Putting your clients first
With Optum, your clients can choose from over 350 local, independent doctors with locations in Riverside and San Bernardino counties. We provide access to the care your clients need, when they need it. We understand that personal attention and quality care are important.
Choosing a Medicare plan can be overwhelming. That’s why clients come to you. And you want to help them find the best fit. We can help.
Here are some examples of the questions and issues we can handle for you:
- If member is being balance-billed, we can research and give member next steps for resolution.
- Verify eligibility (with the understanding health plans frequently retroactively disenroll).
- Assist with medical network information including primary care doctors, specialists, hospitals and other ancillary services.
- Provide status of claim or authorization without sharing personal health information.
- Help with primary care doctor access — getting an appointment with the office.
- Manage any complaints with a primary care doctor.
- Assist with information about open or closed practices for primary care doctors.
Agent guide
Contact us
You have a dedicated customer service representative to help with client issues.
Michelle Heggins
Customer Service Representative
1-909-605-8000, ext. 13224
TTY 711
Monday through Friday: 8 a.m. to 4:30 p.m. PT
mheggins@nammcal.com
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