Nationwide Product Downloadable Claim Forms

Download onto computer. Forms can be filled out digitally using Adobe Acrobat or other PDF software but will not be fillable in most web browser preview windows.
NOTE: While the forms are "fillable," they can not be submitted digitally unless you scan and email to the address provided on the form (If there is one).

Dental Downloadable Claim Forms

Appealing denial of a health insurance claim is within the jurisdiction of the state in which the policy was issued. Please follow the link above to find your state's method of appeal.

Report Fraud

To report the suspicion of fraud or misrepresentation by an insured, provider, agent, or OptiMed Health employee, please send an email to Include a description of the fraud or misrepresentation with as much detail as possible, and if desired, provide your contact information for additional questions.

The OptiMed program is not available in the State of Washington and State of Montana. Please check with your OptiMed sales representative to confirm that OptiMed is available in the state or states in which you may have an interest in offering OptiMed. PRIVACY POLICY


Value-Added Services Available to all OptiMed Health Plan Members

OptiMed Health Plans
(United Group Programs, Inc.)

22 Technology Parkway South
Peachtree Corners, GA 30092