UMR provider portal, phone and payer ID quick facts
| Provider resource entry point | https://www.umr.com/provider/Claimsubmissions |
|---|---|
| Payer contact reference | 1-877-233-1800Provider-services fallback when member ID card is unavailable. |
| Claims payer ID | 39026 is published for UMR electronic and Optum iEDI claims. Follow the member ID-card plan and actual trading-partner setup; do not inherit the claims ID into other transactions. |
| Eligibility payer ID | 39026 — registry reference; verify the member product, transaction and clearinghouse |
| ERA payer ID | 39026 — registry reference; verify the member product, transaction and clearinghouse |
| Timely filing | Self-funded plan and provider-contract specific |
| Prior auth route | Verify the current product policy and delegated reviewer; X12 278 support is not established by a portal link |
| Last reviewed | 2026-04-23 |
- Provider-services fallback when member ID card is unavailable.
- This registry has not established one national timely-filing limit for UMR. Verify the controlling plan document, provider agreement, denial notice, or jurisdictional rule.
- This registry has not established a payer-specific appeal ladder for UMR. Use the denial notice, plan document, provider agreement, or jurisdictional rule to assign the correct route and deadline. Missing registry evidence does not mean appeal rights are unavailable.
UMR at a glance
| Legal name | UMR, Inc. |
|---|---|
| Also known as | UMR Insurance, United Medical Resources |
| Category | Third-party administrator (TPA) |
| Parent organization | UnitedHealth Group (UnitedHealthcare) |
| Claims payer ID | 39026 is published for UMR electronic and Optum iEDI claims. Follow the member ID-card plan and actual trading-partner setup; do not inherit the claims ID into other transactions. |
| Eligibility (270/271) payer ID | 39026 — registry reference; verify the member product, transaction and clearinghouse |
| ERA (835) payer ID | 39026 — registry reference; verify the member product, transaction and clearinghouse |
| NAIC company code | Not established in this registry |
| States covered | Nationwide (50 states) |
| Members covered | ~6.0 million members |
| Provider resource entry point | https://www.umr.com/provider/Claimsubmissions |
| Provider phone | 1-877-233-1800Provider-services fallback when member ID card is unavailable. |
Always verify claims-routing details against the member ID card and the payer's current EDI companion guide before submission.
Timely filing & appeals for UMR
UMR's provider FAQ says the self-funded customer's plan and the provider contract determine timely filing. Do not inherit a UnitedHealthcare filing window. Retain proof of timely submission and check the controlling plan and contract before calculating a deadline.
| Submission type | Window |
|---|---|
| Initial claim reference | Self-funded plan and provider-contract specific |
| Out-of-network initial claim | Verify the member's plan and applicable out-of-network rules |
| Secondary / coordination of benefits | Verify the allowed window and start event; a primary EOB does not automatically restart filing |
| Corrected claim | Verify correction instructions; do not substitute an appeal deadline |
| Reconsideration / appeal | Use the applicable denial or decision notice and the process below |
This registry has not established a payer-specific appeal ladder for UMR. Use the denial notice, plan document, provider agreement, or jurisdictional rule to assign the correct route and deadline. Missing registry evidence does not mean appeal rights are unavailable.
Source: UMR provider policy. Always confirm before disputing a TFL denial — payer policies are versioned and product-specific.
Prior authorization with UMR
Decision deadlines depend on the product, service and urgency. CMS-0057-F generally starts its decision-timeframe requirements in 2026 for Medicare Advantage, Medicaid and CHIP payers subject to the rule: seven calendar days for standard requests and 72 hours for expedited requests. Those requirements exclude drug authorizations and QHP issuers on the federally facilitated exchanges. Other plans, state rules and permitted extensions can differ. Check the applicable policy; a decision deadline is not a guarantee of approval.
CMS-0057-F decision-timeframe requirements and exclusions
Verify UMR electronic claims (837), eligibility (270/271), remittance (835) and authorization (278) separately for the member product and clearinghouse. Registry flags and routing references are not current transaction-complete approval. Confirm the companion guide, enrollment and applicable source findings below. A blank or unverified field does not establish that the transaction is unavailable. Authorization requirements and submission channels depend on the product, service and delegated reviewer. Verify the applicable policy before scheduling; a portal listing is not proof of X12 278 connectivity.
This registry does not provide a current prior-authorization code list for UMR. Start with the provider resources or the policy documents below, then confirm the applicable product, service and effective date. A resource link does not establish that a live code-lookup tool is available.
Top denial reasons for UMR
Per-payer denial benchmarks publish here once the QuickIntell anonymized ETL pipeline ingests sufficient UMR volume. Until then, see the broader CARC reference for industry-wide remediation guides.
Electronic claims, eligibility & ERA
| Transaction | Registry indication — not verification | Routing reference |
|---|---|---|
| 837P / 837I claims | Listed in registry; verify current scope | 39026 is published for UMR electronic and Optum iEDI claims. Follow the member ID-card plan and actual trading-partner setup; do not inherit the claims ID into other transactions. |
| 270 / 271 eligibility | Listed in registry; verify current scope | 39026 — registry reference; verify the member product, transaction and clearinghouse |
| 278 prior authorization | Listed in registry; verify current scope | Verify X12 278 routing separately |
| 835 ERA | Verify support and enrollment separately | 39026 — registry reference; verify the member product, transaction and clearinghouse |
Payer IDs vary by clearinghouse — confirm against your clearinghouse payer list (Availity, Change Healthcare/Optum, Waystar) before configuring submitter routing.
What revenue cycle teams should verify before submitting claims
- For provider claim questions, use the member ID card's provider-services number. UMR lists 1-877-233-1800 when the card is unavailable; 1-800-826-9781 is its member-services fallback.
- UMR publishes 39026 for electronic claims. Its provider FAQ also lists 39026 for ERA enrollment unless instructed otherwise; confirm the plan and clearinghouse before routing each transaction.
- Claims routing evidence does not independently verify eligibility, ERA enrollment, or X12 278 support. Confirm each transaction separately.
Source checks and remaining limits
The latest partial comparison is dated . Retained earlier findings keep their original dates below. This is a partial source check, not a whole-page, clinical or legal review. It does not refresh the legacy review date above.
Provider contact versus member support
Source comparison: 2026-09-06
UMR directs provider questions to the member ID card and lists 1-877-233-1800 if the card is unavailable. The previous 1-800-826-9781 number is the member-support fallback.
Primary source for provider contact versus member supportFiling scope and ERA enrollment
Source comparison: 2026-09-06
UMR's provider FAQ ties filing to the self-funded plan and provider contract, not a default UHC 90-day window. It lists 39026 for ERA enrollment unless instructed otherwise. No universal appeal deadline was established by this comparison.
Primary source for filing scope and era enrollmentElectronic claims routing
Source comparison: 2026-09-06
UMR's current submission page lists claims payer ID 39026, with 275 attachments enabled through the clearinghouse. This does not independently verify the eligibility transaction ID.
Primary source for electronic claims routingportal_url
Source comparison: 2026-09-26
The current provider submission resource separates clearinghouse, Optum iEDI and PCH workflows.
Primary source for portal_urlpayer_ids.claims / electronic_claims_supported
Source comparison: 2026-09-26
UMR publishes 39026 for electronic and Optum iEDI claim submission, including clearinghouse 275 attachments.
Primary source for payer_ids.claims / electronic_claims_supportedprovider_phone
Source comparison: 2026-09-26
The ID-card provider-services number is primary; 877-233-1800 is the fallback when the card is unavailable.
Primary source for provider_phone
Not checked in this pass: Every employer contract and appeal process; Eligibility payer ID and X12 278 support; Enrollment totals; QuickIntell capabilities and outcomes; Whole-record approval, legal identity, ownership and complete product coverage; Authenticated transactions and QuickIntell integrations; timely_filing_days / payer_ids.eligibility / payer_ids.era / era_payer_id / supports_279_271 / supports_278: The claims identifier and online prior-auth entry do not prove those transaction IDs/capabilities or a universal filing clock..
Sources used for this guide
Evaluate QuickIntell workflow fit for UMR
These module references are evaluation starting points, not evidence of a validated connection, supported transaction or customer deployment. Confirm the actual member plan, data access and product scope first.
- QuickRCM
Evaluate claim preparation, follow-up and denial worklists for UMR; verify the actual plan rules and available connections before implementation.
- QuickAuth
Assess authorization-packet and status workflows for UMR; confirm product, service, delegated reviewer and permitted submission channels.
- QuickERA
Verify the actual 835 files, posting exceptions and reconciliation requirements for UMR before evaluating automation. An ERA identifier alone does not establish supported ingestion or posting.
Frequently asked questions about UMR
Where is the UMR provider portal?
Use https://www.umr.com/provider/Claimsubmissions as a starting point for UMR provider resources. This link may open a directory or contact page rather than a transaction portal. Select the applicable product and administrator, then verify the available functions, enrollment and access requirements. QuickIntell is not the official payer portal.
What is the timely filing limit for UMR?
UMR's provider FAQ says the self-funded customer's plan and the provider contract determine timely filing. Do not inherit a UnitedHealthcare filing window. Retain proof of timely submission and check the controlling plan and contract before calculating a deadline.
What is the UMR payer ID?
Claims: 39026 is published for UMR electronic and Optum iEDI claims. Follow the member ID-card plan and actual trading-partner setup; do not inherit the claims ID into other transactions.. Eligibility (270/271): 39026 — registry reference; verify the member product, transaction and clearinghouse. ERA (835): 39026 — registry reference; verify the member product, transaction and clearinghouse. Do not substitute a claims ID for an unverified transaction ID. Check current source findings and the member ID card before submitting.
Does UMR accept electronic claims?
Verify UMR electronic claims (837), eligibility (270/271), remittance (835) and authorization (278) separately for the member product and clearinghouse. Registry flags and routing references are not current transaction-complete approval. Confirm the companion guide, enrollment and applicable source findings below. A blank or unverified field does not establish that the transaction is unavailable.
How do I appeal a UMR denial?
This registry has not established a payer-specific appeal ladder for UMR. Use the denial notice, plan document, provider agreement, or jurisdictional rule to assign the correct route and deadline. Missing registry evidence does not mean appeal rights are unavailable.
How long do UMR prior authorization approvals take?
Decision deadlines depend on the product, service and urgency. CMS-0057-F generally starts its decision-timeframe requirements in 2026 for Medicare Advantage, Medicaid and CHIP payers subject to the rule: seven calendar days for standard requests and 72 hours for expedited requests. Those requirements exclude drug authorizations and QHP issuers on the federally facilitated exchanges. Other plans, state rules and permitted extensions can differ. Check the applicable policy; a decision deadline is not a guarantee of approval.
What is the UMR provider phone number?
This registry lists 1-877-233-1800 as a contact reference for UMR. Provider-services fallback when member ID card is unavailable.
For revenue-cycle teams
Connect payer lookups to your revenue-cycle workflow
Do staff repeatedly move between payer references, eligibility checks, claim status and remittance follow-up?
- Keep this payer's official reference available to the team.
- Identify one repeated administrative task and measure its handling time.
- Evaluate the required access, exceptions and reviewer handoff before expanding automation.
UMR is an operational reference. Payer decisions remain with the payer. Confirm plan coverage, system access and supported actions during a scoped evaluation.
Download the illustrative workflow worksheet (PDF) · Explore the AI RCM evaluation toolkit · Model the workload and costs
Automate workflows around UMR requirements
Connect eligibility, prior authorization, pre-submission claim checks, and remittance routing in one governed workflow. Payer and plan configuration is confirmed during implementation.
Disclaimer
This page is operational reference for medical-billing professionals. It is not legal, clinical, or contractual advice. Payer policies change without notice — always verify against UMR's current published documents before submission. CPT® is a registered trademark of the American Medical Association.