LCN Breakfast- Special Topics from UHC and PH

January 7, 2020

Based on the feedback we received at the Payor Conference in October, Lakeland Care Network has planned this special breakfast meeting and invites you to attend so we can bring you information on the new VA Contract with Optum, along with very helpful information directly from Priority Health Claims Department.  This presentation would be helpful for office/practice managers, billing staff, and appeal team members.


Part 1: VA Contract with Optum

Department of Veterans Affairs (VA) has selected Optum as a third-party administrator for

Regions Two of the VA Community Care Network (CCN). This will go live on January 20, 2020. UnitedHealthcare representatives will go over the new VA referral process as well as how claims are submitted for reimbursement. Information will also be provided to take back to offices for reference.

  • PowerPoint Presentation
  • Quick Reference Guide Handout
  • Question and Answer Period



Part 2: Priority Health Claims - How to Improve your Claims Questions’ Response Time and Discussion of Changes to the Priority Health Provider Portal

Learn how to efficiently reach out to Priority Health based upon your type of question – what’s the best method to use.

  • Viewing access of front-end rejected claims
  • Third Party Liability and Coordination of Benefits drop-down options within the claims inquiry tool
  • Additional options to choose from within the secure email “compose a message”
  • New attachments feature within the Claims Inquiry Tool (estimated completion: end of January 2020)
  • Project to streamline our appeals routing process (estimated completion: February 2020)


Speakers:       Joel Bersche, Manager, Network Contracting, UHC
                        Darin Yates, Provider Relations Advocate, UHC
                        on the phone: Kim Dickens, Veteran Affairs Network Contractor Lead, UHC/Optum

                        Laura Hayes, Manager, Provider Reimbursement, Priority Health
                        Mary Gamble, Provider Reimbursement Analyst, Priority Health

Date:               Wednesday, January 22, 2020

Time:               8:00 – 10:30 a.m. (registration/breakfast: 8:00 - 8:30, program begins at 8:30)

Location:        Hilton Garden Inn, 1300 Cinema Way, Benton Harbor, MI

Cost:               Free – brought to you by Lakeland Care Network


RSVPs are required to attend to ensure adequate seating and breakfast. 

CLICK HERE TO SUBMIT YOUR RSVP.  We must have your RSVP by noon on Friday, January 17, 2020.


If you have any questions or if you are having difficulty with the link, please contact Monica Roney at (269) 927-5207 ( or Cathy Pampalone at (269) 985-4474 (