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INFORMATION ON THE CHANGE HEALTHCARE CYBER RESPONSE

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 * Updated as of March 8, 2024. We will provide updates as more information
   becomes available.

 * Change Healthcare works across the health system to make clinical,
   administrative and financial processes simpler and more efficient for payers,
   providers and consumers. Change Healthcare has experienced a cybersecurity
   issue, and we have multiple workarounds to ensure provider claims are
   addressed and people have access to the medications and care they need. The
   following page is a resource for UnitedHealth Group, UnitedHealthcare, Optum
   and Change Healthcare stakeholders. In addition to being a main source for
   the latest business and information updates, this page also contains links to
   other resources to support stakeholders in managing any related impacts.

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HOW DO I ACCESS THE TEMPORARY FUNDING ASSISTANCE PROGRAM FOR PROVIDERS?

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HOW DO I LEARN MORE ABOUT OPTUM IEDI?
 

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UnitedHealth Group continues to make substantial progress in mitigating the
impact to consumers and care providers of the unprecedented cyberattack on the
U.S. health system and the Change Healthcare claims and payment infrastructure.
Our focus has been on ensuring access to care and medications by addressing
challenges to pharmacy, medical claims and payment systems targeted by the
attack.

“We are committed to providing relief for people affected by this malicious
attack on the U.S. health system,” said Andrew Witty, CEO of UnitedHealth Group.
“All of us at UnitedHealth Group feel a deep sense of responsibility for
recovery and are working tirelessly to ensure that providers can care for their
patients and run their practices, and that patients can get their medications.
We’re determined to make this right as fast as possible.”

Based on our ongoing investigation, there is no indication that any other
UnitedHealth Group systems have been affected by this attack.

To address the needs of our customers, the company is announcing the following
immediate actions:

Timeline to Restore Change Healthcare Systems

We are working aggressively on the restoration of our systems and services.
Assuming we continue at our current rate of progress, we expect our key system
functionality to be restored and available on the following timelines:

 * Pharmacy services: Electronic prescribing is now fully functional with claim
   submission and payment transmission also available as of today. We have taken
   action to make sure patients can access their medicines in the meantime,
   including Optum Rx pharmacies sending members their medications based on the
   date needed.
 * Payments platform: Electronic payment functionality will be available for
   connection beginning March 15.
 * Medical claims: We expect to begin testing and reestablish connectivity to
   our claims network and software on March 18, restoring service through that
   week.

While we work to restore these systems, we strongly recommend our provider and
payer clientsuse the applicable workarounds we have established—in particular,
using our new iEDI claim submission system in the interest of system redundancy
given the current environment.


LATEST UPDATES

UnitedHealth Group Update on Change Healthcare Cyberattack - March 7, 2024

 * Pharmacy
   
   
   
   Electronic prescribing is now fully functional with claim submission. So far,
   Change Healthcare has processed almost 6 million prescriptions and we are
   back to our normal volumes.
    
   
   Additionally, the Change Healthcare Pharmacy Network is back online. These
   two developments mean all major pharmacy claims and payment systems are back
   up and functioning.
    
   
   We continue to focus on those remaining areas of pharmacy disruption,
   including specialty coupon programs and certain claims for infusion
   providers.

 * Claims
   
   
   
   We expect to begin testing and reestablish connectivity to our claims network
   and software on March 18, restoring service through that week. 
    
   
   We have been engaging with providers, and it’s clear some are still
   considering approaches to this problem as we work toward March 18. We
   strongly recommend providers pursue multiple paths and workarounds, including
   our iEDI claim submission system and alternative clearinghouses. If there’s
   anything we’ve learned as an industry, it’s that system redundancy is
   critical given the current environment.
    
   
   We fully acknowledge not all edits and functionality will be in place and
   some additional rework might be necessary, but we view this temporary
   solution as the best means of getting claims moving for both payers and
   providers who remain unable to receive or submit claims. 
    
   
   Our iEDI solution is live, available and represents the best workaround for
   many. Our account teams are proactively working to get claims connections
   built quickly on this secure and verified platform. As of March 8, more than
   100 payers are implementing this solution and we are working with providers
   that represent more than 30 million claims a month.
    
   
   Please connect with your account team if you want to receive support
   regarding moving to Optum’s iEDI claims connections.

 * Payment
   
   
   
   We expect our electronic payment functionality will be available for
   connection beginning March 15, which marks another critical milestone in our
   efforts to return to normal operations. 
    
   
   To support providers, on March 1, Optum launched a Temporary Funding
   Assistance Program to help bridge the gap in short-term cash flow needs for
   providers who received payments from payers that were processed by Change
   Healthcare.
    
   
   UnitedHealthcare will provide further funding solutions for its provider
   partners. This applies to medical, dental and vision providers and will
   involve advancing funds each week representing the difference between their
   historical payment levels and the payment levels post-attack. Advances will
   not need to be repaid until claims flows have fully resumed. Providers must
   complete a one-time registration to access funding.
    
   
   We urge all payers to do the same, as this is the fastest, most efficient way
   to address provider short-term cash flow needs.
    
   
   Beyond UnitedHealthcare’s temporary provider funding relief, Optum is
   expanding its program. The funding program now includes providers who have
   exhausted all available connection options and who work with a payer that has
   opted not to advance funds while Change Healthcare systems remain down.
    
   
   This expansion is a funding mechanism of last resort, especially for small
   and regional providers, and will be evaluated on a case-by-case basis. An
   Optum Pay account is required to complete registration and to receive funds
   and repay funds.
    
   
   For those who receive funding support, there are no fees, interest or other
   associated costs with the assistance. For repayment, providers will receive
   an invoice once standard payment operations resume and will have 30 days to
   return the funds. These terms now apply to both the original and expanded
   temporary funding programs.
    
   
   To determine eligibility and funding amount, please register for the program
   at the website: www.optum.com/temporaryfunding .

 * Additional Actions to Support Providers and Consumers
   
   
   
   For Medicare Advantage plans, including Dual Special Needs Plans, we are
   temporarily suspending prior authorizations for most outpatient services
   except Durable Medical Equipment, cosmetic procedures and Part B step
   therapies.
    
   
   We are temporarily suspending utilization review for MA inpatient admissions.
    
   
   For Medicare Part D pharmacy benefits, we are temporarily suspending drug
   formulary exception review processes. These actions will remain in place
   until March 31. We will work with state Medicaid agencies on any actions they
   wish to implement.
    
   
   For pharmacy, the Optum Rx PBM notified network pharmacy partners and
   pharmacy associations that we would reimburse all appropriate pharmacy claims
   filled with the good faith understanding that a medication would be covered.

 * Technology
   
   
   
   This remains an ongoing investigation. In due time, we will provide a
   thorough assessment of this incident. In the meantime, we can address
   inquiries related to the following area:
    
   
   Attestations: Our telemetry and controls demonstrated that our Optum,
   UnitedHealthcare and UnitedHealth Group systems are safe and are not affected
   by this issue. We regularly scan those environments and continue to validate
   that they were not impacted. If we had any reservation about those other
   systems, we would have ceased services immediately. Therefore, anything that
   is currently functioning means that we have full confidence in it. The
   impacted Change Healthcare environment was, and remains, firewalled away from
   the rest of the company. Mandiant, Palo Alto Networks or other partners will
   provide an attestation at an appropriate time. 
    
   
   Your safety remains our top priority and we continue to work around the clock
   to achieve full and safe restoration.




QUICK LINKS

Providers

Visit the UnitedHealthcare Provider Portal .

Provider Temporary Funding

View resources .

Pharmacies

For Optum Rx network pharmacies, visit the Optum Rx Pharmacy Portal .

For Change Healthcare pharmacies, resources coming soon.

Change Healthcare Client Services Assistance

Email client_assistance@optum.com.

If you work with a client manager, please contact them directly.

Chief Information Security Officers

View Optum Solution Status Updates .

UnitedHealthcare & Optum Consumers

Contact numbers can be found on the back of your member ID card.

Vendors

For Accounts Payable
inquiries, email 
apinquirieslchc@optum.com.

Media Inquiries

Email newsroom@optum.com.

 



 


FREQUENTLY ASKED QUESTIONS

 * What happened?
   
   
   
   On Feb. 21, 2024, we discovered a threat actor gained access to one of our
   Change Healthcare environments. Once we became aware of the outside threat,
   in the interest of protecting our partners and patients, we took immediate
   action to disconnect Change Healthcare’s systems to prevent further impact.
   Our security team, along with law enforcement and independent experts, began
   working to address the matter. At this time, we believe the cybersecurity
   issue is specific to Change Healthcare.

 * When will systems be restored?
   
   
   
   We are working aggressively on the restoration of our systems and services.
   Assuming we continue at our current rate of progress, we expect our key
   system functionality to be restored and available on the following timelines:
   
    
   
    * Pharmacy services: Electronic prescribing is now fully functional with
      claim submission and payment transmission also available as of today. We
      have taken action to make sure patients can access their medicines in the
      meantime, including Optum Rx pharmacies sending members their medications
      based on the date needed.
    * Payments platform: Electronic payment functionality will be available for
      connection beginning March 15.
    * Medical claims: We expect to begin testing and reestablish connectivity to
      our claims network and software on March 18, restoring service through
      that week.
   
    
   
   While we work to restore these systems, we strongly recommend our provider
   and payer clients use the applicable workarounds we have established—in
   particular, using our new iEDI claim submission system in the interest of
   system redundancy given the current environment.

 * Is patient health information compromised?
   
   
   
   Our privacy office and security information teams are actively engaged and
   working to understand the impact to members, patients and customers. 

 * How confident are you in your current operational systems?
   
   
   
   We have a high level of confidence Optum, UnitedHealthcare and UnitedHealth
   Group systems have not been affected by this issue. We see no evidence of
   compromise beyond the scope of the Change Healthcare applications.
   
    
   
   Two great examples are InterQual Cloud and Enterprise Imaging services. Both
   remain operational and are available to customers and partners.
   
    
   
   We will continue to be proactive and aggressive with all our systems, and if
   we suspect any issue with the system, we will immediately take action and
   disconnect. Anything available and up and running today has been deemed clean
   and appropriate for us to continue to operate.
   
    
   
   We have no suspicions about any of the production systems available to you.
   
    
   
   As we remediate, the most impacted partners are those who have disconnected
   from our systems and/or did not have business continuity plans sufficient to
   execute workarounds. We are actively engaging with those customers to
   understand how we can help.

 * How are you addressing workarounds for customers and partners?
   
   
   
   While we are focused on addressing this cybersecurity issue, we are committed
   to ensuring our clients and patients have access to the care and solutions
   they need. We appreciate the partnership and hard work of all relevant
   stakeholders to ensure providers and pharmacists have effective workarounds
   to serve their patients as systems are restored to normal. The workarounds
   include enacting manual processes to submit information, checking
   eligibility, looking at claim status to make claims, clearing prior
   authorizations and filling prescriptions.
   
    
   
   We are directing stakeholders to appropriate, operational portals that will
   enable continuity of care.

 * What areas of the health system does Change Healthcare support?
   
   
   
   Change Healthcare works across the health system to make clinical,
   administrative and financial processes simpler and more efficient for payers,
   providers and consumers. Key areas of support include pharmacy claims
   transactions, provider claims processing, patient access and financial
   clearance, provider payments, and authorizations and medical necessity
   reviews. We have been working with clients, providers and pharmacies to enact
   manual processes for these activities and will continue to provide updates.

 * What actions have you taken to ensure no further impact?
   
   
   
   In the interest of protecting our partners and patients, we took immediate
   action to disconnect Change Healthcare’s systems to prevent further impact.
   This was done so our customers and partners do not need to take action. We
   have a high level of confidence Optum, UnitedHealthcare and UnitedHealth
   Group systems have not been affected by this issue. We believe all
   operational systems are safe for continued use.
   
    
   
   Our security team is working with leading cybersecurity firms – including
   Mandiant and Palo Alto Networks – as well as external resources to
   investigate the issue, while also working to protect our systems. Further,
   Microsoft and Amazon Web Service are engaged with us on additional scanning
   of our cloud environment. We will continue to be proactive and aggressive
   with all our systems, and if we suspect any issue with the system, we will
   immediately take action and disconnect. 
   
    
   
   As of right now, we see no evidence of lateral movement beyond the Change
   Healthcare environment. There is no evidence of cross-contamination or that
   this has moved beyond those boundaries.

 * Has the company been in touch with law enforcement?
   
   
   
   Yes. At this time, we are doing everything possible in the interest of
   protecting our partners and patients. We have been transparent with law
   enforcement, and we will continue to coordinate with our law enforcement
   partners. Indicators of Compromise (IOCs) were shared with them as part of
   our investigation on Sunday, Feb. 25.
   
    
   
   This incident serves as yet another reminder of the interconnectedness of our
   health care ecosystem and of the urgency of strengthening cybersecurity
   resiliency across the industry.





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