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UMR

UMR

This page contains information you can use to exchange healthcare transactions with UMR using Stedi.
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Use any of the following payer IDs to send transactions to UMR using Stedi APIs or SFTP. Read the docs
Primary Payer ID
Stedi Payer ID
Payer ID aliases
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Parent group
UnitedHealth Group
Coverage types
Dental, Medical, Vision
Operating states
NATIONAL

Supported transactions

Use Stedi to exchange the following transactions with UMR using APIs or SFTP. Send transactions as JSON or raw EDI files.
Eligibility & benefit verification
Supported

Eligibility checks

(270/271)
Verify member coverage and benefits by sending real-time and batch eligibility checks to UMR.
Not supported

Coordination of benefits checks

(COB)
Submit coordination of benefit checks to UMR to determine if a member has overlapping coverage with another plan and determine each payer's responsibility for paying claims.
Claims processing
Supported

Real-time claim status

(276/277)
Check on the status of a claim previously submitted to UMR in real-time by sending a claim status check (276/277).
Supported

Professional claims

(837P)
Submit professional claims to UMR and receive 277 claim acknowledgments asynchronously.
Supported

Institutional claims

(837I)
Submit institutional claims to UMR and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required

Claim payments

(835 ERA)
Receive electronic remittance advice (ERAs) from UMR to review full payment details.
Enrollment process type
One-click
Activation timeframe
Weeks
Supported

Dental claims

(837D)
Submit dental claims to UMR and receive 277 claim acknowledgments asynchronously.
Supported

Unsolicited claim attachments

(275)
Receive unsolicited attachments for claims submitted to UMR.
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Start processing healthcare transactions with Stedi and UMR today.
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Other names
Alternative known names, networks, or health plans for this payer that may appear on insurance cards, claims, or other correspondence.
  • Co-Operative Benefit Services
  • Fiserv Wausau
  • G.E.H.A
  • GEHA
  • UMR Wausau
  • United Medical Resources Wausau
  • UnitedHealthcare Shared Services - UHSS
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