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Maryland Payers Billing Guidelines

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Document Title	Date	Expiration	Source
​Optum POS_Codes_ABA_3.28.24.pdf (optum.com)​	​Mar-2024	No date​	​Payer
​O​ptum Phase2PrescriberEnrollment_2.23.24.pdf (optum.com)​	​Feb-2024	​No date	​Payer
​Optum Compliance_Issues_PHP_IOP_2.7.24.pdf (optum.com)​	​Feb-2024	No date​	​Payer
​​Optum TPL-Claims-12.1.23.pdf (optum.com)​	Dec-2023​	No date​	​Payer
​Optum Provider Bulletin​	​Mar-2023​	​​No date​​	​Provider Bulletin
Optum Maryland PBHS Provider Manual	Sep-2022	No date	Provider Manual
Optum Provider Bulletin	Feb-2023	No date	Provider Bulletin
OPTUM April 2022 Monthly Update from BHA	Apr-2022	No date	Monthly Updates
OPTUM Authorization Requests Provider Alert 9.24.2020		No date
OPTUM Bed Hold Authorization Plans 1.5.22	Jan-2022	No date	Provider Alert - Bed Hold Authorization
OPTUM Bed Hold Process Guidance - RCS RRP	Feb-2022	No date	Provider Alert - Bed Hold Process Guidance
OPTUM BH Monthly Partner Letter March 2022	Mar-2022	No date	Monthly partner letter
OPTUM BHA SOR Spring 2022 Newsletter	Winter 2022	No date	Payer Newsletter
OPTUM Claims Denials and Rejections Quick Reference Guide	No date	No date	Optum Medicaid / MCOs / Uninsured
Optum Data 2000 Waiver & PMH COS 6.9.22	Jun-2022	No date	Claims Information
Optum Estimated Payment Forgiveness	Jun-2022	No date	Billing
OPTUM Incedo Provider Portal Auth Issues 3.31.22	Mar-2022	No date	Prior Authorization
OPTUM Management of Neg Balances Moving Forward 4.13.22	Apr-2022	No date	Billing
OPTUM March 2022 Monthly Updates from BHA	May-2022	No date	Payer Newsletter
Optum May 2022 BHA Updates ​	May-2022	No date	Payer Newsletter
Optum May 2022 Letter From BHA​	May-2022	No date	Payer Newsletter
Optum Missing Claims Images Provider Alert 6.8.22	Jun-2022	No date	Claims Information
OPTUM New Gambling Auth Plans	Mar-2022	No date	Prior Authorization
OPTUM PROVIDER ALERT 2022 Provider Quality Self-Assessment Tools	Jan-2022	No date	Patient Information
OPTUM PROVIDER ALERT 2022 Provider Self-Assessment Tools	Jan-2022	No date	Provider Manual
OPTUM PROVIDER ALERT Backdating Exception Authorization Request	Feb-2022	No date	Optum Medicaid / MCOs / Uninsured
OPTUM PROVIDER ALERT Negative Balance Recoupment	Feb-2022	No date	Claims Information
Optum Provider Alert New Fee Schedule BH​	Jun-2022	No date	Fee Schedules
Optum Provider Bulletin 5.11.22 ​​	May-2022	No date
Optum Provider Bulletin 5.4.22​	May-2022	No date
Optum Provider Bulletin 6.2.22	Jun-2022	No date	Payer Newsletter
OPTUM Reconciliation FAQs 7.21.2020	No date	No date	Billing
OPTUM Reconciliation Summary Reprort 7.21.2020	No date	No date	Billing
OPTUM Remittance Quick Reference Guide July 27, 2020​​​​	No date	No date	Billing
OPTUM Spring 2022	Spring 2022	No date	Payer Newsletter
OPTUM State Negative Balances due to Retro-Eligibility Re-Processing 1.7.22	Jan-2022	No date	Billing
OPTUM Update of Authorization Issues in Incedo 4.7.22	Apr-2022	No date	Prior Authorization
OPTUM Updated Fee Schedules	Mar-2020	No date	Fee Schedules​
​Optum Provider Bulletin​	​Mar-2023	No date​	​Provider Bulletin
​Optum Authorization and Billing Issues: Nurse Practitioners​	Apr-2023​	​No date	​Optum
​Optim Timely Filing Waiver Exception​	Apr-2023​	​No date	​Optum
​Optum Updated FY 2023 PBHS Fee Schedule Eff 1.1.23 rev 2.27.23 Feb-23 ​	Feb-2023​	No date​	​
​Optum Provider Alert - 5.1.23​	​May-2023	No date​	​
​Optum Medicaid Neg Balance Recoupment - 5.18.23​	​May-2023	No date​	​
​ Optum Crisis Services Status Update ​	​Jun-2023	​No date	​
​ Optum ICD-10 Diagnosis Code Update 5.31.23.docx ​	Jun-2023​	​No date	​
​ Optum MDH Audit of Denied Claims - 7.17.23.pdf ​​	Jul-2023​	No date​	​
​ Optum Provider Alert Critical Incidents ​	​Jul-2023	No date​	​
​ Optum Fee Schedules Eff 7.1.23.docx (optum.com)​	Jul-2023​	No date​	​
​ Optum ABA Treatment Plan Template_ 8.3.23.docx (optum.com)​	Aug-2023​	​No date	​
​Optum CLAIMS DENIALS MITIGATION PROJECT TEAM 9.14.23.pdf (optum.com)​	​Sep-2023	​No date	​
​ Optum Updates to ABA Codes_9.28.23.pdf (optum.com)​​	Sep-2023​	​ No date	​
​ Optum CDMReportGuidesUpdate-11.9.23.pdf (optum.com)​	Nov-2023​	No date​	​
​Optum 1099 Tax Forms - Nov. 2022.docx (optum.com)​	​Nov-2023​	​No date	​

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