In most cases, the provider will submit the claim for you.
If you are required to pay for services up front, then you will need to complete a claim form in order to be reimbursed by the insurance company. Follow these steps:
Download a claim form below, and send the completed form with all bills and receipts for medical treatment to:
PO Box 809025
Dallas, Texas 75380-9025
You can also email your claim form to SI.DRG@uhcsr.com.
Make sure you fill out the form completely so your claim will be processed promptly.
Keep copies of all the documents you submit for claims.
To check the status of a claim you submitted, call UnitedHealthcare at (866) 416-2623.