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OptumHealth Care Solutions

Excess Risk is proud to be able to provide our self-funded employers access to one of the nation’s premier transplant networks, OptumHealth Care Solutions.  Access to OptumHealth is provided to Excess Risk’s employers free of charge.  In the unfortunate event an individual covered under one of Excess Risk’s Stop Loss policies requires transplant services, Excess Risk’s managed care staff will assist the employer’s third-party administrator in contacting and working with OptumHealth for it to provide their outstanding management to the transplant case.

All case management fees incurred by OptumHealth are covered expenses eligible for reimbursement under the Specific and Aggregate Excess.  Further, participation in the OptumHealth transplant program is strictly voluntary.  If an employer’s TPA has mandatory transplant networks (such as the Blues), Excess Risk recognizes and accommodates the need for the employer to work with their administrator.

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