Optum will be shutting down from May 17th at 5:00 pm to May 19th at 11:59 pm cst. They are moving their internal data center and won’t be accepting any electronic transactions during this time. 837 and 835 files submitted during this time will be held and processed once the data center is functional. Eligibility, claim status, and notification of admission requests will be unavailable until Sunday the 19th. This includes transactions through vendors as well as transactions submitted directly on their portal.
If you aren’t using Optum directly, there’s a high likelihood that your clearinghouse is connecting to them in some way- especially for UHC transactions. If your vendor hasn’t made some type of announcement, it would be wise to reach out to them to see if this will affect them.
Anthem Shutting Down Direct Connections
Anthem will be shutting down access to their direct connections this week. Previously vendors had the option to connect to Anthem directly versus connecting to them via a clearinghouse. Several years ago, Anthem selected Availity to be manage their portal and be their vendor of choice and requested that all vendors move to connectivity through Availity. On May 15th, Anthem will be shutting down any means of connecting to them directly for 27X transactions (eligibility, claim status, etc). I’ve copy their latest announcement below.
Subject: Attention REAL-TIME SUBMITTERS – Immediate Action Required – Reminder
Attention REAL-TIME SUBMITTERS
Immediate Action Required
If you currently submit 270, 276 or 278 transactions directly to Anthem or one of its affiliate companies, it is imperative that you transition to Availity.
If you are using any of the below URLS, and do not migrate by 5/15/2019, you will experience service disruption for your Real-Time transactions.
To avoid a service disruption, you must contact Availity today at 800.282.4548 or visit their website at www.availity.com for additional information./05/06