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Billing Outpatient Observation Services - Novitas Solutions

WebProvider UB04FIELDS - Optum WebOptum ® Lynx Outpatient Charging Applications are available for Emergency Department, clinic, oncology, observation and infusion services. Each application integrates with your … WebFor U.S. Mail (paper claims): Optum Maryland will accept paper CMS-1500 forms for practitioner/professional services or Uniform Billing (UB)-04 forms for inpatient and outpatient facility claims. The mailing address for completed claim forms and required attachments is: Optum Maryland P.O. Box 30531 Salt Lake City, UT 84130 books outline clipart