Optum Outage History

Medicare Eligibility is currently down with no ETA. The MedRx teams are continuing to monitor the situation. #INC51510582

The Medicare HETS 270/271 system is currently unavailable, impacting eligibility transaction processing through TCP/IP and Web Services. CMS is aware of the issue and is actively working toward resolution. Further updates will be provided as additional information becomes available. #INC51510582

The pharmacy claims processor Cervey is experiencing downtime on all platforms. Cervey is working diligently to resolve this issue. Pharmacies may receive "ERX34 - RESPONSE FORMAT ERROR-RESUBMIT" error responses when sending claims to this processor. Optum Insight switch is monitoring and will update this page when the issue is known to be resolved.

The Recast Service is currently experiencing an outage. The support team has identified the issue and is actively investigating and working to restore the service as quickly as possible. Further updates will be provided as progress is made. INC# INC50944174

We are experiencing degradation in new enrollments with mobile services. INC#INC50837787

PCS is currently experiencing claim processing timeouts with Optum Insight resulting in ERX03 rejections. We are currently working with the payer to resolve this issue. INC# INC50811865

CVS Caremark claims are still experiencing claim timeouts. Optum Insight is still working with the payer to resolve this issue. We will provide a new update as soon as possible. INC# INC50811865

Optum Insight is currently experiencing claim timeouts with Medicare B claims for DME and vaccine billing. We are currently working to resolve this issue and will provide an update as quickly as possible. # INC50757672

Optum Insight is currently experiencing claim timeouts impacting Medicare B claims for DME and vaccine billing. The issue is still ongoing, and our teams are actively working to resolve it. We will provide the next update as soon as more information becomes available. # INC50757672

Optum Insight has identified an issue impacting erroneous rejections for some transactions associated with specific pharma VOD programs. We are investigating the issue and will provide an update once available. # INC50589485

We have identified intermittent timeouts occurring with our Cardfinder service and are working to resolve the issue. We will send an update once there is any new information or a resolution. INC #INC50569042

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

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

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

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

CM is currently experiencing an unexpected connectivity issue today, Monday, April 20, 2026. As a result, users may be unable to access the CM application. Optum is currently working to resolve this as soon as possible and will continue to keep you updated on the progress made to correct this issue. We apologize for any inconvenience this may cause. #INC49575022

We continue to work on resolving the outage associated with the Contract Manager environment. We are currently building and testing a new release to address the issue. Updates will be shared as more information becomes available. #INC49575022

The issue impacting Contract Manager environment has been resolved. Service was restored after unblocking affected system components and stabilizing the environment. A permanent fix is being deployed to address the underlying security vulnerability and prevent recurrence. #INC49575022

The Medical Network Payer Connectivity Services Realtime Processing is experiencing and a Realtime service interruption. As a result all Realtime processing is down. Our teams are actively working to troubleshoot and resolve the issue. INC# INC49466830

Medical Network PCS – Real-Time Processing is currently experiencing a service interruption, and all real-time transactions are unavailable. Engineering teams are actively investigating the issue and working on restoration. Updates will be shared as more information becomes available. INC# INC49466830

Medical Network PCS real‑time services remain down; engineering teams are actively troubleshooting and performing recovery actions. INC# INC49466830

We are currently experiencing a service interruption affecting Medical Network PCS real-time processing. At this time, all real-time transactions are unavailable. Our engineering teams are actively investigating the issue and working to restore service as quickly as possible. INC# INC49466830

We are aware of the ZScaler issues with MDIV/MMIS. We are actively investigating the issue with the larger Optum/Zscaler team and will provide updates as soon as available. INC #INC49392819

We are aware of the slow EPR response times. We are actively investigating the slowness and will provide updates as more information becomes available. We apologize for any inconvenience this may cause. INC#INC49298901

We are aware of an issue occurring within the system. We will provide updates as more information becomes available. Incident type : Estimator is down Incident description: Estimator is down for all customers currently, and we are working to resolve this issue as quickly as possible. INC#INC49049942

The team is currently aware of an issue within the system and will provide further updates as more details are confirmed. Incident type : Estimator is down Incident description: Estimator is down for all customers currently, and we are working to resolve this issue as quickly as possible. INC#INC49049942

We are aware that customers may not be able to login to EngageCare Provider. Our teams are actively working to troubleshoot and resolve the issue. INC #INC49002906

Optum has identified a critical connectivity issue affecting transactions routed to Prime Therapeutics / Magellan. The issue is resulting in connection‑to‑payer errors and is currently preventing successful claim processing for impacted plans. Optum teams are actively engaged and working with the payer to restore connectivity as quickly as possible. BIN 022659 BIN 009737/ 011503 BIN 002286 INC #INC48943150

Issue Ongoing- Optum has identified a critical connectivity issue affecting transactions routed to Prime Therapeutics / Magellan. The issue is resulting in connection‑to‑payer errors and is currently preventing successful claim processing for impacted plans. Optum teams are actively engaged and working with the payer to restore connectivity as quickly as possible. BIN 022659 BIN 009737/ 011503 BIN 002286 INC #INC48943150

Recast Claim Formatter performed an infrastructure change over the weekend which involved recreating a virtual machine that changed its private IP address which then prevented the firewall access as it was originally opened only previous private ip address. We are currently in the process of resolving this issue, opening the firewall and performing a rolling restart. Some of you may not be experiencing any issues while others are. #INC48839327

We are facing issues with traffic routed through wso2. Any services leveraged through this will be impacted. We are actively investigating the problem and will provide updates as more information becomes available. Services impacted: WSO2 Services #INC48815572

We are currently investigating an issue impacting InterQual Connect customers using prod.ds.interqual.com or prod2.ds.interqual.com, where users are receiving blank screen or error when they launch InterQual. Our team is actively working to identify and resolve the problem. We will provide additional information as our investigation progresses. Current Status: We are currently investigating this issue. Additional information will be provided as we make progress towards a resolution. #INC48798457