HOW TO CLAIM

We understand the struggles that come along with filing your claims. We are here to fully support your medical care process without causing any extra burden, which is why we promise to make this process simple, convenient and painless for you.


Below you will find all the information you will need to file claims, appeals, and to check your claim statuses.

 

*A network is a group of health care providers and facilities that have a contract with UnitedHealthcare. You can receive care and services from anyone in or out of our network, but you save money when you use the national network.

 

Visiting an in network hospital or doctor

If you plan to visit an in-network hospital or doctor, please bring your insurance card to the hospital or doctor with you for your appointment. Medical care institutions will contact and send your bills to the insurance company, United Healthcare Student Resources directly. You do not need to submit a claim after your visit.


Submit a claim for visiting an out-network doctor or hospital

If you plan to visit an out-network hospital or doctor, you may need to pay the bill by yourself first, and then send documents to UnitedHealthcare to file a claim within 90 days of your medical appointment.


Document Checklist

There are three documents you need to send to United Healthcare:

  • Itemized Bill – you can get this from your school health center/hospital/doctor
    • Make sure all bills or itemized receipts indicate:
    • Provider name
    • Provider address
    • Provider phone number
    • A diagnosis code
    • Procedure code
    • Date of service
    • Place of service code
    • Quantity&Charge
    • Cost
    • The provider’s tax ID number.
  • Proof of Payment – An evidence that shows you have already paid for the medical care service
    • Paid by check – You need to provide the scanned copy or digital version of both side of your check.
    • Paid by credit card – Please provide a bank statement that includes your personal information and the medical institution information.
    • Paid by debit card or ATM - Please provide a bank statement that includes your personal information and the medical institution information. 
    • Paid by cash – You need to provide the recipe after the payment.
    • Other payment types – Please contact our representatives to get further support.
  • Insurance Card (Download from www.UHCSR.com)


Submit claims to UHCSR

Please submit the three documents mentioned before to UHCSR through either of the following ways:

 

  • Online:(recommended)

         Please log into uhcsr.com account, click "my claim" and go to "submit claim" menu then you will be able to submit the three documents 

When sending claim information: Clip, do not staple, all bills to the completed form.

  • FAX:
    Attention to Claims Department
    469-229-5625


File an Appeal

  1. Login in to your UHCSR account and click Claims Summary.
  2. Find the claim.
  3. Click Request a Claim Review.
  4. Upload necessary materials.

The response will include what the findings were if the appeal was approved or denied, and the reason for the final decision.


Check Claim Status

If you would like to check on the status of a claim that you or a provider submitted, you will need to log into your UHCSR account or call UHCSR customer service at (866)352-8632.

Please visit the UHCSR account to log in to an existing account or to create a new one.