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All rights reserved. United Behavioral Health operating under the brand Optum BH00683_11022024  \n22  \nHelping People Live Their Lives to the Fullest  \n© 2024 Optum, Inc. All rights reserved. BH00683_11022024  \nUirtaeldHBeahli orelaetainltghuoart tinhgeubnrdaenrhpbtruad Optum 3  \n3  \nWhat is Optum?  \n􀂃 Optum is a an organization committed to a simple goal: helping people live healthier lives and helping to make the health system work better for everyone  \n􀂃 Optum works collaboratively across the health system to improve care delivery, quality, and cost effectiveness  \n􀂃 We focus on three key drivers of transformative change:  \n1. Engaging the consumer  \n2. Aligning care delivery  \n3. Modernizing the health system infrastructure  \nPeople  \nUnmatched healthcare expertise  \n85,000 professionals  \nScale to mobilize  And achieve results  globally  \nAction  \nPowering modern health care  \nInsights that drive decisions Two decades of longitudinal data  \nData  \nComprehensive solutions  \nSystem-wide scale servicing the unique needs of health care  \n© 2024 Optum, Inc. All rights reserved. United Behavioral Health operating under the brand Optum BH00683_11022024  \n44  \nUnitedHealth Group Structure  \nHelping people live healthier lives and helping to make the health system work better for everyone  \nInformation and technology enabled health services:  \n􀂃 Health and Behavioral Health management and interventions  \n􀂃 Health Technology solutions  \n􀂃 Pharmacy solutions  \n􀂃 Intelligence and decision support tools  \n􀂃 Administrative and financial services  \nHelping people live healthier lives Health care coverage and benefits:  \n􀂃 Employer & Individual  \n􀂃 Medicare & Retirement  \n􀂃 Community & State  \n􀂃 Global  \n© 2024 Optum, Inc. All rights reserved. United Behavioral Health operating under the brand Optum 5 BH00683_11022024  \nOptum and You, our Provider Partner  \nOur relationship with you is foundational to the recovery and well being of the individuals and families we serve. We are driven by a compassion that we know you share.  \nTogether, we can set the standard for industry innovation and performance.  \nAchieving our Mission:  \n􀂃 Starts with Providers  \n􀂃 Serves Members  \n􀂃 Applies global solutions to support sustainable local health care needs  \nFrom risk identification to integrated therapies, our mental health and substance abuse  \nsolutions help to ensure that people receive the right care  \nat the right time from the right providers .  \n© 2024 Optum, Inc. All rights reserved. United Behavioral Health operating under the brand Optum BH00683_11022024  \n66  \nSpecialty Network Services Customers we serve:  \n􀂃 50% of the Fortune 100 and 34% of the Fortune 500  \n􀂃 Largest provider of global Employee Assistance Programs (EAP), covering more than 19 million lives in over 140 countries  \n􀂃 Local, state and federal government contracts (Public Sector)  \nServing almost 43 million members:  \n􀂃 1 in 6 insured Americans  \n􀂃 The largest network in the nation, delivering best in class density, discounts and quality segmentation  \n􀂃 More than 140,000 practitioners; 4,200 facilities with  \n9,000 facility locations  \nSimultaneous NCQA and URAC accreditation  \nStaff expertise:  \n􀂃 Multi-disciplinary team of 50 staff Medical Directors,(e.g. , child and adolescent, medical/psychiatric, BoardCertified Behavior Analysts, and addiction specialists) just to name a few  \n© 2024 Optum, Inc. All rights reserved. United Behavioral Health operating under th","cbCaikoNsi5fSXj1","https://ap.wps.com/l/cbCaikoNsi5fSXj1","pdf",2802382,42,"English","# Who is Optum?\n## Specialty Network Services\n## Autism/Applied Behavioral Analysis Program\n# Benefit Design within State Mandates\n## Member Information\n# Credentialing Criteria\n## Eligibility, Authorizations, Concurrent Reviews\n## Discharge Planning\n# Billing, Claims, Denials\n# Provider Express website\n# Resources\n# Appendix","[{\"question\":\"What topics are covered in the Florida AB A provider orientation?\",\"answer\":\"The orientation covers Optum background, specialty network services, the autism/Applied Behavioral Analysis program, benefit design within state mandates, member information, credentialing criteria, eligibility and authorizations, concurrent reviews, discharge planning, and billing including claims and denials.\"},{\"question\":\"Where can providers find member rights and responsibilities?\",\"answer\":\"A complete copy is available in the Provider Network Manual, and the content can also be found on the website: providerexpress.com. Providers are requested to display the rights and responsibilities in the waiting room or document that they were communicated.\"},{\"question\":\"What billing and claims processes are addressed?\",\"answer\":\"The document includes a billing section that discusses claims and denials as part of the provider orientation topics, alongside discharge planning and related authorization workflows.\"}]","Florida Statewide Medicaid Managed Care Applied Behavioral Analysis Provider Orientation - Optum with UnitedHealthcare - November 2024 | PDF",1789913272,106]