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Claim Information
         How do I find out the status of a claim?
         How do I file a claim?
         How to file a claim for prescription drugs?
         How can I get a claim form?
         How long will it take to process my claim?
         Why is my claim paid partially or was denied?
          Why did I receive a bill in the mail?
How do I find out the status of a claim?
Silver, Gold, Platinum, Diamond, Short-term, High School Plans

For all claims and benefit inquires please contact PSI Benefits at 1-888-302-6182 (8:00am - 8:00pm EST) or email: customerservice@uhcsr.com.

You can also log on OR create your UnitedHealthcare account at:
https://www.uhcsr.com/SelfServiceSupport/Students/myAccount/.

For mobile access:
App Store: https://itunes.apple.com/us/app/uhc-studentresources/id740854874?mt=8
Google Play: https://play.google.com/store/apps/details?id=com.laser2mail.uhcsrmobile
 How do I file a claim? ∧ Top ∧ 
Silver, Gold, Platinum, Diamond, Short-term, High School Plans

You need to download and print your ID Card & Claim Form from your PSI online account then submit Medical Claims by Email, Mail, or Electronically:

BY EMAIL - Scan & email the Claim Form & All Itemized Bills to: claims@uhcsr.com
BY MAIL - Send the Claim Form & All Itemized Bills to:

Student Resources
P.O. Box 809025
Dallas, TX 75380-9025


ELECTRONICALLY - Doctors/Hospitals can also submit a claim electronically, using Emedeon (formerly WebMD). This gives a faster turn-around time than submitting a claim by mail. Check with
your doctor to see if he/she is in the provider network. If he/she is in the network, simply provide your ID Card. Electronic Data interchange (EDI) Payor ID: 74227

You can check your claim status by calling PSI Claims at 1-888-302-6182 (8:00am - 8:00pm EST)
or by sending an email to:customerservice@uhcsr.com.
You can also log on OR create a UnitedHealthcare account at:
https://www.uhcsr.com/SelfServiceSupport/Students/myAccount/.


~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ IMPORTANT THINGS TO KNOW ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~

1. Always bring your PSI ID Card & Claim Form when you visit the hospital. You can download these from your PSI online account.

2. If you pay for your medical bills upfront, please complete a Claim Form and attach all itemized bills, statements, and receipts, and send it to our claims division by Email or Mail. For details on how to file claims, please click here.

3. If a Preferred Provider is not available in the Network Area, benefits will be paid at the level of benefits shown as Preferred Provider benefits. Please keep in mind, although the website is updated frequently, it does not always reflect the most up to date information. Prior to being seen, you should always confirm the Preferred Provider is part of the network, as this can change without notice, by calling 1-888-302-6182 (8:00am - 8:00pm EST) and/or by asking the Doctor/Hospital. The Network Area is a 50 mile radius around your school campus.

4. In case of emergency, you can see any doctors, and the benefits will be the same as if you are seeing a network doctor. In such cases, please attach a brief explanation when you file your claim(s).


 How to file a claim for prescription drugs? ∧ Top ∧ 
Silver, Gold, Platinum, Diamond, Short-term, High School Plans

Gold Plan (202820-1/3), Platinum (202819-1/3), Gold High School Plan (202897-2) - Prescription Claim Form

1. Complete and sign the form
2. Include original copy of the pharmacy receipt
3. Mail to:
OptumRx Claims Department
P.O. Box 29044
Hot Springs, AR 71903


Silver (202822-1/3), Platinum High School Plan (202897-1), Diamond (202821-1/3) - Prescription Claim Form

1. Complete and sign the form
2. Include original copy of the pharmacy receipt
3. Scan & Email to: claims@uhcsr.com
       OR
   Mail to:
Student Resources
P.O. Box 809025
Dallas, TX 75380-9025


Claim Form Notes: After filling out the necessary information, please read the acknowledgement carefully (located at the bottom of page) and sign and date in the space provided. In order for your request to be processed, all receipts must contain the information listed below:

  • Date prescription filled
  • Name and address of pharmacy
  • Doctor name or ID number
  • NDC number (drug number)
  • Name of drug and strength
  • Quantity and days’ supply
  • Prescription number (Rx number)
  • DAW (Dispense As Written)
  • Amount paid

This information can usually be found on the receipt, which is stapled on the outside of the prescription packaging or in some cases located inside. Your pharmacist can provide the necessary information as well.

 How can I get a Claim Form? ∧ Top ∧ 

Claim Forms can be obtained from your account, click on "Get Insurance Documents"

 How long will it take to process my claim? ∧ Top ∧ 

If our claims analyst receives everything needed in order to process your claims, they normally take up to 30 days for the Claims to be processed.

 Why is my claim paid partially or was denied? ∧ Top ∧ 

Whether it is partially paid, pended or denied, an Explanation of Benefits (EOB) is forwarded to both the insured and the physician or hospital about the action we took. The following items will determine the amount of your out-of-pocket expense when a claim is submitted to our Claims Division:

1) Differences in payment between an In-Network Doctors/Hospitals and Out-of Network Doctors/Hospitals.

2) Circumstances on whether a Deductible or Co-Pay is applied, and the corresponding amounts.

3) The percentage PSI will pay according to your Benefits Schedule.

Remember all Claims are paid according to the benefits in your Policy Brochure.

 Why did I receive a bill in the mail? ∧ Top ∧ 

Send the bill back to the health care provider and include a copy of your PSI ID Card & PSI Confirmation Letter.

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