FEATURE sTOrY optum cloud dashboard ADMINISTRATIVE EFFICIENCIES FOR HEALTHCARE PROFESSIONALS By Jeff Meyerhofer i nnovation has the potential to transform how businesses connect, collaborate, and solve problems. But healthcare, confined by security and privacy regulations, often remains stuck in an inefficient era of faxes, telephones, and mail. Optum Cloud Dashboard provides free applications to providers. It is designed for Optum healthcare professional partners to improve administrative efficiencies by eliminating paper forms, simplifying processes, and increasing transparency. The following is an overview of the platform and its functionalities on their own, without the help of billing services. The Optum Cloud dashboard is a secure, Web-based platform that enables healthcare professionals to launch administrative applications quickly and inexpensively. Hosted on the Optum Cloud platform, it provides a multitude of interoperable applications, communication tools, and Web services. self-service applications help provider back-office teams simplify processes and accurately complete tasks faster, resulting in reduced call volumes and decreased administrative costs. In a pilot program with unitedHealthcare and its affiliated health plans1, Optum and unitedHealthcare developed a Claim reconsideration with attachments application that benefited providers and their practice staff, resulting in a: • 209 percent increase in satisfaction with united- Healthcare’s ease of doing business; • 60 percent decrease in time spent on claim reconsiderations; and • 37 percent reduction in follow-up phone calls. medical billing companies also have an opportunity to leverage these efficiencies by accessing the Optum Cloud dashboard on behalf of client practices, which benefits the billing company and the practices it serves. The majority of unitedHealthcare’s and its affiliated health plans’ eligibility and claim information is available through the Optum Cloud dashboard. The applications listed below are available to authorized users in medical billing companies and client practices. claims Reconsiderations users can submit secure claim reconsiderations electronically, rather than using printed and mailed forms. This feature allows staff to submit claim reconsideration requests for denied or paid claims when attachments, such as proof of timely filing, are required. Claims reconsiderations without an attachment also can be submitted. additional functionality includes the ability to check the status of these requests, submit updates, and view comments from claim processors in real time through a unique tracking number. claims Management This application lets you manage patient accounts and accounts receivables. You can flag claims to view them when you log in, as well as view line-level and claim-level remark codes and get a clear definition of payment allocation. eligibility and Benefits center use this application to check for eligibility for all lines of business, obtain in-network and out-of-network benefit information, and THe jOurNaL OF THe HeaLTHCare BILLINg aNd maNagemeNT assOCIaTION 21
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