the weekend while these network maintenance activities occur.
REF 783800
Posted on Oct 02, 2024 - 10:05 EDT
Payer Communications and Payment Services Scheduled Maintenance – October 2024
Oct 19, 2024 20:00 - Oct 20, 2024 07:00 EDT
Optum will be completing planned system maintenance according to the following maintenance schedule for the month of October.
Maintenance Schedule
Begin: Oct. 19, 8 p.m. ET
End: Oct. 20, 7 a.m. ET
(Duration of 11 hours)
System functionality will be intermittent during this scheduled maintenance window. The impacted services are as follows:
• FTP connectivity
• File importing and reporting
• Client Access System (CAS)
• API connectivity
If you have any questions or concerns, please contact our support team through the Customer Care Hub.
What you need to do?
Please be advised of the maintenance and adjust your schedule or processes as needed.
REF 793304
Posted on Oct 07, 2024 - 16:10 EDT
Maintenance Schedule
Begin: Oct. 19, 8 p.m. ET
End: Oct. 20, 7 a.m. ET
(Duration of 11 hours)
System functionality will be intermittent during this scheduled maintenance window. The impacted services are as follows:
• FTP connectivity
• File importing and reporting
• Client Access System (CAS)
• API connectivity
If you have any questions or concerns, please contact our support team through the Customer Care Hub.
What you need to do?
Please be advised of the maintenance and adjust your schedule or processes as needed.
REF 793304
Posted on Oct 07, 2024 - 16:10 EDT