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Fax 877-442-1102 Please contact the benefit department via the phone number on the insureds medical ID card for benefits on the procedure you are inquiring on.

Sign in to your account to find specific forms relating to your coverage. If you have any questions about which forms or documents you may need, please call the toll–free number on your health plan ID card. I am a...

What information should I include when I fax an FSA claim to UMR? Include a cover sheet with the employer name, employee name, daytime phone number and number of pages being faxed. The toll-free fax number to submit your claims to is: 877-390-4782.

Electronic/Paper Remittance Advice Request Form - Please utilize this form to advise us of your desire to receive paper or electronic remittance advice for your claims.

This FAX is intended solely for the individual named above and must be secured and protected in accordance with state and federal laws regarding medical privacy. If you, the reader of this FAX cover sheet, are not the individual named above or an authorized representative of the individual named above, you are hereby notified

Always mail or fax verifications to the address or fax on the letter requesting the verifications. If you are not sure where to fax or mail documents, contact the MassHealth Customer Service Center at (800) 841-2900.

Information included in this document is considered to be UMR’s confidential and/or proprietary business information. Consequently, this information may be used only by the person or entity to which it is addressed by UMR for a legitimate purpose. Such recipient shall be liable for using and protecting UMR’s proprietary business

Professional Designed Fax Cover Sheet Template (150+) covering up Printable/ Blank/ Personal/ Basic/ Confidential Fax Cover Sheets (Letter) in PDF, Word.