Electronic claim submission and paper claim submission are available and accepted by United American Insurance Company. United American encourages providers to submit claims electronically to Medicare for claims-based crossover using United American’s Coordination of Benefits (COBA) number 55004.
Options and forms for filing claims include the following:
Electronic 837P
(Used most often)
Hospital Provider
Universal Billing (UB-04) with copy of Medicare Remittance Advice
All Other Providers
CMS-1500 with copy of Medicare Explanation of Benefits
Insured Filing
Medicare Summary Notice
For additional information about or assistance with filing claims electronically: