UMR provider portal, phone and payer ID quick facts
| Provider portal | https://www.umr.com/tpa-ap-web/ |
|---|---|
| Provider phone | 1-877-233-1800 |
| Claims payer ID | 39026 |
| Eligibility payer ID | 39026 |
| ERA payer ID | 39026 |
| Timely filing | Self-funded plan and provider-contract specific |
| Prior auth route | X12 278 plus provider portal |
| Last reviewed | 2026-04-23 |
- 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 |
| Eligibility (270/271) payer ID | 39026 |
| ERA (835) payer ID | 39026 |
| NAIC company code | Not established in this registry |
| States covered | Nationwide (50 states) |
| Members covered | ~6.0 million members |
| Provider portal | https://www.umr.com/tpa-ap-web/ |
| Provider phone | 1-877-233-1800 |
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
UMR accepts X12 278 prior-authorization transactions electronically. The procedures most commonly subject to prior authorization include advanced imaging, inpatient admissions, specialty pharmacy, and certain outpatient surgical procedures. Use the payer's authorization tool below to confirm requirements per CPT before scheduling a service.
UMR maintains a live prior-authorization code lookup tool that supersedes any cached list. Use the provider portal or the policy documents below to confirm the current PA list before rendering a service.
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 | Supported | Payer ID |
|---|---|---|
| 837P / 837I claims | Yes | 39026 |
| 270 / 271 eligibility | Yes | 39026 |
| 278 prior authorization | Yes | Verify X12 278 routing separately |
| 835 ERA | Yes | 39026 |
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.
Source checks and remaining limits
The specific findings below were compared with public primary sources on . 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
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
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
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 routing
Not checked in this pass: Every employer contract and appeal process; Eligibility payer ID and X12 278 support; Enrollment totals; QuickIntell capabilities and outcomes.
QuickIntell coverage for UMR
Frequently asked questions about UMR
Where is the UMR provider portal?
The UMR provider portal is available at https://www.umr.com/tpa-ap-web/. Use it for eligibility checks, claim status, prior authorization workflows, appeals, and payer-specific routing updates. QuickIntell links to the payer's provider-facing portal as a reference and 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?
The registry lists claims payer ID 39026 for UMR. Eligibility (270/271): 39026. ERA (835): 39026. Do not substitute a claims ID for an unverified transaction ID. Confirm the member ID card, product and clearinghouse payer list before submitting.
Does UMR accept electronic claims?
Yes — UMR accepts ANSI X12 837P and 837I electronic claims through standard clearinghouses. Real-time eligibility (270/271) is supported and X12 278 prior authorization is supported.
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 provider contact for UMR. Confirm the service scope and the number on the member ID card; claim, eligibility and authorization inquiries may use different teams. Have the member ID, date of service and tax ID ready. The provider portal is https://www.umr.com/tpa-ap-web/.
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.