HealthChoice TPA changing to UMR in 2023

Posted on: 8/5/22

EGID’s benefits administrator will transition from HealthSCOPE Benefits to UMR on Jan. 1, 2023. UMR is UnitedHealthcare’s third-party administrator (TPA).

HealthSCOPE Benefits has served as EGID’s TPA since 2018 and was purchased by UnitedHealthcare in 2019. UMR and HealthSCOPE Benefits have worked with EGID to ensure a smooth transition.

UMR will continue to focus on member advocacy and engagement and enhanced integrated provider support. With UMR’s flexible technology and advances in automated procedures, you will experience user-friendly access to benefits information, coverage details, eligibility and claim status, as well as ease of submitting requests and documentation for prior authorizations and claims appeals.

EGID will remain the administrator of HealthChoice and continues to determine plan benefits, administrative rules and reimbursement.

For questions or more information, call EGID Network Management at (405) 717-8920 or toll-free (844) 804-2642. (HealthChoice Provider Network News, Summer 2022)