Page 91 - R2P Front Desk Manual v1

To determine if a UHC plan requires authorization through Optum, you must check the patient’s
Group Number.
1. Log into Optum Provider Portal with Provider ID & password located on Master Login
List
2. In the light gray toolbar, click Tools and Resources.

3. From the list in the left sidebar, click UHC Quick Group Check.
4. Enter the patient’s 6-digit group number and Submit.

5. If the response says “Clinical submission is not required,” then authorization through
Optum is not required.
a. In the patient’s WebPT chart, write NOT OPTUM in both the Insurance section
under Additional Info & in the Case section under Additional Info.
6. If the response says “Please submit for Group’s (#) members,” then Optum authorization
IS required.
a. Repeat step 5a (above), but write OPTUM in both sections.
b. In the Case section next to Authorization Req: you must select Yes and Save
Patient in order to be able to track the patient’s authorization.

c. Follow the procedure for Optum submission (see How to Submit Optum
Authorization document).

Last Update: 7/10/19