Individual

Auth Code- 404144 Optum - 9122 SEDGWICK- 9121 AIG - 9127

“Hi!, Good Morning/Good Afternoon This is (Angel) calling on behalf of (OPTUM) on a recorded line.

Can you assist me in verifying the basic information of your providers/s or group?

Respondent-

Name Validation I've heard you mentioned earlier that I reached ( ) office, is this Dr. ()

Do you recognize Dr. (Name)?

Address Validation Is Dr. (Name) active at location ()?

Associated Group Validation Is Dr. () practicing at the facility named ()?

Phone Number Validation The good phone number for any inquires is ()?

WC Validation Is Dr. () accepting WC patient?

May I have your name for documentation purposes,

I think that would be all that I need.

Thank you for your assistance (), again this is Angel calling on behalf of (Optum). Have a great day!