Optum Logo PNDM Applications

The Technical Documentation link to the right gives you access to documents covering upgrade guides, application manuals, EDI, HIPAA, specifications, and other technical papers. Requires user ID and password:
Technical Documentation

Optum PNDM News

We are excited to bring our clients PNDM version 5.6.5. If you have not received the upgrade guides for versions higher than your current version you log on to, please email Solutionservices-PNDM@optum.com and request them. The team can forward the guides to you for your review.
In this version you will find:
  • Do you receive Excel files from provider groups or other sources? Via LoadData, a user can load provider data from excel files.
  • Have a need to create criteria for a quick export? Quick View Direct is a feature in the application that allows you to use filters to locate records in certain database tables directly. Once you locate this data, you can export specific data to a file.
  • Have a need for standardization of addresses? The standardizing of addresses includes a site parameter that determines how a client uses the functionality.
  • Looking to assign credentialing or recruitment workflow steps to a user? The credentialing and recruitment steps area offers the number of follow up days along with an assigned to a user option. Within App Reports, a user can run some credentialing and recruitment pending steps reports.
  • Ever wanted to inventory the languages for facilities? Within the Facilities area, languages have been added.
  • Is there a need to store more information about your provider groups? The Group Demographics includes an extended data capability (User Defined Fields for Data).
  • Do you receive communications from provider groups that need to be tracked and assigned? Communication Tracker now includes a provider ID and group ID.
PNDM provides functionality to ensure that both your business needs and the requirements of Network Analytics are met. When you choose to enable this functionality, the system saves a copy of the address data that is input by the user, while also creating and saving a separate copy that is strictly used by Network Analytics.
Speaking of Network Analytics, a user can create network optimizer reports which are designed to identify effective networks with the right clinicians in the right areas. Profiles are created, which are collections of definitions, to generate reports. The Network Analytics information allows the user to use the data to address provider gaps and surpluses.
Provider gap - exists when an area in your network does not contain enough providers to meet your access standard. For example, your access standard for an area requires at least four primary care physicians within a 20-mile radius. If that area has only two network physicians, then there is a provider gap of two physicians. You may have to recruit additional physicians.
Provider surplus - exists when there are more physicians in your network needed to meet the requirements of your access standard, and/or the minimum number of providers required by a geographic location such as Zip code or County. The radius of the access standard may be measured in either miles and/or travel minutes.

If you have any interest in our add on products: Network Analytics, Bundled Payments, or Contract Modeling, please contact your Account Manager.

© 2019 Optum, Inc.