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INSURER FILING GUIDE

UnitedHealthcare, including Optum behavioral health

Use this public information to prepare your packet, then confirm the route on the insurer's own page.

Get the skill

AT A GLANCE

Claim facts

Member form

Medical Claim Form

Number: M57270

Revision: 5/19

Open the insurer form
Portal uploadYES
Portal pathClaims & Accounts > Submit a claim
Mail addressPLAN-DEPENDENT: Mail it to the address listed on the back of your Health Plan ID Card. | MH: Claims processing, PO Box 30755, Salt Lake City, UT 84130-0755
FaxNot published by the insurer
AttachmentsPatient name; provider taxpayer identification number; diagnosis codes; CPT or HCPC procedure codes with modifiers; units; billed amount for each procedure code; place of service code; receipts; primary carrier EOB when applicable
DeadlineNot published by the insurer; submit as soon as possible
Outcome and statusMember account EOB; UnitedHealthcare app can show claims
Processing timeMany claims are processed within 14 business days; reimbursement check may take up to 30 days after processing
CaveatsOut-of-network benefits, authorization, behavioral administrator, and filing limit are plan specific; Medicare Advantage and Medicaid are excluded

STEP BY STEP

Filing steps

Source: https://member.uhc.com/myuhc/content/dam/myuhc/pdfs/claim-forms/CMS1500ClaimForm010402.pdf

Read date: 10-09-2026

Research steps

  1. Sign in to the UnitedHealthcare member account, open Claims & Accounts, and select Submit a claim. https://www.uhc.com/member-resources/how-to-submit-a-claim
  2. Complete the digital submission form. The public page also offers the M57270 Medical Claim Form as a PDF alternative. https://www.uhc.com/member-resources/how-to-submit-a-claim
  3. Add the superbill or invoice and receipts. The superbill must include patient name, provider tax ID, diagnosis codes, procedure codes and modifiers, units, billed amount by code, and place of service. https://member.uhc.com/myuhc/content/dam/myuhc/pdfs/claim-forms/CMS1500ClaimForm010402.pdf
  4. If other insurance or Medicare is primary, add its EOB. https://member.uhc.com/myuhc/content/dam/myuhc/pdfs/claim-forms/CMS1500ClaimForm010402.pdf
  5. NOT PUBLISHED: accepted upload types, size limit, file count, document-combination rule, and domestic commercial submission reference. The signed-in form is UNREADABLE without an account.
  6. Check the EOB in the member account. The UnitedHealthcare app also shows claims. https://www.uhc.com/member-resources/how-to-submit-a-claim
  7. NOT PUBLISHED: a universal Optum behavioral member portal route. Optum says its claims use multiple systems and the member plan controls. https://public.providerexpress.com/content/ope-provexpr/us/en/admin-resources/claim-tips.html

Filing facts

  • Portal upload: YES
  • Portal: UnitedHealthcare member account
  • Portal path: Claims & Accounts > Submit a claim
  • Mail address: PLAN-DEPENDENT: Mail it to the address listed on the back of your Health Plan ID Card. | MH: Claims processing, PO Box 30755, Salt Lake City, UT 84130-0755
  • Fax: NOT PUBLISHED
  • Attach: patient name; provider taxpayer identification number; diagnosis codes; CPT or HCPC procedure codes with modifiers; units; billed amount for each procedure code; place of service code; receipts; primary carrier EOB when applicable
  • File types: NOT PUBLISHED; signed-in form is UNREADABLE
  • File size limit: NOT PUBLISHED; signed-in form is UNREADABLE
  • Maximum files: NOT PUBLISHED; signed-in form is UNREADABLE
  • One file or separate files: NOT PUBLISHED
  • Confirmation: EOB after processing; submission reference is NOT PUBLISHED for domestic commercial route
  • Status check: Member account EOB; UnitedHealthcare app can show claims
  • Processing time: Many claims are processed within 14 business days; reimbursement check may take up to 30 days after processing
  • Member deadline: NOT PUBLISHED; submit as soon as possible
  • Deadline basis: YES: employer plan and controlling plan document set the limit
  • Mental health route: NOT PUBLISHED: Optum processes behavioral claims on multiple systems and the member card controls; no public member behavioral upload path was found
  • Provider on file: YES: the out-of-network health care professional is asked to register the TIN and upload a current W-9

Confirm the address, fax number or portal path on the insurer's own claims page before you send; read on 10-09-2026.

Read on 10-09-2026 from https://member.uhc.com/myuhc/content/dam/myuhc/pdfs/claim-forms/CMS1500ClaimForm010402.pdf;https://www.liveandworkwell.com/en/member/unitedhealthcare/help-center/forms. Confirm the address, fax number or portal path on the insurer's own claims page before you send.