Patient Choice Care System and Patient Choice Insights (Administered by UMR)

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Administrator
UMR
Product Patient Choice Care System Patient Choice Insights
Member Enrollment
  • Features a network that places Care Systems into three tiers based on cost and quality.

  • Members select a Care System and primary care clinic, which determines their tier and premium.

  • Once enrolled, members obtain care from providers affiliated with their selected Care System.
  • Features a network where clinics and other health care facilities are tiered according to cost and quality factors.

  • Members can access any provider in the network. They pay a lower cost to visit Tier 1 providers, a middle cost to visit Tier 2 providers, and a higher cost to visit Tier 3 providers.
Tier Levels Care System Primary care clinics, specialty care clinics, hospitals and other facilities
Claims Information

Learn about UMR's electronic claims tools on their Web site

Claim address:
    UMR
    Patient Choice Claims
    P.O. Box 30541
    Salt Lake City, UT 84130-0541

View UMR's Quick Reference Guide (PDF)

Provider Service Center
(877) 390-7632 (option 1)
(877) 233-1800
Web Site
Member Rights and Responsibilities
(877) 390-7632 (option 1)
(877) 233-1800
ID Card/Logo View sample ID card (PDF) View sample ID card (PDF)
Behavioral Health/Substance Abuse Network

Product uses Care System-contracted behavioral health providers and Patient Choice-contracted marketwide providers added to the Care System panel.

Claim address:
     Patient Choice Claims
     P.O. Box 30755
     Salt Lake City, UT 84130-0755

Product uses the UBH network (the same network used by Medica’s SelectCare product). UMR provides claim payment and managed care.

Claim address:
     Patient Choice Claims
     P.O. Box 30755
     Salt Lake City, UT 84130-0755

Chiropractic

Product uses CCMI-Landmark network providers including Care System-contracted providers.

Claim address:
    ChiroCare c/o Landmark
    P.O. Box 254765
    Sacramento, CA 95865

Phone number: (888) 638-7719

Fax number: (866) 525-5056

Referrals to Nonparticipating Providers Yes, if authorized by Care System No, except for UM-related care availability














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©2001-2008 Medica. Patient Choice is a program offered by Medica.