Be on the lookout for a new simplified view of this Solution Status page making it easier for you to quickly get the information you need. We'll be rolling out these updates over the next few weeks of June.

For imaging solutions, please visit us at Change Healthcare Enterprise Imaging.

Partial System Outage

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.

Change Healthcare Enterprise ? Operational
Clinical Decision Support Operational
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 Operational
Clinical Network Operational
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
Customer Portals Operational
Client Access System ? Operational
ConnectCenter ? Operational
Customer Care Hub Operational
Download Connect Operational
Enrollment Central Operational
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
Dental Network Major Outage
Dental Claim Attachments ? Partial Outage
Dental Converge ? Major Outage
Dental Credentialing Manager ? Major Outage
Dental EDI Network ? Partial Outage
Dental Practice Analytic Insights ? Major Outage
Dental Revenue Cycle Insights ? Major Outage
Medical Network Services (eligibility, enrollment and clearinghouse) Major Outage
Advanced Claim Management ? Operational
Batch claims transmission ? Operational
Remittance/ERA transmission ? Operational
Real-time eligibility transactions ? Operational
Hosted Payer Services (HPS) Operational
Medical claim attachments ? Operational
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
Payer Enrollment Services ? Operational
Settlement Advocate ? Operational
Communications Complete - Payer ? 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 Operational
Absolute AR ? Operational
Converge Rx ? Operational
Enterprise Pharmacy System ? Operational
Exchange Dx ? Operational
Explore Dx ? Operational
MedRx ? Operational
MedRx Commercial Operational
MedRx Flu Operational
MedRx Medicare Operational
MedRx Medicaid Operational
Point-of-Sale Rx ? Operational
Rx Network Solutions Operational
Rx Network Solutions ePrescribing ? Operational
Rx Assist ? Operational
Rx CardFinder Services ? Operational
Rx Connect Solution ? Operational
Rx Edit ? Operational
Rx Processor Alerts Operational
Rx Secure Site Operational
Turn Rx ? Operational
Provider Communications and Payment Services Operational
Payment Automation ? Operational
SmartPay Plus for Providers Operational
Provider Network Optimization Operational
Contract Manager Operational
Provider Manager Operational
Reimbursement Manager Operational
Revenue Cycle Management Major Outage
90 days ago
100.0 % uptime
Today
AccuPost ? Major Outage
Ahi Lobby ? Operational
AhiQA ? Operational
Ambulatory Claims Manager ? Major Outage
Assurance Reimbursement Management ? Operational
Claims & Denials Advisor ? Major Outage
Claims & Denials Management Major Outage
Clearance Patient Access Suite Operational
Clearance Patient Access Suite: Advocate Operational
Clearance Patient Access Suite: Bi-directional connectivity Operational
Clearance Patient Access Suite: Estimator Operational
Clearance Patient Access Suite: HL7 Operational
Clearance Patient Access Suite: Medical Necessity Operational
Clearance Patient Access Suite: Notice of Admission Operational
Clearance Patient Access Suite: Patient ID Operational
Clearance Patient Access Suite: Prior Authorization Operational
Clearance Patient Access Suite: Propensity to Pay Operational
Clearance Patient Access Suite: qPay Operational
Clearance Patient Access Suite: Verifier Operational
Financial Clearance Services ? Partial Outage
National Payments Connector ? Degraded Performance
Patient Engagement Suite Operational
Pulse Revenue Cycle Benchmarking™ Operational
Revenue Integrity (Coding Services) ? Operational
Revenue Performance Advisor Operational
Acuity Revenue Cycle Analytics Operational
90 days ago
100.0 % uptime
Today
Risk Adjustment & Quality Major Outage
Compliance Reporter ? Operational
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
Major outage
Partial outage
No downtime recorded on this day.
No data exists for this day.
had a major outage.
had a partial outage.

Scheduled Maintenance

Updates required for Epic InterQual® integrations (office hours) Jun 11, 2025 13:00-14:00 EDT

Scheduled - The InterQual integration with Epic has been updated to enable required security enhancements and migration towards industry standard public APIs. All customers accessing InterQual through an integration with Epic must take action to update your integration before Aug. 1, 2025.

Join us during any of the following office hours sessions to plan and complete your upgrade:

• Wednesday, May 14, 1:00-2:00 p.m. ET: Register
• Wednesday, May 21, 1:00-2:00 p.m. ET: Register
• Wednesday, May 28, 1:00-2:00 p.m. ET: Register
• Wednesday, June 4, 1:00-2:00 p.m. ET: Register
• Wednesday, June 11, 1:00-2:00 p.m. ET: Register

Support resources will be available during these sessions to answer any questions, assist with update steps, and help troubleshoot any issues you may encounter.

Additional details
• Detailed instructions and a recording of the April 24 webinar discussing this update can be found on the InterQual Community.
• If you do not have access to InterQual Community yet, you can register now to stay connected and informed.
• If your organization has already completed this InterQual integration update, no further action is required. You can disregard this message.
• If your organization does not access InterQual through an integration with Epic, no action is required. You can disregard this message.

Contact Information
For additional information or assistance, log in to the Customer Care Hub and submit a new case to Product Support.

REF 17593358

May 09, 2025 - 14:47 EDT

InterQual® Cloud Solutions Software Release Jun 12, 2025 00:00-00:10 EDT

This message is intended for InterQual® Cloud Solutions customers.

We are pleased to announce the release of the InterQual® Cloud solutions version 423 to non-production (integ). This release will be deployed to non-production Thursday, May 22, 2025, 11:00 p.m. ET and to production June 12, 2025.

This release includes the following updates:
• End of support for Microsoft Internet Explorer® 11. With this release, InterQual Cloud Solutions will no longer support Internet Explorer.
• InterQual® Coordinated Care: A new feature streamlines navigation by allowing users to bypass the Subset Overview screen and go directly to the assessment questions.
• Additional enhancements and details are listed on the InterQual® Community What’s New page.

Please note that the InterQual® Resource Center is being retired June 1, 2025. Register now for the InterQual Community to stay connected and informed, and to ensure you don’t lose access to vital documentation and resources.

Contact Information
For additional information or assistance, sign in to the Customer Care Hub and submit a new case to Product Support.

Posted on May 20, 2025 - 11:57 EDT

InterQual® Cloud Solutions Software Release Jun 12, 2025 23:00-23:10 EDT

This message is intended for InterQual® Cloud Solutions customers.

We are pleased to announce the release of the InterQual® Cloud solutions version 423 to production and version 424 to non-production (integ). These releases will be deployed Thursday, June 12, 2025, 11:00 p.m. ET and include the following updates:

• Additional rebranding changes were made to logos, colors, fonts, button styles, and dropdown menus.
• Additional enhancements and details are listed on the InterQual® Community What’s New page.

Please note that the InterQual® Resource Center was retired on June 1, 2025. Register now for the InterQual Community to stay connected and informed, and to ensure you don’t lose access to vital documentation and resources.

Contact Information
For additional information or assistance, sign in to the Customer Care Hub and submit a new case to Product Support.

Posted on Jun 10, 2025 - 16:03 EDT

SmartPay Plus IP Addresses Jun 23, 2025 00:00-00:10 EDT

We are updating our production environment’s IP addresses to maintain a resilient, secure, and compliant payment processing environment. If your organization maintains lists of allowable IP addresses or ranges, please update your firewall and external networking rules, including any third-party applications (e.g., Epic Interconnect), before June 10, 2025. Failure to do so may result in issues accessing our patient payment portals and applications after June 23, 2025.

New IP Address Ranges and Connectivity Standards:
Salucro Domains:

provideruat.smartpayplus.net
uat.smartpayplus.net
smartpayplus.changehealthcare.com
salucro-chc.com
smartpayplus.changehealthcare.com
mypatientpay.com
salucro.com
salucro.me

IP Addresses to Allow:
Salucro owned:

195.170.169.192/27
213.225.230.192/27
198.74.128.0/25
198.74.128.128/25
198.74.129.0/25
198.74.129.128/25
WAF – Akamai Kona:
23.53.5.170
23.206.56.168
23.206.58.162
23.206.59.162
23.206.62.159
23.206.63.159
23.206.60.160

We will provide more details soon on how to test and confirm your network environment is configured correctly.

If your organization does not maintain lists of allowable IP addresses or ranges, you can disregard this message. Sites that domain wildcard or track allowable domains may be unaffected, as our production domains will not change.

Posted on Jun 02, 2025 - 14:23 EDT

SmartPay Plus IP Addresses Jun 23, 2025 00:00-00:10 EDT

We are updating our production environment’s IP addresses to maintain a resilient, secure, and compliant payment processing environment. If your organization maintains lists of allowable IP addresses or ranges, please update your firewall and external networking rules, including any third-party applications (e.g., Epic Interconnect), before June 10, 2025. Failure to do so may result in issues accessing our patient payment portals and applications after June 23, 2025.

New IP Address Ranges and Connectivity Standards:
Salucro Domains:

provideruat.smartpayplus.net
uat.smartpayplus.net
smartpayplus.changehealthcare.com
salucro-chc.com
smartpayplus.changehealthcare.com
mypatientpay.com
salucro.com
salucro.me

IP Addresses to Allow:
Salucro owned:

195.170.169.192/27
213.225.230.192/27
198.74.128.0/25
198.74.128.128/25
198.74.129.0/25
198.74.129.128/25
WAF – Akamai Kona:
23.53.5.170
23.206.56.168
23.206.58.162
23.206.59.162
23.206.62.159
23.206.63.159
23.206.60.160

We will provide more details soon on how to test and confirm your network environment is configured correctly.

If your organization does not maintain lists of allowable IP addresses or ranges, you can disregard this message. Sites that domain wildcard or track allowable domains may be unaffected, as our production domains will not change.

Posted on Jun 04, 2025 - 13:54 EDT

SmartPay Plus IP Address Update Jun 23, 2025 00:00-00:10 EDT

Update:
Secondary 3-hour Production Testing will be performed June 17 with a bridge call (noon-3:00 p.m. ET).

Original notice sent June 4, 2025

We are updating our production environment’s IP addresses to maintain a resilient, secure, and compliant payment processing environment. If your organization maintains lists of allowable IP addresses or ranges, please update your firewall and external networking rules, including any third-party applications (e.g., Epic Interconnect), before June 10, 2025. Failure to do so may result in issues accessing our patient payment portals and applications after June 23, 2025.

New IP Address Ranges and Connectivity Standards:
Salucro Domains:

provideruat.smartpayplus.net
uat.smartpayplus.net
smartpayplus.changehealthcare.com
salucro-chc.com
smartpayplus.changehealthcare.com
mypatientpay.com
salucro.com
salucro.me

IP Addresses to Allow:
Salucro owned:

195.170.169.192/27
213.225.230.192/27
198.74.128.0/25
198.74.128.128/25
198.74.129.0/25
198.74.129.128/25
WAF – Akamai Kona:
23.53.5.170
23.206.56.168
23.206.58.162
23.206.59.162
23.206.62.159
23.206.63.159
23.206.60.160

We will provide more details soon on how to test and confirm your network environment is configured correctly.

If your organization does not maintain lists of allowable IP addresses or ranges, you can disregard this message. Sites that domain wildcard or track allowable domains may be unaffected, as our production domains will not change.

Posted on Jun 09, 2025 - 13:38 EDT

Postage Rate Update Jul 13, 2025 00:00-00:10 EDT

Dear Valued Customer,

In September 2021, the USPS® announced that beginning in 2023, rate adjustments will occur twice a year, in January and in July.

In accordance with this schedule, please note the following USPS rates that take effect July 13, 2025, pending approval from the Postal Regulatory Commission:

Current Rate
Stamped Single-Piece $0.730
MAADC Automation $0.622
AADC Automation $0.593
5-Digit Automation $0.545

New Rate
Effective July 13, 2025
(Pending Approval)

Stamped Single-Piece $0.780
MAADC Automation $0.672
AADC Automation $0.641
5-Digit Automation $0.593

Optum continues to pursue postage optimization strategies and anticipates sharing information on future savings shortly. In the meantime, we want to be transparent about USPS’ planned rate increases in general to help you plan your budgets.

Digital channels can help counter rising print costs
Optum continues to explore digital communication channels to help eliminate postage and material costs altogether. If you are interested in digital communication solutions, please reach out to your Relationship Manager for additional details.

We appreciate your business and continue to strive for excellence serving you. Please contact us with questions or concerns.

Thank you for your attention,
Optum

REF 17424017

Posted on May 05, 2025 - 10:30 EDT

REMINDER: Postage Rate Update Jul 13, 2025 00:00-00:10 EDT

Dear Valued Customer,

Postage Rates & Optimization
In September 2021, the USPS® announced that beginning in 2023, rate adjustments will occur twice a year, in January and in July.

In accordance with this schedule, please note the following USPS rates that take effect July 13, 2025. They have been approved by the Postal Regulatory Commission:

Current Rate
Stamped Single-Piece $0.730
MAADC Automation $0.622
AADC Automation $0.593
5-Digit Automation $0.545

New Rate
Effective July 13, 2025

Stamped Single-Piece $0.780
MAADC Automation $0.672
AADC Automation $0.641
5-Digit Automation $0.593

Optum continues to pursue postage optimization strategies and anticipates sharing information on future savings shortly. In the meantime, we want to be transparent about USPS rate increases in general to help you plan your budgets.

Digital channels can help counter rising print costs
Optum continues to explore digital communication channels to help eliminate postage and material costs altogether. If you are interested in digital communication solutions, please reach out to your Relationship Manager for additional details.

We appreciate your business and continue to strive for excellence serving you. Please contact us with questions or concerns.

Thanks for your attention,
Optum

Posted on Jun 05, 2025 - 17:07 EDT

Updates required for Epic InterQual® AutoReview integrations Aug 1, 2025 00:00-00:10 EDT

This message is intended for customers using InterQual AutoReview.

The InterQual integration with Epic has been updated to enable required security enhancements and migration towards industry standard open APIs. All customers using InterQual AutoReview must take action to upgrade their integration by Aug. 1, 2025 by taking the following steps:

1. Review the implementation guides and anticipated resource requirements for MRS (InterQual Connect) and AutoReview found on InterQual Community (links below).

2. Verify your current version of Epic and special updates. If your Epic version is not listed in Updates required for Epic InterQual integration, Please confirm when your next scheduled upgrade is planned. Otherwise, please ensure that you have taken the special upgrades listed in the guide.

3. Request InterQual MRS and AutoReview Apps in Epic Vendor Services
• InterQual® Medical Review Service for providers - v2.1
• InterQual® Medical Review Service for providers (backend basic) - v1.1
• InterQual® Medical Review Service for providers (backend enhanced) - v1.1
• InterQual® AutoReview – v1.6
• InterQual® AutoReview – backend systems – v1.2

4. Reach out to your customer experience lead with any questions.
Your Customer Experience lead will be reaching out in the coming week to arrange a technical meeting to answer any questions and work through details of the build.

Benefits of this upgrade include:
• Enhanced display of clinical data summaries for InterQual® AutoReview
• Implementation of backend OAuth to enhance security
• Implementation of Epic’s CriteriaReview and Open FHIR APIs for enhanced interoperability
• Prerequisite to new AutoReview capabilities leveraging clinical notes

Additional details
• If you do not have access to InterQual Community yet, you can register now to stay connected and informed: Register now for the InterQual Community.
• Detailed instructions and discussion about this upgrade can be found on the InterQual Community site: Updates required for Epic InterQual integration and Updates required for Epic InterQual AutoReview integrations.

Contact Information
For additional information or assistance, log in to the Customer Care Hub and submit a new case to Product Support.

Posted on Jun 02, 2025 - 16:52 EDT
Jun 16, 2025
Completed - The scheduled maintenance has been completed.
Jun 16, 01:00 EDT
In progress - Scheduled maintenance is currently in progress. We will provide updates as necessary.
Jun 15, 21:00 EDT
Scheduled - Optum performs monthly system maintenance on the 3rd Sunday of the month. Processing and access to your Optum solution, Ahi™ QA or Clearance Patient Access Suite, may be impacted.

The next scheduled monthly maintenance:
June 15, 2025, 9:00 p.m.-June 16, 2025, 1:00 a.m. ET.

Action Required: None. Please be aware of the maintenance time above.

Jun 5, 09:03 EDT
Jun 15, 2025
Jun 14, 2025

No incidents reported.

Jun 13, 2025
Completed - The scheduled maintenance has been completed.
Jun 13, 02:00 EDT
In progress - Scheduled maintenance is currently in progress. We will provide updates as necessary.
Jun 12, 21:00 EDT
Update - Reminder: Optum will be conducting server maintenance on the Clearance Patient Access Suite from 9 p.m. EST on Thursday, June 12th to 1 a.m. EST on Friday, June 13th. During this period, Clearance will not be available. Once maintenance is complete, you may experience reduced performance for up to one hour as back-end services return to full speed.
Jun 12, 08:45 EDT
Scheduled - Optum will be conducting server maintenance on the Clearance Patient Access Suite from 9 p.m. EST on Thursday, June 12th to 1a.m. EST on Friday, June 13th. During this period, Clearance will not be available. Once maintenance is complete, you may experience reduced performance for up to one hour as back-end services return to full speed.

Action required: Please alert any staff that this might impact.

Jun 5, 12:03 EDT
Jun 12, 2025
Jun 11, 2025
Completed - The scheduled maintenance has been completed.
Jun 11, 01:00 EDT
In progress - Scheduled maintenance is currently in progress. We will provide updates as necessary.
Jun 10, 22:00 EDT
Scheduled - Optum will administer system maintenance impacting normal Clinical Exchange services according to the maintenance schedule below:

Maintenance Schedule:
Begin: June 10, 2025, 10:00 p.m. ET
End: June 11, 2025, 12:59 a.m. ET
(Duration of 3 hours)

Action Required:
Please be aware the Clinical Exchange product may be unavailable for brief periods during maintenance.

May 20, 08:04 EDT
Completed - The scheduled maintenance has been completed.
Jun 11, 01:00 EDT
In progress - Scheduled maintenance is currently in progress. We will provide updates as necessary.
Jun 10, 22:01 EDT
Scheduled - Optum will administer system maintenance impacting normal Clinical Exchange services according to the maintenance schedule below:

Maintenance Schedule:
Begin: June 10, 2025, 10:00 p.m. ET
End: June 11, 2025, 12:59 a.m. ET
(Duration of 3 hours)

Action Required:
Please be aware the Clinical Exchange product may be unavailable for brief periods during maintenance

May 27, 14:59 EDT
Jun 10, 2025
Jun 9, 2025

No incidents reported.

Jun 8, 2025

No incidents reported.

Jun 7, 2025
Completed - The scheduled maintenance has been completed.
Jun 7, 23:30 EDT
In progress - Scheduled maintenance is currently in progress. We will provide updates as necessary.
Jun 7, 21:00 EDT
Scheduled - This message is intended for Revenue Performance Advisor customers.

Please be advised that the Revenue Performance Advisor (RPA) Platform will be undergoing maintenance Saturday, June 7, 2025, from 9:00 p.m. ET-11:30 p.m. ET requiring all processes to be shut down. All Revenue Performance Advisor services will be unavailable during this time.

May 27, 16:47 EDT
Completed - The scheduled maintenance has been completed.
Jun 7, 03:00 EDT
In progress - Scheduled maintenance is currently in progress. We will provide updates as necessary.
Jun 6, 21:01 EDT
Scheduled - The InterQual® Government Services system will be undergoing planned maintenance during the maintenance window below:
Start: June 6, 2025, 9:00 p.m. ET/8:00 p.m. CT
End: June 7. 2025, 3:00 a.m. ET/2:00 a.m. CT

During this time the following InterQual Government Services environments will be unavailable:
Production: https://prod-gov.dsiqc.changehealthcare.com/caas
Test: https://integ-gov.dsiqc.changehealthcare.com/caas

This maintenance does not impact InterQual Cloud Solutions (https://prod.ds.interqual.com).

During the maintenance downtime, you can access InterQual® Criteria from InterQual® View. For instructions to install InterQual View, see the InterQual® View Installation Guide on Download Connect.

Jun 3, 09:47 EDT
Completed - The scheduled maintenance has been completed.
Jun 7, 01:00 EDT
In progress - Scheduled maintenance is currently in progress. We will provide updates as necessary.
Jun 6, 21:00 EDT
Scheduled - Dear Valued Customer,

Optum will be completing planned system maintenance according to the following maintenance schedule for the month of June.

Maintenance Schedule
Begin: June 6, 8:00 p.m. CT
End: June 7, 12:00 a.m. CT
(Duration of 4 hours)

System functionality will be intermittent during this scheduled maintenance window. The impacted services are as follows:
· Client Access System (CAS)

There may be additional maintenance outages for the month of June and additional communications will be shared with those details as they become available.

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

Jun 5, 15:13 EDT
Jun 6, 2025
Completed - The scheduled maintenance has been completed.
Jun 6, 23:10 EDT
In progress - Scheduled maintenance is currently in progress. We will provide updates as necessary.
Jun 6, 23:00 EDT
Update - This communication is intended for InterQual® Cloud Solutions customers.

We are pleased to announce that the InterQual 2025 June content release is now available for InterQual® Cloud Solution customers as of Friday, June 6, 2025.

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 InterQual® Community, select InterQual Content Releases, and then Learn more. See the section below for more information on InterQual Community.

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.

InterQual® Community
The InterQual® Resource Center was retired on June 1, 2025. Register now for the InterQual Community to stay connected and informed, and to ensure you don’t lose access to vital documentation and resources.

As a Community member you will
• Have access to InterQual clinical documentation and resources.
• Have access to active discussion forums with Optum product experts and fellow customers.
• Find and connect with your peers by product and role.

You should have already received an email from donotreply@optum.com with the subject line “Complete Your Registration to Access Optum Enterprise Customer Community." This email will include your unique registration link. Click the link to complete your setup using your One Healthcare ID (OHID). Note: the unique registration link will be active for a limited time, so please access the link to complete registration immediately upon receipt.

If you do not receive a unique registration link, or if it has expired, you can self-register by following the directions posted here:
https://community.optum.com/registrationdetails.

Don’t have an OHID yet?
No problem! You can create one now at One Healthcare ID or follow the instructions in the registration invitation.

Coming Soon! InterQual® 2025 July Content Release
We are pleased to announce updates to the following modules that will be available in the InterQual 2025 July content release on Thursday, July 3, 2025. Please note this list is subject to change.

• InterQual® Behavioral Health Services Criteria (code updates only)
• InterQual® Durable Medical Equipment Criteria
• InterQual® Molecular Diagnostics Criteria (code updates only)
• InterQual® Procedures Criteria
• InterQual® Retrospective Monitoring Criteria (code updates only)
• InterQual® Specialty Rx Non Oncology Criteria
• InterQual® Specialty Rx Oncology Criteria (code updates only)
• InterQual® Specialty Referral Criteria
• Concert Genetics 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
• The ASAM Criteria® Navigator[1]

Contact information
For any 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).




[1] The ASAM Criteria is a registered trademark of the American Society of Addiction Medicine.

Jun 6, 15:23 EDT
Scheduled - This communication is intended for InterQual® Cloud Solutions customers.

We are pleased to announce that the InterQual 2025 June content release is now available for InterQual® Cloud Solution customers as of Friday, June 6, 2025.

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
• The ASAM Criteria® Navigator[1]

For clinical revisions and additional details about this release, go to the What’s New page on InterQual® Community, select InterQual Content Releases, and then Learn more. See the section below for more information on InterQual Community.

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.

InterQual® Community
The InterQual® Resource Center was retired on June 1, 2025. Register now for the InterQual Community to stay connected and informed, and to ensure you don’t lose access to vital documentation and resources.

As a Community member you will
• Have access to InterQual clinical documentation and resources.
• Have access to active discussion forums with Optum product experts and fellow customers.
• Find and connect with your peers by product and role.

You should have already received an email from donotreply@optum.com with the subject line “Complete Your Registration to Access Optum Enterprise Customer Community." This email will include your unique registration link. Click the link to complete your setup using your One Healthcare ID (OHID). Note: the unique registration link will be active for a limited time, so please access the link to complete registration immediately upon receipt.

If you do not receive a unique registration link, or if it has expired, you can self-register by following the directions posted here:
https://community.optum.com/registrationdetails.

Don’t have an OHID yet?
No problem! You can create one now at One Healthcare ID or follow the instructions in the registration invitation.

Coming Soon! InterQual® 2025 July Content Release
We are pleased to announce updates to the following modules that will be available in the InterQual 2025 July content release on Thursday, July 3, 2025. Please note this list is subject to change.

• InterQual® Behavioral Health Services Criteria (code updates only)
• InterQual® Durable Medical Equipment Criteria
• InterQual® Molecular Diagnostics Criteria (code updates only)
• InterQual® Procedures Criteria
• InterQual® Retrospective Monitoring Criteria (code updates only)
• InterQual® Specialty Rx Non Oncology Criteria
• InterQual® Specialty Rx Oncology Criteria (code updates only)
• InterQual® Specialty Referral Criteria
• Concert Genetics 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

Contact information
For any 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).




[1] The ASAM Criteria is a registered trademark of the American Society of Addiction Medicine.

Jun 6, 14:23 EDT
Completed - The scheduled maintenance has been completed.
Jun 6, 23:00 EDT
In progress - Scheduled maintenance is currently in progress. We will provide updates as necessary.
Jun 6, 21:01 EDT
Scheduled - 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: Friday, June 6, 2025, 9:00 p.m. ET
End: Friday, June 6, 2025, 11:00 p.m. ET

Customers may experience intermittent downtime during this maintenance window.

Contact Information
For additional information or assistance, sign in to the Customer Care Hub and submit a new case to Product Support.

Jun 3, 10:26 EDT
Resolved - This communication is intended for InterQual® Cloud Solutions customers.

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® modules. This corrected content will be available in a future release.
• InterQual® Durable Medical Equipment: Pneumatic and Other Powered Compression Devices
• InterQual® Procedures: Arthroplasty, Carpometacarpal (CMC) Joint, Thumb
• InterQual® Procedures: Joint Replacement, Wrist
• InterQual® Procedures: Neuroablation, Percutaneous
• InterQual® Procedures: Sleep Studies
• InterQual® Procedures: Sleep Studies (Pediatric)
• InterQual® Specialty Rx Oncology
• InterQual® Medicare Procedures Navigator: Aortography and Peripheral Angiography First Coast

For detailed information about this issue and the appropriate update, refer to the 2025 Known Issues List, in InterQual® Community. Go to Known Issues List, and then select 2025 Known Issues.

InterQual Community
The InterQual® Resource Center was retired effective June 1, 2025. Register now for the InterQual Community to stay connected and informed, and to ensure you don’t lose access to vital documentation and resources.

As a Community member, you will:
• Have access to InterQual clinical documentation and resources.
• Have access to active discussion forums with Optum product experts and fellow customers.
• Find and connect with your peers by product and role.

You should have already received an email from donotreply@optum.com with the subject line: “Complete Your Registration to Access Optum Enterprise Customer Community”. This email will include your unique registration link. Click the link to complete your setup using your One Healthcare ID (OHID).

Note: the unique registration link will be active for a limited time, so please access the link to complete registration immediately upon receipt.
If you do not receive a unique registration link, or if it has expired, you can self-register by following the directions posted here.

Don’t have an OHID yet?
No problem! You can create one now at One Healthcare ID or follow the instructions in the registration invitation.

Contact information
For any 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).

Jun 6, 15:28 EDT
Jun 5, 2025

No incidents reported.

Jun 4, 2025
Completed - The scheduled maintenance has been completed.
Jun 4, 01:00 EDT
In progress - Scheduled maintenance is currently in progress. We will provide updates as necessary.
Jun 3, 22:00 EDT
Scheduled - Upcoming scheduled maintenance notice

Optum will administer system maintenance impacting normal Clinical Exchange services according to the maintenance schedule below:

Maintenance Schedule:
Begin: June 3, 2025, 10:00 p.m. ET
End: June 4, 2025, 12:59 a.m. ET
(Duration of 3 hours)

Action Required:
Please be aware the Clinical Exchange product may be unavailable for brief periods during maintenance.

May 27, 15:03 EDT
Jun 3, 2025
Completed - The scheduled maintenance has been completed.
Jun 3, 09:57 EDT
Scheduled - This communication is intended for InterQual® Cloud Solutions customers.

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® modules. This corrected content will be available in a future release:

• InterQual® Specialty Referral: Liver Disorders
• InterQual® Specialty Rx Oncology: Ferric pyrophosphate citrate (Triferic, Triferic AVNU)
• InterQual® Specialty Rx Oncology: Interferon alfa-2b (Intron-A)
• InterQual® Specialty Rx Oncology: Interferon beta-1b (Extavia)
• InterQual® Specialty Rx Oncology: Octreotide acetate (Sandostatin)
• InterQual® Medicare Procedures Navigator: Major Joint Replacement (Hip and Knee) First Coast
• InterQual® Coordinated Care: Primary Assessment/Cystic Fibrosis

For detailed information about this issue and the appropriate update, refer to the 2025 Known Issues List, in InterQual® Community. Go to Known Issues List, and then select 2025 Known Issues.

InterQual Community
The InterQual® Resource Center is being retired on June 1, 2025. Register now for the InterQual Community to stay connected and informed, and to ensure you don’t lose access to vital documentation and resources.

As a Community member, you will:
• Have access to InterQual clinical documentation and resources.
• Have access to active discussion forums with Optum product experts and fellow customers.
• Find and connect with your peers by product and role.

You should have already received an email from donotreply@optum.com with the subject line: “Complete Your Registration to Access Optum Enterprise Customer Community." This email will include your unique registration link. Click the link to complete your setup using your One Healthcare ID (OHID). Note: the unique registration link will be active for a limited time, so please access the link to complete registration immediately upon receipt.

If you do not receive a unique registration link, or if it has expired, you can self-register by following the directions posted here.

Don’t have an OHID yet?
No problem! You can create one now at One Healthcare ID or follow the instructions in the registration invitation.

Contact information
For any 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).

May 28, 09:53 EDT
Completed - The scheduled maintenance has been completed.
Jun 3, 09:56 EDT
Scheduled - This notification is intended for MedRx customers.

Please be advised of two upcoming changes to MedRx 835 delivery processes:

First, MedRx is making a change to the 835 delivered file naming convention to include a unique identifier (see examples below). This change will begin Monday, May 12, 2025.

Plan Type
Med B Vaccine Plans
Old Naming Convention Example
835.AKb.20250109.202501090703027898
New Naming Convention Example
835.AKb.20250109.20250109070302789823011186

Plan Type
Med B DME Plans
Old Naming Convention Example
835.A.20250103.202501030402292792
New Naming Convention Example
835.A.20250103.20250103040229279223011273

Plan Type
Medicaid Plans
Old Naming Convention Example
835.AL.20250106.202501061202290306
New Naming Convention Example
835.AL.20250106.20250106120229030623005507

Plan Type
Private Payor/Commercial Insurance Plans
Old Naming Convention Example
835.20250102.COM03432.202501022101300008
New Naming Convention Example
835.20250102.COM03432.20250102210130000823003477

Additionally, in the near future, the structure of 835 files delivered to MedRx clients will change. Since February 21, 2024, MedRx 835 files have been delivered as one file per check. With this upcoming change, 835 files will be delivered in batches by payer with each batch potentially containing multiple checks. This change is intended to improve processing efficiency for both MedRx and client systems. We will send an update once this change is in place.

Please contact our pharmacy helpdesk at 866-379-6389 or your client executive for any questions on either change.

REF 17560458

May 7, 17:57 EDT
Completed - The scheduled maintenance has been completed.
Jun 3, 09:55 EDT
Scheduled - We are pleased to inform you that we have successfully completed testing with one of our federated customers for Guardian. Federated customers are those who manage their own login and multi-factor authentication and do not use OHID. As you may be aware, several federated customers experienced issues during the last switchover. To ensure a smooth transition, we will be contacting all our federated customers to conduct thorough testing.

What to Expect:
• Testing Phase: We will reach out to our federated customers with instructions on how to log into your test environment. This will ensure that your federation is working seamlessly with Guardian.
• Federated Clients with Clearance: Customers will be contacted to test the application via email. Resources will be made available to assist in real-time and address any issues promptly.
• Guardian Gap Analysis: A gap analysis was performed to identify any missing users or missing roles. This will help us ensure that all necessary participants are included in the testing process.
• Communication: You will receive detailed instructions and support throughout the testing process. Our team will be available to assist you with any questions or issues that may arise.
• Switchover Date: Once all federations have been successfully tested, we will provide a confirmed date for the next switchover to Guardian.

Action Required:
• Between today and next week we will be contacting those customers we need to test with. Please ensure that your team is prepared for the upcoming testing. We recommend reviewing the instructions carefully and completing the testing within the specified timeframe.
• If you have any questions or need assistance, please do not hesitate to contact our support team.

We appreciate your cooperation and look forward to a successful switchover. Thank you for your continued partnership.

REF 17303088

Apr 17, 09:52 EDT
Completed - The scheduled maintenance has been completed.
Jun 3, 09:55 EDT
Scheduled - We are pleased to inform you that we have successfully completed testing with one of our federated customers for Guardian. Federated customers are those who manage their own login and multi-factor authentication and do not use OHID. As you may be aware, several federated customers experienced issues during the last switchover. To ensure a smooth transition, we will be contacting all our federated customers to conduct thorough testing.

What to Expect:
-Testing Phase: We will reach out to you with instructions on how to log into your test environment. This will ensure that your federation is working seamlessly with Guardian.
-Federated Clients with AhiQA: Federated clients using AhiQA will be contacted to test the application during a Teams call. This will allow us to provide real-time support and address any issues promptly.
-Gap Analysis: A gap analysis was performed to identify any missing users or missing roles. This will help us ensure that all necessary participants are included in the testing process.
-Communication: You will receive detailed instructions and support throughout the testing process. Our team will be available to assist you with any questions or issues that may arise.
-Switchover Date: Once all federations have been successfully tested, we will provide a confirmed date for the next switchover.

Action Required:
-Please ensure that your team is prepared for the upcoming testing. We recommend reviewing the instructions carefully and completing the testing within the specified timeframe.
-If you have any questions or need assistance, please do not hesitate to contact our support team.

We appreciate your cooperation and look forward to a successful switchover to Guardian. Thank you for your continued partnership.

REF 17303608

Apr 17, 09:59 EDT
Jun 2, 2025

No incidents reported.