Verifying UMR
Purpose
To verify patient eligibility, confirm in-network benefits, and determine chiropractic coverage and patient responsibility.
When
Use this process when a patient has UMR insurance and the office needs to confirm benefits before scheduling, checking in, or discussing payment options.
Who
This process should be completed by the front desk, insurance verification coordinator, or designated team member responsible for eligibility and benefit checks.
UMR DOES NOT PAY MORE THAN $55 PER VISIT - NEVER. IF THERE IS A DEDUCIBLE, PATIENT WILL ALWAYS PAY $55 UNTIL DED IS MET AND THEN WHATEVER % CO-INSURANCE.
Procedure
1.Log into UMR portal
Log into the UMR insurance portal using office credentials.
2.Go to Patient Search
Once logged in, go to Search for a new patient
3.Enter Patient Information
Type the following:
- Member ID
- Tip: If Member ID has 00 at end, leave out the last 2 digits.
Then click Search.
4.Patient Information
To access patient information, choose the patient from drop-down menu below, then select the desired view from the second drop-down.
4.Confirm Network Status
- Ensure all selections reflect In Network
5.Review coverage details
Acknowledge and review:
- Deductible amount
- Out-of-Pocket amount
- Important Note:
Once the out-of-pocket maximum is met, the patient is covered at 100%
6.Calculate Patient Responsibility
Example: 20% of $55 = $11 Co-Insurance
7.Print/Download and Save
Select Print/Generate a Reference Number and Save as PDF
Last Name, First Name - (Year) 2026 Insurance
***The online portal search tool will soon require users to enter the patient's date of birth, along with their Member ID or Social Security number