Is Optum down?

RXNS pharmacy transactions for WA Department of Labor VPN Connection went down 7:20 AM CT. As a result, 100% of transaction traffic to the affected VPN was unavailable during the incident window. Investigation and Troubleshooting Activities: The PE Team and Product Operations Team are actively troubleshooting the issue. The Network Team is currently investigating VPN connectivity. The Application Operations Team is coordinating with the processor to obtain an update on the current connection status. INC#INC49975636

RXNS pharmacy transactions for the WA Department of Labor VPN connection went down at 07:20 AM CT. As a result, 100% of transaction traffic to the affected VPN was unavailable during the incident window. The VPN connection was restored without intervention from the Optum side at approximately 02:58 PM CT, after which transaction traffic began flowing normally. INC#INC49975636

NCPDP pharmacy benefit claims destined to AL and CT Medicaid VPN connections for patient's with AL and CT Medicaid coverage are not making it to either payer. 100% of the traffic destined to these payers is currently down. Optum Insight is actively working on this issue. INC # INC49898339

Our technical teams are continuing to work to resolve this issue, and we will provide updates as more becomes available. INC # INC49898339

Customer network team and Optum technical teams are continuing to work to resolve this issue, and we will provide updates as more becomes available.

Optum Insight worked with Gainwell to resolve connectivity to AL and CT Medicaid. The connection was restored at 6:27pm CST.

Optum Insight has identified an issue causing intermittent impact to Script Routing Transactions. This issue is currently being investigated and an update will be provided as soon as possible. #INC49825179

Optum Insight has resolved the issue causing intermittent impact to Script Routing transactions. Impacted script-routing transactions should be resubmitted as necessary. #INC49825179

We are aware of an issue with a certificate expiration causing major impact to your business. Our teams are currently engaged and will provide an update as it becomes available. #INC49821636

A workaround has been found for the issue, and is being communicated via your support team. #INC49821636

The workaround has proved successful when applied. We are continuing to monitor until completion. #INC49821636

The workaround given has resolved the issue where it has been applied. The rollout to stores is continuing and expected to be complete within the next hour. #INC49821636

As previously communicated Optum Insight identified inconsistent payment activity and claim reopening outcomes across the DME MACs post-implementation of their new policy of requiring a KX modifier being submitted on inhalation drug claims. As a result, we placed all inhalation drug and corresponding dispensing fee claims on hold temporarily to prevent the occurrence of further denials. Optum Insight is pleased to share that we have completed system enhancements, including necessary coding updates resulting from collaborative testing. Consequently, all previously held claims have been released with the appropriate modifier codes as of Monday, April 27, 2026. We appreciate your continued partnership and remain available for any questions through our customer support team at 866-379-6389.