Optum Behavioral Health
Also covers / subsidiaries: United Behavioral Health, UBH, Provider Express
Core Payer & Clearinghouse Profile
Electronic Payer ID
87726
Optum/UHC EDI ID; routing varies by benefit plan — verify on the member card.
Timely Filing Limit (TFL)
Varies — confirm via portal / clearinghouse
Appeal Window
Varies — confirm via portal / clearinghouse
Clearinghouse Gateway
Any clearinghouse; also direct via Provider Express claim entry
Provider Services
Varies — confirm via portal / clearinghouse
Claims Fax
Varies — confirm via portal / clearinghouse
Claims Address
Varies — confirm via portal / clearinghouse
Provider Portal
https://www.providerexpress.com
Behavioral-health carve-out administrator; provider portal is Provider Express. Claims address, timely filing, and phone vary by plan — call the number on the member card.
National EDI Clearinghouse Capabilities
Direct ANSI X12 electronic transaction support verified for Optum Behavioral Health.
Associated Clearinghouse Payer IDs
National clearinghouse networks maintain dedicated routing IDs for specific transaction lines or subsidiaries under Optum Behavioral Health.
| Clearinghouse Name | Electronic Payer ID | Status | Enrollment | Supported Services |
|---|---|---|---|---|
| Coventrycares Of Virginia | 87726 | Non-Par | None | 837P837I270/271Dental |
| Metropolitan Property And Casualty Insurance Company | 87726 | Non-Par | None | |
| Pacificare Of Ca | 87726 | Non-Par | None | 837P837I270/271Dental |
| Pacificare Of Or | 87726 | Non-Par | None | 837P837I270/271Dental |
| Pacificare Of Tx | 87726 | Non-Par | None | 837P837I270/271Dental |
| Pacificare Of Wa | 87726 | Non-Par | None | 837P837I270/271Dental |
Resolution Tools for Optum Behavioral Health Claims
Values vary by plan, line of business, and provider agreement. Confirm in the payer portal or with your clearinghouse gateway before submitting electronic claims.
Tired of Chasing Optum Behavioral Health Denials & Delayed Payments?
Aethera's billing specialists work Optum Behavioral Health every day — handling EDI clearinghouse rejects, prior authorizations, payment posting, and 30-day AR aging recovery.