The OptumRx Provider Portal enables our contracted pharmacies to access tools and resources to help serve patients as well as manage their businesses. This is a one-stop source for providers and pharmacies who write and fill prescriptions. The portal is a gateway for pharmacies to:
- - Perform member eligibility checks
- - View claim history
- - Check MAC (Maximum Allowable Cost) pricing
- - View remittance Information (check date, check number, check amount)
- - EFT / ERA enrollment forms
- - Payer sheets
- - Fraud, waste and abuse training and guidance to attestation
- - Submitting a MAC appeal
- - Provider manual
- - OptumRx drug formularies
- - Submit prior authorizations