O
Payer Directory
Optum Pinnacle Medical Group: payer ID and claims support
Optum Pinnacle Medical Group uses payer ID 95271. Real-time eligibility isn't available for this payer today — here's what transactions it does support, and how to reach them.
Payer ID
95271Optum Pinnacle Medical Group at a glance
What billers need before running a check.
Payer ID
95271Also known as 1106, 3945
Real-time eligibility
Not available
Verify coverage through the payer’s portal or phone line.
Coverage
medical
Operating area
California
Payer website
pmg.optum.comSupported transactions
What can be exchanged electronically with Optum Pinnacle Medical Group today.
| Transaction | Status |
|---|---|
Eligibility (270/271) Real-time benefit and coverage checks | NOT AVAILABLE |
Claim status (276/277) Where a submitted claim stands | NOT AVAILABLE |
Professional claims (837P) Physician and outpatient claims | SUPPORTED |
Institutional claims (837I) Facility claims | SUPPORTED |
Dental claims (837D) Dental claims | NOT AVAILABLE |
Remittance (835 ERA) Electronic remittance advice | ENROLLMENT REQUIRED |
Coordination of benefits Secondary-payer routing | NOT AVAILABLE |
Claim attachments (275) Supporting documentation | NOT AVAILABLE |
Frequently asked questions
What is the payer ID for Optum Pinnacle Medical Group?+–
Optum Pinnacle Medical Group uses payer ID 95271. It also appears as 1106, 3945 in some systems.
Does Optum Pinnacle Medical Group support real-time eligibility verification?+–
Not electronically today. Coverage for Optum Pinnacle Medical Group has to be confirmed through the payer's own portal or phone line. Claims, however, can be submitted electronically.
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