Member FAQs

Have a question about your health benefits or need to address a claim issue? We've got you covered.

Here is a list of common health benefits and claims questions and answers to help you navigate your coverage and understand your claim details.

UMR is part of UnitedHealthcare and works with group health plans to help administer health care benefits for their members.
As a third-party administrator, we handle many of the tasks associated with managing group health plans. We process claims for services from health care providers and have medical professionals on staff to help coordinate care for members who are hospitalized or dealing with a serious health condition.
We provide you with prompt, personalized service. As a plan member served by us, you have a customer service team of helpful people available to assist you and answer questions about your health benefits.
You may receive an explanation of benefits (EOB) for health claims submitted by your health care providers. Also, we may send you letters that will require you to follow up with your provider to obtain more information.

New members can visit umr.com or download the UMR app to create a HealthSafe ID. HealthSafe ID provides a secure way to log in to your accounts and access your information, quicky and easily.
The UMR app is available for download through Google Play and the App Store.
To get answers to your benefits questions, you can contact UMR by calling the member services phone number listed on your health plan ID card. You can also use the chat feature on umr.com or on the UMR app to get assistance 24/7.
There are three ways to see when your coverage started:

1. On the UMR portal under Benefits and coverage tab

2. On the UMR app under Benefits tab

3. Call UMR at 1-800-826-9781
To go paperless, visit umr.com or go to the UMR app and select Account settings to change your paperless settings.

You can view your health plan ID card by signing in to umr.com or on the UMR app.
If you would like to receive another copy, you can order a new ID card on umr.com, on the UMR app or you can call member services.
How to read your health plan ID card

There are two ways that members can search for an in-network provider:

1. Visit umr.com and select Find a provider

2. Download the UMR app and select Find care

Look for the name of your provider network on your ID card. Enter your network name and select View provider to search for a network provider or facility.
You may hear your health care network called a PPO, or preferred provider organization. This refers to a group of doctors, hospitals and other health professionals who have signed a contract agreeing to provide their services at reduced rates. This is your network discount, and you can save a lot of money by going to providers who are in-network vs. those outside the network.
Coordination of benefits (COB) applies whenever you have insurance coverage (group medical or dental) under more than one plan. For example, you have health insurance coverage through Medicare and your employer.

UMR will typically process your claim within 30 days of receiving it from your provider. We may contact you and ask for additional information to complete your claim
Visit umr.com or go to the UMR app and select claims tab to view claims status.
Sign in to umr.com to get the latest details about your spending account claims, payments, balances, eligible expenses and much more.

Use the link below to find different ways to get in touch with us.