UnitedHealth Group offers products and services through two operating businesses, UnitedHealthcare and Optum, both subsidiaries of UnitedHealth Group. Optum include three divisions: OptumInsight – Health Data Analytic, Payment Integrity, Life Science, Risk Quality & Network Solutions, Medical Billing OptumRx – Pharmacy Benefit Manager (now includes all Unitedhealthcare membership) and Catamaran acquisition OptumHealth – Healthcare delivery services and support including Consumer Solution Group and OptumCare (Behavioral Health and Substance Abuse, Dental, Vision, Transplant Management, and other ancillary services) OptumHealth Care Solutions processes outpatient therapy claims and OptumHealth Care Solutions have several reimbursement policies pertaining to outpatient physical, occupational and speech therapy

A question I often receive is I have a patient who is insured through UnitedHealthcare, but when I submit the claim to UnitedHealthcare, it is returned to me stating I should have submitted the claim to OptumHealth. How do I know when to submit the claim to UnitedHealthcare or OptumHealth? You can determine who is processing your claims by looking at the  

A question I often receive is will insurance carriers renegotiate my fee schedule and pay me more for the outpatient therapy services I provide to their beneficiaries? Of course, this is a question I can’t give a definitive answer to, but I always recommend you try, especially if you provide services that are considered sub-specialties. Sub-specialty services could include lymphedema, pediatrics and certified hand therapy. OptumHealth states the following to providers who want to renegotiate their fee schedule: