Introduction

Optum's health plan partners require that all of Optum's employed providers complete regulatory, compliance, and health plan-specific training. As part of my credentialing commitment to Optum, we must evidence that the training course listed has been completed prior to credentialing approval. The provided links to training courses enable us to meet training requirements.  

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* 1. START OF TRAINING DATE AND TIME:

A. Indicate Start of Training Date and Time below before moving on to Step 2:

Date
Time

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* 2. HEALTH PLAN TRAINING: 
A. Contractual Requirements with Optum's health plans require that we have completed training topics provided.

B. Minimum Requirement for Training Timeframe is: 30 minutes between:
   Step 1A above, Start of Training Date and Time; and
   Step 2C below, Completion of Training Date and Time:

C. Indicate Completion of Training Date and Time Below:

Date
Time

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* 3. ATTESTATION:

A. Sign and date the attestation(s) provided to you in the Credentialing Packet; and

B. By completing the required fields below, I attest that I have reviewed the Compliance courses and the Health Plan Trainings, or an equivalent.

C. Check the box next to "I Agree" Statement.

Please contact HealthPlanCompliance_CDO@optum.com if you have any questions.

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* 4. Tax ID # in XX-XXXXXXX format

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* 5. Vendor / Practice Name

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* 6. Your Name

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* 7. Email Address

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* 8. Your Phone Number

T