Optum Outage History

The RXNS Pharmacy Connect service experienced a complete VPN connection failure for Washington Department of Labor transactions starting at 7:20 AM CT, resulting in 100% unavailability of pharmacy transaction traffic through the affected VPN. The VPN connection was automatically restored at approximately 2:58 PM CT without requiring intervention from Optum, after which normal transaction processing resumed.

Optum's RXNS PHARMACY CONNECT service experienced a complete outage affecting pharmacy benefit claims for patients with Alabama and Connecticut Medicaid coverage, with 100% of traffic to these payers failing to reach their destinations. The 4.6-hour incident prevented all NCPDP pharmacy claims from being processed for AL and CT Medicaid patients. Optum Insight worked with Gainwell to restore the VPN connections, resolving the connectivity issue at 6:27pm CST.

Optum's Enterprise Pharmacy System experienced intermittent failures in Script Routing transactions for 38 minutes. The issue caused prescription routing transactions to fail sporadically across the RXN ERX network. Optum resolved the problem and advised users to resubmit any impacted script-routing transactions as necessary.

A certificate expiration caused a major outage of Optum's Enterprise Pharmacy System, significantly impacting business operations. The technical teams identified and implemented a workaround solution, which was then rolled out to affected stores. The incident was resolved after 1.9 hours once the workaround deployment was completed across all locations.

Optum's RXSS RXN API Recast Claim Formatter service experienced a major outage lasting 9 hours, causing slow response times and claim rejections for users. The Recast service was completely unavailable for most of the incident duration, with restoration efforts ongoing throughout the day. The performance issue was fully resolved and services were restored, with monitoring continuing afterward.

Optum's Contract Manager experienced a connectivity issue that prevented users from accessing the application, including staff who were unable to log in through vendor sites. The 2.3-hour outage was resolved by unblocking affected system components and stabilizing the environment, with a permanent fix being deployed to address an underlying security vulnerability.

Optum's Medical Network Payer Connectivity Services experienced a complete real-time processing outage that made all real-time transactions unavailable for 3.8 hours. The incident was caused by missing components in the system. Engineering teams resolved the issue by restoring the missing components through an approved emergency action, which restored real-time transaction processing.

TES and PI users experienced access issues due to a Zscaler problem affecting MDIV/MMIS systems. The incident was investigated by the Optum/Zscaler team and resolved within 12 minutes.

Optum's Enterprise Pharmacy System (EPR) experienced slow response times for 1.9 hours due to issues with the Central Services Database. The problem was resolved through a database failover process, which required a brief outage during the fix.

Optum's Central Services EPR experienced slow response times for 40 minutes, affecting the Exchange Dx component. The service degradation was actively investigated and resolved without further details on the root cause or specific remediation steps.