Is anybody on UMR panel?

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This topic contains 2 replies, has 2 voices, and was last updated by  Mary Ellen Keeley 2 months, 3 weeks ago.

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  • #29658

    Is anybody on UMR panel?

    02/22/2019 10:21 AM

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    Message # 7178840
    Yeshim Oz

    Hello All,

    As you might know, UNO and UNMC switched to UMR for their employees. Does UMR operate under UHC? and does anybody know

    if their fee schedule is similar to UHC, which is quite low for masters level therapist?

    I appreciate your response.

    Thank you.
    02/23/2019 2:06 AM

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    Reply # 7180095 on 7178840
    TJ Gorman

    UMR panels separately from UHC though it is under UHC. Coeur Group providers are all Tier 1 providers with UHC as we

    panel through Methodist. Methodist has UMR also.
    02/23/2019 5:45 PM

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    Reply # 7180876 on 7178840
    Yeshim Oz

    Thank you.
    02/24/2019 6:08 AM

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    Reply # 7184242 on 7178840
    Kristen Treat

    I am a normal in network provider for UHC and when I bill UMR it’s the same reimbursement schedule
    02/24/2019 9:49 AM

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    Reply # 7184445 on 7178840
    Tara Mesward

    United Healthcare, UMR, and Optum are all under United Healthcare, correct?
    02/25/2019 2:30 PM

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    Reply # 7186608 on 7178840
    Karen Baumstark

    Some people from the med center are asking for and getting a 6 month grace period for their providers to be paid as if

    in-network, even tho they aren’t in-network, and I believe they aren’t having to write off the part of their fee that is

    beyond the allowable. Not sure how this is working but this is what I have heard from others. So if you have a client from

    last year whose insurance changed from BCBS to UMR, you might see if they can ask for that grace period (4 months of it


  • #29881

    03/01/2019 6:35 AM

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    Reply # 7193256 on 7178840
    Gail A. Olson

    Thanks for that info! Do you know who the patient contacts regarding this? I have several former Blue Cross patients who are now UMR, so if I could tell them who they should contact that would be great! Even the few months left would be very helpful to them!

  • #29890

    Mary Ellen Keeley

    I am on the UMR panel as are those in my practice. We contracted with Methodist Health partners and are Tier I for Methodist and for Nebraska Medicine we are Tier II. I believe only if you work at Nebraska Medicine that you would be a Tier I provider. To my understanding UMR is a United Health Care product that the hospitals created for their employees. There are 3 of us that are contracted with UBH and because of that accept UMR insurance.

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