Contracting Instructions for UnitedHealthcare
Below is the UnitedHealthcare data form which needs to be completed in order to start the contracting process. Please return the completed form to the Contracting Department at North American Insurance Services for processing via fax at 469-362-1314 or email to email@example.com.
In addition to the data form, you must provide the following:
- A copy of valid licensing for each market in which you intend to sell
- A copy of Errors & Omissions policy/coverage
Please note that NO electronic signature on the data form will be accepted for UHC.
Once the data form has been processed by UHC, you will receive an email from UHC with the online contracting, certification instructions and a party ID to register. Online contracting instructions are provided below. You will not be issued a writing number until every step has been completed.
If you are appointed with UHC and would like to move your contract under NAIS, you must provide a copy of your release letter with the data form. If you haven’t written any business in the last 6 months, you are eligible to transfer but you still must complete the data form.