Optum Medical Group 2026: Doctors, Locations & Patient Guide

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National Optum care guide · Doctors, state portals, bills, records and urgent care

Find the Correct Optum Doctor, Regional Medical Group and Patient Portal

“Optum Medical Group” does not refer to one nationwide clinic with one telephone number, one patient portal or one billing system. Optum care is organized through state-based practices and regional medical groups.

The correct route depends on where the care occurred, which regional practice provided it and, for some portal and billing transitions, the date of service. This guide helps you find the correct doctor, appointment system, MyChart account, bill-pay page, medical-record form and support team.

Find Optum care by state Choose a patient portal Choose the right patient task
Call 911 for a life-threatening emergency. Do not use doctor search, portal messaging, virtual care or ordinary urgent care for chest pain, stroke signs, severe breathing difficulty, seizure, major trauma, loss of consciousness or bleeding that will not stop.
Practice structure

State and regional medical groups, not one universal clinic.

Care options

Primary, specialty, urgent, virtual, chronic and surgical care.

Portal rule

Select the state and regional practice before signing in.

Insurance rule

Provider search does not prove in-network status.

Information review

Official details checked August 1, 2026.

Start with the document in front of you

Which Optum route should you use?

NEED A DOCTOR OR APPOINTMENT Start with your state and ZIP code

Use the national locations page, set your location and choose primary care, specialty care, urgent care or another service.

Final check: call the health plan to verify the exact doctor and street address.
NEED PORTAL, BILLING OR RECORDS Start with the statement or visit summary

Identify the state, regional practice name, service date and account number before selecting a portal.

Do not assume that an Optum login used in another state contains this visit.
NEED CARE NOW Choose primary, virtual, urgent or emergency care

Minor illness or injury may fit urgent care. Serious or potentially disabling symptoms require emergency care.

Call 911 when delay could threaten life or permanent health.
Fastest identification method: Look for the complete practice name on the appointment confirmation, after-visit summary, insurance explanation of benefits or medical statement.

Jump directly to your Optum patient task

The key clarification

Optum Medical Group is a network of local practices, not one national physician office

Optum provides or supports health care through medical practices operating under Optum names and through established regional brands. A patient may see “Optum,” “Optum Medical Care,” “Optum Care Washington,” “Southwest Medical,” “ProHealth Physicians,” “WellMed,” “Atrius Health,” “Reliant Medical Group” or another local name.

Clinical care

Licensed physicians and other professionals retain authority over medical decisions and patient treatment.

Regional administration

Portal access, referrals, billing, records and support are often managed by the local practice or state organization.

National navigation

Optum’s national website routes patients to doctors, care options, portals, bill pay and support by location.

Do not confuse an Optum medical bill with Optum Financial or Optum Rx. Health savings accounts, pharmacy benefits and physician-office bills use different accounts and support systems.
State and regional practice guide

Where Optum-affiliated medical care is listed

Examples of current state and regional care organizations shown by Optum
State Practice or regional name Patient-routing note
Arizona Optum Arizona Primary care, specialty connections, virtual care, senior resources and MyChart.
California Optum California and regional groups Includes Los Angeles, Orange, San Diego, Riverside and San Bernardino counties; portal route varies by county.
Colorado Optum Colorado Support routes differ between Colorado Springs/Pikes Peak and the Denver metro area.
Connecticut ProHealth Physicians Uses its regional doctor, portal and support systems.
Florida Optum Florida and WellMed Choose the practice name shown on the visit paperwork before opening a portal.
Idaho Optum Idaho Use the locations page and local office for current patient tools.
Indiana Optum Indiana A MyChart transition began November 8, 2025; older bills use a separate route.
Kansas Optum Kansas Use state patient support for the correct portal, records and bill-pay option.
Massachusetts Atrius Health, Reliant Medical Group and ReadyMED Primary, specialty, urgent and same-day services use regional systems.
Missouri Optum Missouri Search by ZIP code and verify the regional patient portal.
Nevada Optum Nevada and Southwest Medical MyChart supports records, appointments, refills and bills; urgent-care options include extended hours.
New Jersey Optum Medical Care Former regional names may still appear on older records and statements.
New Mexico Optum New Mexico Primary and specialty services use state-specific portal, billing and record forms.
New York Optum Medical Care and Crystal Run Healthcare Former CareMount and ProHEALTH regions have different medical-record addresses and fax numbers.
Ohio Optum Ohio and Unity Health Network Older and newer visits may use different billing systems.
Oregon Oregon Medical Group, Davies Clinic and The Corvallis Clinic Use the specific regional organization shown on the appointment or statement.
South Carolina Colonial Healthcare Primary, specialty, diagnostic and urgent-care services use the local practice system.
Texas WellMed Focuses heavily on proactive care for older adults; use the WellMed doctor and portal routes.
Utah Optum Utah Select Utah on the national portal, bill-pay and support pages.
Washington Optum Care Washington Includes the former Everett Clinic and The Polyclinic regional systems.
Open the official state directory
Doctor and location search

How to find the correct Optum doctor

Set the patient’s location Enter the ZIP code or city and state on Optum’s official locations page.
Choose the care category Select primary care, urgent care, OB-GYN, radiology, specialty care, virtual care or another service.
Review the complete provider profile Check the specialty, age groups treated, languages, locations and accepting-patient information.
Confirm the exact address A doctor may practice at several offices, and insurance participation can differ by location.
Call the health plan Ask the insurer to verify the doctor, practice and complete street address.
Call the medical office Confirm new-patient availability, appointment type, referral requirements and records instructions.
Optum’s provider search is informational. Optum specifically warns that search results should not be used to determine health-plan eligibility or in-network status.
Doctor-verification script
“I want to see [doctor] at [full address]. My plan is [exact insurer and network]. Is this doctor accepting new patients, is this specific location in network, and do I need a PCP assignment, referral or prior authorization?”
Establish care without transferring too early

How to become an Optum patient

Confirm the provider accepts new patients
Verify the age group treated
Verify the exact insurance product
Check PCP-assignment requirements
Confirm the first available appointment
Ask which records are needed
Confirm the portal used by the practice
Do not cancel existing care prematurely

Bring to the first appointment

Identification and coverage

Photo ID, current insurance cards, referral or authorization and any required new-patient forms.

Clinical information

Medication list, allergies, recent laboratory work, imaging, specialist notes and hospital-discharge records.

Practical details

Preferred pharmacy, emergency contact, interpreter request and questions listed in priority order.

Appointment-type warning: A new-patient examination, annual physical and Medicare Annual Wellness Visit are different services and can have different coverage.
National care categories

Services available through Optum care organizations

PCP
Primary care

Prevention, checkups, common illness, chronic-condition management and referrals.

SPEC
Specialty care

Regional specialists for focused medical, surgical and diagnostic needs.

UC
Urgent care

Extended-hour evaluation of many minor illnesses and injuries without an appointment.

VIDEO
Virtual care

Video appointments for selected conditions, follow-up and medication needs.

CHRN
Chronic-condition support

Care programs for heart disease, COPD and other continuing medical needs.

SURG
Surgical care

Optum’s national care page identifies a network of more than 300 surgery centers.

Availability varies by location. A service shown nationally may not be offered by the nearest regional medical group.
Choose urgent care safely

Optum urgent care versus the emergency room

Urgent care may treat
  • Cough, cold, sore throat, flu and most fevers
  • Ear pain and pink eye
  • Mild dehydration
  • Minor cuts, burns and wounds
  • Sprains, strains and simple fractures
  • Urinary pain or burning
  • Rashes and moderate skin problems
  • Nausea, vomiting, diarrhea or cramps
Call 911 or use the ER for
  • Chest pain or suspected heart attack
  • Stroke signs or sudden one-sided numbness
  • Severe breathing difficulty
  • Bleeding that will not stop
  • Complex fracture or major accident
  • Seizure or loss of consciousness
  • Severe allergic reaction
  • Suicidal or homicidal thoughts
Urgent-care access: Optum states that many urgent-care locations offer extended evening or weekend hours and do not require an appointment. Services, imaging and laboratory availability vary.
Find Optum urgent care
Portal access is state-specific

How to choose the correct Optum patient portal

Identify the state where care occurred Portal access is organized by the location of the medical practice, not necessarily the patient’s home address.
Identify the regional practice Look for names such as Optum Medical Care, Southwest Medical, ProHealth Physicians, WellMed or Optum Care Washington.
Check the service date Portal and electronic-record transitions can create separate systems for older and newer visits.
Select the state on the official portal page Follow the portal option associated with the correct medical group.
Use account recovery before creating another account Duplicate accounts can separate messages, results and appointment history.
Call the practice when uncertain Use the telephone number on the appointment summary or billing statement.
ArizonaMyChart and regional support
CaliforniaPortal varies by county and medical group
ColoradoRegional MyChart routes
ConnecticutProHealth Physicians portal
FloridaOptum Florida or WellMed route
IndianaMyChart transition from November 8, 2025
MassachusettsRegional practice portals
NevadaMyChart for Southwest Medical and Optum care
New JerseyOptum Medical Care portal
New YorkRegional Optum Medical Care routes
TexasWellMed and regional patient tools
WashingtonEverett/Eastside and Seattle support routes
California transition: Optum states that Los Angeles and Orange County patients moved to the Optum App for MyChart access effective September 16, 2025.
Select the correct state portal
Common MyChart functions

What Optum MyChart can help patients do

HIST
View health history

Review available allergies, diagnoses, immunizations, medicines and medical information.

APPT
Manage appointments

Schedule eligible visits, review details, complete eCheck-in and join supported video visits.

RSLT
View test results

Review laboratory and diagnostic results released to the portal.

RX
Request refills

Request renewal of eligible prescriptions through the connected care team.

MSG
Send secure messages

Ask non-urgent questions about prescriptions, results or continuing care.

PROXY
Use proxy access

Approved family members or caregivers can receive appropriate access without sharing passwords.

Portal messages are for non-urgent matters. Optum’s MyChart information states that teams aim to answer messages within approximately 48–72 hours.
MyChart transition support

1-855-873-2376, TTY 711

Monday–Friday, 6 a.m.–6 p.m. Pacific, excluding holidays.

California patient support

1-877-267-8861

Insurance, billing, provider changes, referrals and records support.

Support-number caution: The MyChart number above is published for Optum’s transitioned electronic-record regions. Patients in another state should use their state support page.
Network confirmation requires the exact address

How to verify Optum insurance coverage

Doctor’s full name
Regional medical-group name
Complete clinic address
Specialty and appointment type
New-patient status
PCP-assignment requirement
Referral or authorization requirement
Deductible, copay and coinsurance
Laboratory and imaging network
Hospital or surgery-center network
Insurance-verification script
“I want to see [doctor] with [regional Optum practice] at [full address]. Is the doctor and this exact location in network for [full plan name]? Do I need PCP assignment, a referral or authorization, and what cost-sharing applies?”
Do not rely on an Optum logo alone. A physician can participate in some products from an insurance company but not others.
Medicare plan participation varies locally

Optum doctors and Medicare Advantage plans

Optum states that its doctors participate with many Medicare plans and that more than 100 insurance companies include Optum doctors in their networks. This does not mean every Optum doctor accepts every plan.

Choose the preferred doctor first Check which Medicare plans the doctor accepts at the exact location.
Review the complete provider network Confirm specialists, hospitals, imaging, laboratories and pharmacies—not only primary care.
Compare plan rules Review HMO versus PPO access, referrals, prior authorization and out-of-network coverage.
Check prescription coverage Compare formularies, pharmacy networks and prior-authorization rules for medicines.
Confirm the effective date Do not assume a new plan or PCP assignment begins immediately.
Protect other coverage Do not cancel employer, union, retiree or supplement coverage until consequences are understood.
Optum Medicare-plan assistance

1-855-721-9891, TTY 711

This line connects callers with a licensed insurance agent.

Official Medicare

1-800-MEDICARE

Use for independent Medicare information and plan questions.

Review Optum Medicare support
State and date of service control the payment route

How to pay or question an Optum medical bill

Identify the billing organization Confirm whether the statement is from a physician practice, urgent-care center, surgery center, laboratory, imaging provider or hospital.
Find the state and regional group Use the complete practice name and service address on the statement.
Check the date of service Some states use different payment systems for visits before and after an electronic-record transition.
Select the state on Optum’s bill-pay page Follow the payment option that matches the medical group and visit date.
Compare the insurance explanation Match the billed amount, allowed amount, insurer payment, adjustment and patient responsibility.
Save the payment confirmation Keep the account number, amount, transaction date and confirmation code.
Examples of current Optum billing routes and transition warnings
Region Current billing note Published help number
Arizona MyChart bill pay; older records may require legacy assistance. 1-800-765-8959
California – LA and Orange counties Optum App/MyChart route after the September 2025 transition; older visits may use another payment option. 1-877-267-8861
Indiana Visits on or before November 7, 2025 use a legacy route; later visits use MyChart. 1-855-246-2273
New Mexico Select New Mexico on the national bill-pay page. 1-800-765-8959
Ohio Visits on or before November 7, 2025 may use a legacy route. 1-855-246-2273
Texas Use the state portal route or WellMed information shown on the statement. 1-866-323-3601, TTY 711
Washington Use the Optum Care Washington payment option that matches the clinic. 1-425-258-3900
Billing-question script
“I am calling about account [number] for service date [date] at [location]. My statement shows [amount], while my insurance explanation shows [amount or denial]. Please explain the charge and tell me whether the claim, payment or patient balance needs correction.”
Choose the correct bill-pay state
Records processes differ by state

How to request Optum medical records

Check the patient portal first MyChart or the regional portal may provide visit summaries, test results and parts of the medical record.
Select the state patient-support page Look for medical records, health information management or release-of-information instructions.
Use the secure online request when available Some regional groups provide separate patient and provider record-request tools.
Complete a release form when required Include the patient, recipient, date range, record types, delivery method and signature.
Attach legal-authority documents Representatives may need guardianship, power-of-attorney, executor or other supporting records.
Keep proof of submission Save the online confirmation, fax report, postal tracking or office receipt.
New York

Former CareMount and former ProHEALTH regions have different health-information departments, fax numbers and mailing addresses.

New Jersey

Online and paper requests are available; incomplete forms or missing representative authority can delay processing.

Nevada

Forms are available for record release, access authorization and requesting an amendment to health information.

Possible record fee: Regional Optum practices may charge a reasonable, cost-based copy fee when permitted by federal and state law.
Find state record forms Find state patient support
Primary care to specialist workflow

How Optum referrals commonly work

The primary-care clinician documents the need The medical record should include the diagnosis, symptoms, previous treatment and requested specialist or test.
The health plan rules are checked HMO and Medicare Advantage plans may require a referral and prior authorization.
The in-network specialist is selected Confirm the provider, medical group, address and hospital affiliation.
The authorization is matched to the service It may cover only a named provider, procedure, number of visits and date range.
The patient schedules the appointment Call the specialist when the office does not contact you promptly.
The specialist report returns to primary care Ask who will explain the result and coordinate the next step.
Referral-status script
“My Optum clinician ordered [specialist, test or procedure] on [date]. Was the request submitted, is anything missing, and which provider, location, service, visit count and expiration date were approved?”
After the appointment

How to follow up on Optum results and prescriptions

Test results
  • Check the correct regional patient portal.
  • Confirm the testing date and location.
  • Ask whether the ordering clinician reviewed the result.
  • Do not interpret one abnormal flag without context.
Prescription renewals
  • Check remaining refills with the pharmacy first.
  • Use MyChart or the regional portal for non-urgent requests.
  • Confirm the pharmacy name and address.
  • Expect a visit or monitoring test for some medicines.
The result is missing Confirm whether the test was completed at an outside laboratory or imaging facility.
The medicine runs out today Call the medical office rather than relying only on a portal message.
The pharmacy has no prescription Verify the pharmacy, medication, dose and date the request was sent.
The result appears urgent Contact the care team promptly or seek urgent or emergency care based on symptoms.
Use the state where care occurred

Optum patient-support contacts

Examples of current state and regional support numbers
Area Telephone Support examples
California 1-877-267-8861 Provider changes, insurance, referrals, billing, interpreter services and records.
Colorado Springs / Pikes Peak 1-719-522-1133, TTY 711 Regional patient and account assistance.
Denver metro 1-303-425-4680, TTY 711 Regional Optum Colorado patient support.
Texas 1-866-323-3601, TTY 711 Portal and regional customer-service routing.
Washington – Everett and Eastside 1-425-259-0966 Doctor changes, referrals, insurance, records and nonmedical questions.
Washington – Seattle 1-206-329-1760 The Polyclinic and Seattle-area patient routing.
Choose patient support by state Open Optum contact options
Common patient problems solved

Optum Medical Group troubleshooting guide

The doctor does not appear in search Search the former or regional medical-group name and call the health plan for current participation.
The portal shows no visits Confirm the state, medical group and service date; the visit may be stored in another portal.
The bill-pay page rejects the account Compare the practice name and date of service with the state transition instructions.
An old practice name appears Former names such as CareMount, ProHEALTH, Southwest Medical or The Everett Clinic may remain on older records.
The insurer says the doctor is out of network Ask the insurer to verify the exact address and billing medical group rather than only the physician’s name.
A referral is missing Ask the primary-care office when it was submitted and whether the plan requested more clinical information.
A medical-record request is delayed Confirm that the form is readable, signed correctly and includes legal-authority documents where needed.
You need immediate care Use urgent care for appropriate minor problems or call 911 for emergency symptoms.
Ten patient questions answered

Optum Medical Group frequently asked questions

What is Optum Medical Group?

It is a common search term for Optum and Optum-affiliated regional physician practices. Care, portals, billing and records are organized by state and local medical group.

How do I find an Optum doctor near me?

Set your location on Optum’s official care directory, choose a service and verify the exact doctor and office with your insurance plan.

Is there one Optum patient portal?

No. The correct portal depends on the state, regional medical group and sometimes the date of service.

What can I do through MyChart?

Functions may include appointments, records, results, secure messages, prescription renewals, video visits, proxy access and bill payment.

How do I pay an Optum medical bill?

Open Optum’s bill-pay page, select the state and follow the option matching the practice and service date shown on the statement.

Does Optum accept my insurance?

Participation varies by doctor, medical group, address, service and plan product. Confirm with the health plan before care.

Does Optum accept Medicare Advantage?

Many Optum doctors accept Medicare Advantage plans, but accepted plans vary by region and physician.

How do I request medical records?

Use the state patient-support page, regional portal, secure request tool or release-of-information form.

When should I use Optum urgent care?

Urgent care is appropriate for many minor illnesses and injuries. Call 911 for life-threatening or potentially disabling symptoms.

How do I contact patient support?

Open Optum’s patient-support page and select the state where care occurred to find the correct regional telephone number.

Final live actions

Official Optum patient tools

The patient-routing rules are explained above. Use these official pages when you are ready to complete a live doctor search, portal login, payment, records request or support contact.

Doctors and locations Patient portals Medical bill pay Patient support Patient forms Urgent care Primary care Medicare support
Independent patient-information notice:

This guide is not Optum, UnitedHealthcare, an Optum-affiliated physician practice, a hospital, an insurer or an emergency service. It cannot access patient accounts, verify network benefits, schedule appointments, release records, approve referrals or correct medical bills.

Doctors, practice names, portals, billing systems, locations, insurance participation and support numbers can change. Confirm time-sensitive information with the regional practice and health plan before receiving non-emergency care.

This information is educational and does not replace professional medical advice. Call 911 for a life-threatening emergency.

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