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Get your patients the treatment they need

Optum Specialty Pharmacy and Optum Infusion Pharmacy Appeals Team manages the appeals process so that you don’t have to. Our team overturns nearly eight out of ten denials and has helped 2,500 patients get coverage for their medication after they were previously denied.

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Help you and your patients can count on

Insurance denials are a common obstacle for many patients. Even patients who desperately need medication can be denied by their insurance company. That’s why our appeals team is so critical.

Our team manages the insurance appeals process so you don’t have to. With more than 100 years of combined experience, our clinicians, nurses and administrative experts work together on your patients’ behalf.

Our team helps you and your patients:

  • Conduct initial clinical reviews
  • Submit for prior authorization
  • Review and assess any denials
  • Write customized appeal letters for insurance denial
  •  Provide talking points to help with peer-to-peer review 

Contact us today using the information below, or by completing the form on this page.

Visit: Optum Specialty Pharmacy
optumspecialtyappeals@optum.com

Visit: Optum Infusion Pharmacy
1-877-342-9352

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To get in touch with a member of our team, complete the form below

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