Text

 

FAQs

Get answers to providers' most commonly asked questions.

Text

You may have specific concerns or special situations that you have questions about. Please refer to these before contacting OptumRx®.

  • This is not my patient. I did not prescribe this medication. What should I do?

  • Can you update our fax number and/or address?

  • What should I do if, after talking to the pharmacy, the prescription has been identified as a fraudulent prescription?

  • Can you update this patient’s information? The patient has passed away.

  • How do I get prior authorization or tier cost sharing for my patient’s medication(s)?

  • What is your fax number so I can fax back my response?

  • I received a letter stating my patient has a condition (eg, CAD, RA, CHF), but he has not been diagnosed with that condition. Why are you sending this letter to me?

  • Can you update your information because this provider no longer practices at this facility?

  • What should I do if this person is no longer my patient?

  • Do I need to respond to you?

  • Do I need to change treatment?

  • Will you be contacting the patient to change therapy?

  • Are you licensed to practice medicine in my state?

  • Are you going to take responsibility for changing my patient’s therapy?

  • I disagree with your clinical recommendations and I feel that my patient should continue with his/her current medication regimen. What should I do?

  • By receiving this letter, does it mean that I will be tracked by insurance carriers and be listed as a “bad provider”? Do you track providers?