California Provider Networks for Brokers

Why are there multiple Optum networks, and how are they different?

Each network has a group of primary care doctors (PCPs), specialists and hospitals in the member’s area. This makes it easier for members to get the local care they need. It also offers more flexibility, thanks to our large, contracted network.

Where can I find provider enrollment codes/provider IDs?

Provider enrollment codes are on the health plan’s website. If you have any questions during this process, reach out to your Optum growth team contact.

How can my client switch to an Optum network primary care doctor?

Your client can change their PCP at any time. They simply need to contact their health plan to change their primary care provider to an Optum network doctor.

Can my client keep their Optum doctor if they change health plans?

In most cases, yes. Providers in our network accept many different health insurance plans and types. You will just need to make sure that your client’s Optum network doctor is in-network on their new health plan. To confirm that a provider is in-network with your client's health plan for continuity of care, check the health plan’s website.

How do your specialty referrals work?

As needed, a member’s PCP will refer them to one of the thousands of specialty doctors in our network. Standard referrals are usually reviewed for authorization within 14 business days. Urgent referrals are reviewed within 72 hours. If a member has questions about their referral request, they can call their PCP’s office.