Coverage profile
Work UMR across every published route
Use the current payer record to choose the right claim-status, eligibility, portal, phone, or appeals workflow. Substrate only marks routes that are published for this payer.
Claim status
EDI 276/277The Substrate Claim Status Agent can check clearinghouse claim status for your practice with UMR.
Eligibility
EDI 270/271The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with UMR.
Other aliases
Also known as
- 10394
- 10501
- 11068
- 1579
- 2714
- 33108
- 39026
- 39026MA
- 44054
- 45235
- 4590
- 5402
- 6467
- 75196
- 95266
- GEHA
- GRDFK
- ODKCD
- PKJYP
- UHIS
- UMR01
- UMRWAU
- XGYCG
- XXUMR
- Benesight
- Centra Healthcare
- Co-Operative Benefit Services
- Compass Rose Benefit Group
- Fiserv Wausau
- G.E.H.A
Payer intelligence
Observed adjudication timing
How long completed claims in Substrate’s aggregate network took from payer receipt to the 835 payment date.
Median time to payment
7 days- 10% of adjudications by
- 7 days
- 90% of adjudications by
- 7 days
- Applicable state coverage
- MN
- Current As Of
- July 2026
Five-month median trend
Days to 835 paymentView chart data as a table
| Service month | Median | 10% of adjudications by | 90% of adjudications by | Completed claims | Coverage |
|---|---|---|---|---|---|
| Apr | 7 days | 7 days | 7 days | 157 | MN |
| May | 7 days | 7 days | 8 days | 296 | MN |
| Jun | 7 days | 7 days | 7 days | 373 | MN |
| Jul | 7 days | 7 days | 7 days | 368 | MN |
| Aug | No qualified data | ||||
2027 maternity billing research
When does UMR change OB/GYN billing?
The cited UMR page provides general claim-submission instructions using payer ID 39026. It does not address maternity reimbursement or the 2027 global OB CPT changes; no maternity billing start date can be established from this page.
- Transition start
- Not stated on cited page
- Billing start
- Not stated on cited page
- Published
- Not stated in source
- Current As Of
- August 2026
Scope: UMR general claim-submission information; employer-plan and line-of-business applicability not specified
UMR claim submissions. Verify the payer source before claim submission.
Frequently asked questions
UMR payer FAQs
How do I check claim status with UMR?
Providers check UMR via EDI 276/277 when the payer ID is accepted. Substrate automates claim status across 3,500+ payers.
What is the payer ID for UMR?
The primary payer ID for UMR is 39026. The correct routing ID can differ by clearinghouse and transaction, so compare the 837P, 837I, 835, 270, and 276 entries before submitting.
What is the provider portal for UMR?
The provider portal for UMR is https://secure.uhcprovider.com. Available features depend on the payer and your account.
What are the 837 payer IDs for UMR?
The 837P and 837I payer ID for UMR is 39026 via Stedi.
What is the 835 payer ID for UMR?
The 835 payer ID for UMR is 39026 via Stedi.
What is the 270 payer ID for UMR?
The 270 payer IDs for UMR are 39026 via Stedi and 39026 via Availity.
What is the 276 payer ID for UMR?
The 276 payer IDs for UMR are 39026 via Stedi and 39026 via Availity.
Routing reference
UMR payer IDs and operating states
Use the payer ID listed for the transaction you are submitting. Verify current routing and enrollment requirements with your clearinghouse.
| Payer name | UMRSource: Substrate payer directory · data last changed |
|---|---|
| 837P professional claims payer IDStedi | 39026Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 837I institutional claims payer IDStedi | 39026Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 835 ERA payer IDStedi | 39026Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDStedi | 39026Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDAvaility | 39026Source: Availity payer catalog · catalog dated · matched by payer ID |
| 276 claim status payer IDStedi | 39026Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 276 claim status payer IDAvaility | 39026Source: Availity payer catalog · catalog dated · matched by payer ID |
Routing sources and verification
- Substrate payer directoryPayer identity, aliases, operating states, and vendor IDs. Data last changed ; checked .Open payer website ↗
- Stedi payer catalogMatched by payer ID; matched record: UMR. Source dated .PrimaryPayerId is used as the transaction payer ID when the corresponding Stedi support flag is true.Open current Stedi reference ↗
- Availity payer catalogMatched by payer ID; matched record: UMR (UMR WAUSAU). Source dated .The attached API workbook supplies 270 and 276 payer IDs only. It does not supply 837P, 837I, or 835 IDs.Open current Availity reference ↗
- United Clearinghouse payer catalogMatched by payer name; matched record: UMR. The source did not provide a publication date.The attachment supplies payer names and states only; it does not contain transaction-specific payer IDs.Open current United Clearinghouse reference ↗
Clearinghouse payer IDs are transaction-specific and can change. Confirm the current payer list and the member’s ID card before submission.
Payer contact directory
UMR phone and fax numbers
Use the number associated with your task. These contacts were stated in successful eligibility responses and may apply to specific benefits, products, or departments.
- Eligibility / benefits phone
- (877) 559-2955OPTUMRX
| Channel and number | Payer Notes | Department | Specialties |
|---|---|---|---|
| phone(800) 203-2932 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Vision (Optometry) |
| phone(800) 228-3108 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Pharmacy |
| phone(800) 334-8134 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Pharmacy |
| phone(800) 361-4542 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Pharmacy |
| phone(800) 638-3120 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Vision (Optometry) |
| phone(800) 687-0707 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Pharmacy |
| phone(800) 699-3542 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Pharmacy |
| phone(800) 711-4550 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Pharmacy |
| phone(800) 759-3203 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Pharmacy |
| phone(800) 788-2949 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Pharmacy |
| phone(800) 818-6632 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Pharmacy |
| phone(800) 877-7195 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Vision (Optometry) |
| phone(800) 880-9988 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Pharmacy |
| phone(866) 273-8410 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Pharmacy |
| phone(866) 333-2757 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Pharmacy |
| phone(877) 559-2955 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Pharmacy |
| phone(877) 635-9545 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Pharmacy |
| phone(888) 479-2000 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Pharmacy |
| phone(888) 869-4600 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Pharmacy |
| phone(888) 884-6331 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Pharmacy |
Phone and fax numbers sourced directly from the payer response