Uniform plan claim 2025

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The document is a Medical Claim Form for submitting reimbursement requests for services received from non-network providers under the PEBB and SEBB Uniform Medical Plans. It outlines the necessary steps to complete the form, including attaching itemized bills, retaining copies, and submitting the form to Regence BlueShield. The form requires personal information about the patient and subscriber, details on other insurance coverage, and includes a certification statement regarding the accuracy of the information provided.

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Versions	Form popularity	Fillable & printable
2022	4.8 Satisfied (208 Votes)
2020	4.4 Satisfied (60 Votes)

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Is UMP the same as Regence?

UMP offers five different health plans administered by Regence BlueShield and ArrayRx (formerly known as Washington State Rx Services).

What is UMP coverage?

Your UMP health plan is a valuable benefit that includes medical and prescription drug coverage to help you stay healthy and pay for the cost of an illness or injury. When you see a network provider for covered preventive care servicesincluding routine annual physical exams and certain immunizationsyou pay $0.

What is UMP medical?

Uniform Medical Plan (UMP) is a self-insured health plan offered through the Washington State Health Care Authoritys (HCA) Public Employees Benefits Board (PEBB) Program and the School Employees Benefits Board (SEBB) Program.

What is UMP healthcare?

Uniform Medical Plan (UMP) is a collection of high-quality, self-insured preferred provider organization (PPO) health plans and accountable care plans offered through Washington States Public Employees Benefits Board (PEBB) Program. UMP is administered by Regence BlueShield and ArrayRx.

What is UMP in medical terms?

Uridine monophosphate (UMP), also known as 5-uridylic acid (conjugate base uridylate), is a nucleotide that is used as a monomer in RNA. It is an ester of phosphoric acid with the nucleoside uridine.

ump medical claim

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What does UMP stand for in healthcare?

Uniform Medical Plan (UMP) | Washington State Health Care Authority.

What is a uniform plan?

Uniform plan means a workers compensation statistical plan, classification plan or experience rating plan designated by the director pursuant to section 20-371, subsection J.