“… Chairman Moran, Ranking Member Tester, and members of the Committee, I am Patty Horoho, Chief Executive Officer of OptumServe, and I am honored to be here today to discuss our role in the implementation of the U.S. Department of Veterans Affairs (VA) Community Care Network in Regions 1, 2, and 3…”
“Optum’s Role in the VA Community Care Network Optum is proud to serve as the third-party administrator (TPA) for the VA Community Care Network in Regions 1, 2 and 3, which includes 36 states, the District of Columbia, the U.S. Virgin Islands and Puerto Rico…”
“Under these contracts, Optum is responsible for: • Community care network of providers. Optum is leveraging its broad network and relationships across UnitedHealth Group, and beyond, to provide a robust provider network representing the full breadth of health and wellness services for the VA. We build upon this foundation by contracting with preferred providers 3 requested by our partners within the VA as well as providers who reach out to us directly informing us of their desire to serve the Veteran population. • Claims processing. Optum is responsible to promptly processes claims from providers who care for Veterans as part of the VA Community Care Network. This function is critical to ensure we sustain the high quality provider network we are building. • Call center for VA staff and providers. VA staff and providers can contact the Optum call center to get questions answered about authorizations, claims and other issues. • A portal for providers, VA staff and Veterans. Optum operates an online portal where users can find additional resources including claims and referral information…” Read the full 7-page testimony here.
Source: Written Testimony of Lt. Gen. Patricia D. Horoho, USA, Retired Chief Executive Officer, OptumServe Before the United States Senate Committee on Veterans’ Affairs – February 5, 2020. Veterans Senate.