Client Alert: MedRisk & OptumHealth

RE: Confidential Attorney-Client Correspondence about MedRisk/OptumHealth Deceptive Trade and Unfair Claims Handling Practices in Maine MedRisk, Inc. has been calling PT providers after the PT gets a referral for a work comp case and telling the PT that they have to send their claims to MedRisk and get pre-authorization for treatment. On the cases I … Read more

New Appeals Template created for OptumHealth!

Have you had claims denied by OptumHealth or any payer that uses OptumHealth for pre-authorization/utilization review (such as United HealthCare) merely because you did not submit OptumHealth’s “Patient Summary Form”?  This is a ridiculous requirement when all the information collected on the form is information you already submit or document on your insurance claim form … Read more