[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-283918-105":3,"detail-sidebar-cat-1-en-105":81,"doc-detail-283918-en":127},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":74,"head_meta":76,"extra_data":78,"updated_unix":80},105,"en","umr-provider-faq-timely-filing-network-access-online-resources","UMR Provider FAQ - Timely Filing, Network Access & Online Resources","","UMR Provider FAQ explains UMR’s role as a third-party administrator affiliated with UnitedHealthcare, including how employer groups use UMR to administer plan benefits and how self-funded groups fund claims. It clarifies UHSS as a separate UnitedHealthcare Shared Services product, outlines timely filing rules tied to provider contracts and self-funded plan limits, and distinguishes differences across customer benefit plan designs. The FAQ also covers denial code usage, provider customer service access via IVR and portal, online registration for TINs, available forms on umr.com, eligibility verification using Social Security number, and passcode procedures.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/template/","Template",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/template/forms/","Forms",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/template/umr-provider-faq-timely-filing-network-access-online-resources/283918/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/umr-provider-faq-timely-filing-network-access-online-resources/283918.png","ImageObject",442,249,{"name":42,"@type":43},"Clementine","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-10-23","2026-09-17",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",8,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"Who is UMR and what does it do for employer groups?","Question",{"text":63,"@type":64},"UMR is a third-party administrator hired by employer groups to administer and process plan benefits determined by the customer group. Self-funded employer groups fund their claims, and UMR provides flexibility in benefit administration and access to provider networks.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"How do timely filing requirements work for UMR claims?",{"text":68,"@type":64},"Timely filing limits are determined by the self-funded customer and the provider’s contracted timely filing provisions. Claims must be filed within the provider’s timely filing limits or they may be denied, and if disputed, providers must submit proof the claim was filed within the limits.",{"name":70,"@type":61,"acceptedAnswer":71},"What options do providers have to access online resources and contact representatives?",{"text":72,"@type":64},"Providers can use the umr.com web portal to access claim information and obtain phone details and a passcode for speaking with a representative. For assistance, the IVR number is 877-233-1800, and the IVR system supports faxback with a passcode and contact number.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},283918,1791393718,{"code":4,"msg":82,"data":83},"success",[84,89,94,99,104,109,113,118,123],{"id":85,"doc_module":22,"doc_module_name":25,"category_name":86,"show_sort_weight":87,"slug":88},11,"Presentations",90,"presentations",{"id":90,"doc_module":22,"doc_module_name":25,"category_name":91,"show_sort_weight":92,"slug":93},12,"Resumes",80,"resumes",{"id":95,"doc_module":22,"doc_module_name":25,"category_name":96,"show_sort_weight":97,"slug":98},14,"Invoices",70,"invoices",{"id":100,"doc_module":22,"doc_module_name":25,"category_name":101,"show_sort_weight":102,"slug":103},15,"Posters",60,"posters",{"id":105,"doc_module":22,"doc_module_name":25,"category_name":106,"show_sort_weight":107,"slug":108},16,"Social Media",50,"social-media",{"id":110,"doc_module":22,"doc_module_name":25,"category_name":29,"show_sort_weight":111,"slug":112},17,40,"forms",{"id":114,"doc_module":22,"doc_module_name":25,"category_name":115,"show_sort_weight":116,"slug":117},18,"Letters",30,"letters",{"id":119,"doc_module":22,"doc_module_name":25,"category_name":120,"show_sort_weight":121,"slug":122},21,"Paper Templates",5,"papers-templates",{"id":124,"doc_module":22,"doc_module_name":25,"category_name":125,"show_sort_weight":4,"slug":126},158,"General","general-158",{"code":4,"msg":82,"data":128},{"doc_id":79,"user_id":129,"nickname":42,"user_avatar":130,"doc_module":22,"category_id":110,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":131,"file_id":132,"file_url":133,"file_type":134,"file_size":135,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":121,"language":136,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":137,"faqs":138,"seo_title":139,"seo_description":12,"update_tm":140,"read_time":26},1374391974564,"https://ap-avatar.wpscdn.com/avatar/14000253aa45c000a9e?x-image-process=image/resize,m_fixed,w_180,h_180&k=1779874745381141002","FAQ  \nUMR questions answered for providers  \nWho is UMR?  \nUMR is an affiliate of UnitedHealthcare and isnot an insurance company. UMR is a third-party administrator (TPA) and is hired by employer groups (customers) to administer and process the plan benefits determined by the customer group. Selffunded employer groups (customers) fund their claims. TPAs allow for greater flexibility with benefit administration, as well as access to a number of provider networks that fit the needs of the customer. That said, no two customer plans are alike. UMR maintains a separate claims platform with dedicated customer service for our customers.  \nWhat is UHSS?  \nUnitedHealthcare Shared Services, otherwise known as UHSS, is a product that UMR assists in obtaining UnitedHealthcare network discounts and provider services. UHSS is neither an insurance company nor aTPA. Although the claim address used for UHSS is the same as UMR, the ID card does not contain UMR’s information or logo. Please use the number of the UHSS ID card when calling for information. A separate FAQ is available for UHSS.  \nWhat are the timely filing requirements for UMR?  \nTimely filing requirements are determined by the self-funded customer, as well as the providercontracted timely filing provisions. The claim must be filed within the provider’s timely filing limits or it maybe denied. If the provider disputes a claim that was denied due to timely filing, the provider must submit proof they filed the claim within the timely filing limits. Timely filing limits can vary based on the provider’s contract and/or the self-funded benefit plan.  \nWhat are the major differences between customer benefit plans serviced by UMR?  \nUMR’s processes are basically the same, and as a TPA, we work to customize the health care needs of the customer. Differences would be in the types of services selected as part of the administration, the level of benefits at which covered services are processed and the services covered. Examples of services available include medical and dental claim administration, FSA, PBM, stop loss carriers, vision plans, case management and utilization management.  \nCan providers access a list of UMR denial codes and definitions?  \nUMR uses the American National Standards Institute (ANSI) denial codes and definitions.  \nWhat is the customer service number for physicians, facilities and other health care professionals to call for eligibility, benefits and follow-up on claim issues?  \nOur Interactive Voice Response (IVR) system number is 877-233-1800. The IVR system offers information via faxback. If the provider has additional questions, the faxback contains a passcode and number to call to speak with a representative.  \nThe UMR web portal, [umr.com](umr.com), is a convenient resource for accessing claim information and also obtaining the phone number and passcode, which will allow the provider to speak with a representative.  \nHow do providers working with UMR members access online resources?  \n[Simply go to](Simply go to umr.com. On the first visit)[ umr.com](Simply go to umr.com. On the first visit)[. On the first visit](Simply go to umr.com. On the first visit), providers will need to register their tax identification numbers (TINs). This website is an efficient way to check claim status, obtain benefits and much more. Be sure all TINs used are registered. If the provider is having trouble registering, they can contact Technical Support at 866-922-8266.  \nNote: This is a different, secure website for UMR member claim/benefit information.  \nWhat types of forms are available on [umr.com?](umr.com?)  \nThe following forms can [be found on](be found on umr.com:)[ umr.com](be found on umr.com:)[:](be found on umr.com:)  \n• Prior authorization  \n• Dental claim  \n• Electronic remittance advice (ERA)  \n• UMR post-service appeal request  \n• Various clinical request forms  \nIf the physician’s office only has a member’s Social Security number, will the office be able to verify mem","cbCaihB7vU54Y5c3","https://ap.wps.com/l/cbCaihB7vU54Y5c3","pdf",196635,"English","# UMR questions answered for providers\n## Who is UMR?\n## What is UHSS?\n## What are the timely filing requirements for UMR?\n## Major differences between customer benefit plans serviced by UMR\n## Provider access to denial codes and definitions\n## Customer service numbers and web portal access\n## Accessing online resources and TIN registration\n## Forms available on umr.com\n## Member information verification and passcode process\n## Customer service call handling and claim adjustments","[{\"question\":\"Who is UMR and what does it do for employer groups?\",\"answer\":\"UMR is a third-party administrator hired by employer groups to administer and process plan benefits determined by the customer group. Self-funded employer groups fund their claims, and UMR provides flexibility in benefit administration and access to provider networks.\"},{\"question\":\"How do timely filing requirements work for UMR claims?\",\"answer\":\"Timely filing limits are determined by the self-funded customer and the provider’s contracted timely filing provisions. Claims must be filed within the provider’s timely filing limits or they may be denied, and if disputed, providers must submit proof the claim was filed within the limits.\"},{\"question\":\"What options do providers have to access online resources and contact representatives?\",\"answer\":\"Providers can use the umr.com web portal to access claim information and obtain phone details and a passcode for speaking with a representative. For assistance, the IVR number is 877-233-1800, and the IVR system supports faxback with a passcode and contact number.\"}]","UMR Provider FAQ - Timely Filing, Network Access & Online Resources | PDF",1789622451]