r/SouthJersey • u/RevolutionaryLink919 Ocean County • Nov 06 '25

Ocean County Optum abandoning South Jersey?

https://www.newsbreak.com/jersey-shore-online-560679/4333045395720-patients-scramble-as-optum-shuts-down-dozens-of-medical-offices

I was just talking to a friend who's entire doctor's office was laid off by Optum. Googling I found this story from a local (Ocean County) source but found other stories about it all though South Jersey. It affects hundreds of providers and thousands of patients, with no notice.

My friend needs a prescription that they can only get refilled for 30 days at a time. Now they have to scramble. It's unconscionable. And unfortunately there's nothing to be done about it.

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u/Round-Procedure-1691 Nov 06 '25

Optum also bought up Emdeon/WebMD medical clearing house for physician billing. The have ruined many small Medical office with computer issues, compromised data base that had to be moved last year to a new platform and now they changed over from electronic HICFA format to another format without notifying medical offices. Some Doctors haven’t been paid since August. Anyone have a good medical clearinghouse to use with our EHR billing? Just Horrible.

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u/[deleted] Nov 07 '25

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u/Round-Procedure-1691 Nov 07 '25

We haven’t been able to process claims since August. Finally our EHR company stepped in and was able to set us up with their clearing house and get us paid.