OPTUM360 LLC

OPTUM360, LLC specializes in the development and distribution of medical coding publications and specialized software tools used by federal healthcare agencies to ensure accurate billing, compliance, and clinical documentation. Their core capabilities center on medical encoder systems, ICD-10-CM/PCS and CPT code reference materials, and integrated digital platforms that support healthcare information management departments. The contractor delivers mission-critical coding resources that enable precise reimbursement, audit readiness, and regulatory adherence across complex clinical environments. Technical expertise includes licensing and maintenance of authoritative coding datasets from AMA and CDC, as well as the integration of these resources into web-based and enterprise applications used by HIM, billing, and clinical staff. Their solutions are designed for high-volume, mission-sensitive environments requiring real-time code validation, cross-referencing, and update synchronization. The company maintains consistent relationships with the Department of Health and Human Services and the Department of Veterans Affairs, providing ongoing support for medical coding publications and encoder software used in Medicare, Medicaid, and VA healthcare operations. These agencies rely on OPTUM360 for timely updates to fee schedules, coding manuals, and digital tools that align with annual regulatory changes. The Department of Defense and Social Security Administration have also engaged the contractor for specialized software licensing and coding system renewals, indicating a trusted role in federal health data infrastructure. OPTUM360 operates primarily under NAICS codes 511130 and 513130, focusing on the publication of medical coding references and related digital content. Their market positioning is as a niche provider of authoritative, regulatory-compliant coding resources tailored to federal healthcare systems, distinguishing themselves through deep domain expertise in healthcare reimbursement frameworks and clinical documentation integrity. Based in Eden Prairie, Minnesota, OPTUM360, LLC is structured as a 2L entity and holds no federal certifications. Their geographic presence is centered in the Upper Midwest, with a government market footprint defined by sustained engagement with key health and human services agencies.