Join Coverage2Care – UHC Contracting

Please complete the form below to contract with UnitedHealthcare Medicare:

UHC Contracting

First Name

Last Name

Phone

Mailing Address

City

State

Zip Code

National Producer Number

Don't have it? You can find it here.

Resident License State

Other States I'm Licensed In (if applicable)

Which type of contract are you requesting?

NEW (I’ve never contracted with UHC before)

TRANSFER (transfer UHC from a different agency to Coverage2Care)

DIRECT (I'm directly contracted with UHC and want to move to Coverage2Care)

Do you have an active E&O policy?

Yes