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Claims Center

We understand the hassles that come along with filing your claims, which is why we want to make this process as quick and painless for you as possible. Below you will find all the information you will need to file claims, appeals, and to check your claim statuses.

Submit claims via:

ONLINE:
Create or Sign in to My Account

MAIL:
UnitedHealthcare Student Resources
P.O. Box 809025
Dallas, TX 75380-9025

FAX:
Attn: Claims Department
469-229-5625

 

File a Medical Claim

To file your medical claim for consideration, please provide the following information. All submitted documents must be legible.

  • A copy of your medical ID card as well as the patient information, if different than the primary insured.
  • Medical claims – must be an itemized bill listing each service provided, diagnosis, the service date, and the cost per service. The provider’s name, tax ID number, address and phone number should also be included. Grouped services are not considered an itemized bill. Claims missing any of the requirements listed above will be denied for reimbursement until the required information is submitted.
  • Proof of payment – if payment was made by check, please provide a copy of the front and back of the cancelled check. For all credit card payments, the credit card statement showing the cardholder’s full name, institution name and payment information for each date of service is required. If payment was made with an ATM or Debit card, the bank statement showing the accountholder’s full name, institution name and payment information of each date of service is required. We will call the provider of services to verify all cash payments.
  • Be sure to include your current mailing address.

File a Prescription Claim

To file your prescription claim for consideration, please provide the following information. All submitted documents must be legible.

  • A copy of your medical ID card as well as the patient information, if different than the primary insured.
  • A copy of the prescription label showing the patient’s name, prescribing doctor's name, drug name, date dispensed, quantity and purchase price for each prescription.
  • If the pharmacists performed any services (immunization or vaccination), CPT code and diagnosis code are required.
  • Proof of payment – if payment was made by check, please provide a copy of the front and back of the cancelled check. For all credit card payments, the credit card statement showing the cardholder’s full name, institution name and payment information for each date of service is required. If payment was made with an ATM or Debit card, the bank statement showing the accountholder’s full name, institution name and payment information of each date of service is required. We will call the provider of services to verify all cash payments.
  • Be sure to include your current mailing address.

To view your Prescription Drug List and/or Prescription Updates, go to www.uhcsr.com, search for your school, click on Helpful Links.

File an Appeal

Sign in to your My Account, identify the claim you are appealing, select Request a Claim Review and follow the on-screen prompts. If applicable, upload supporting documentation including Medical Records (i.e., all test results from all providers visited for the specific injury/sickness that you are appealing).

Check Claim Status

Please visit My Account to create or sign in. Once logged in, go to Claims Summary to check the status of the claim submitted by you or your provider.