What Is UMR Insurance?

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UMR insurance is a little bit of a misnomer when all things are considered. Find out about UMR insurance with help from an experienced insurance professional in this free video clip.

Part of the Video Series: Insurance Questions
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Video Transcript

My name is Susan Combs, and today we're gonna talk about what is UMR insurance. With UMR insurance, it's a little bit of a misnomer. It's not really an insurance company. So UMR stands for actually Universal Medical Resources. So, what they actually are is a TPA which is a Third Party Administrator, and they are the largest third party administrator in the country. They work with over 150 insurance carriers. And what their job is to do is to process claims. So a lot of times with insurance carriers, they might not have an internal claims department, they outsource it to UMR. So what UMR does is they actually work typically with disability insurance, they do a little bit of life, and then they do dental insurance as well as medical insurance. So what they do is when a claim comes in, they help with determining what the rates or the allowable charges are gonna be that are gonna be paid, and then they pay out the insurance claim on the carrier's behalf.


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