Claims should be submitted within 90 days of the date of service.
Three options for claims submission:
- Electronic – Provider submits electronically – Payer ID #74227 (student does not need to submit claim form with this option)
- Email – A scanned copy of the completed form submitted by provider or student to SI.DRG@uhcsr.com
- Hard Copy Submission – Provider or Student may mail to:
PO Box 809025
Dallas, TX 75380-9025
Claim Form only needed if provider does not submit claim