Medicaid Enterprise Systems – Provider Services Module

OptumInsight, Inc.

The Optum Provider Management module is a self-service gateway and integrated back-end administration system that supports decisions regarding the approval or denial of a provider’s enrollment and automates enrollment into Medicaid programs. Built on a foundation of modular, yet integrated evergreen COTS technology, it is highly configurable, automates workflows, and advances MITA maturity. Optum offers all options (Core, A, & B) that are available through this ValuePoint procurement vehicle.