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CredNet

UMR

Part of GEHA

Regional plandentalmedicalvision
Typical enrollment turnaround
60-90 days

Summary

UMR is a regional health plan, part of GEHA, offering dental, medical, and vision coverage across all 50 states + DC (FEHB program). Claims route under payer ID 39026, with 20 alternate IDs in use across clearinghouses. Provider enrollment typically takes 60-90 days, with applications through GEHA Provider Portal, and CAQH is used for credentialing data. Through clearinghouses it supports eligibility checks, claim status inquiries, professional claims, institutional claims, dental claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.

At a glance

Payer ID
39026Also seen as 10394, 10501, 11068, 1579, 2714, 39026D and 14 more
Also known as
Co-Operative Benefit Services, Compass Rose Benefit Group, Fiserv Wausau, G.E.H.A, GEHA
Uses CAQH
YesApplication route: CAQH application only
Service area
All 50 states + DC (FEHB program)

Clearinghouse transaction setup

Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.

TransactionEnrollmentTypical setup
Eligibility checks (270/271)Not requiredImmediate
Claim status (276/277)Not requiredImmediate
Professional claims (837P)Not requiredImmediate
Institutional claims (837I)Not requiredImmediate
Dental claims (837D)Not requiredImmediate
ERA / remittance (835)RequiredSeveral weeks

Common questions

What is the payer ID for UMR?
The payer ID for UMR is 39026. Alternate IDs seen across clearinghouses include 10394, 10501, 11068, 1579.
How long does UMR provider enrollment take?
UMR provider enrollment typically takes 60-90 days from application to effective date. Timelines vary by state, plan, and how complete the application is.
Does UMR require CAQH?
Yes. UMR uses CAQH for credentialing data, so keep the provider's CAQH profile current and attested before applying.
Does UMR require ERA enrollment?
Yes. UMR requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
What states does UMR cover?
UMR operates in All 50 states + DC (FEHB program). Coverage can differ by plan and product line, so confirm the specific plan before you file.

Compiled from public payer resources and clearinghouse catalogs. Details change often, so confirm with the payer before relying on them. Spot something out of date? Tell us and we will fix it.