- Provider Information
- Billing and Reference Guides
- Claims and Member Information
- Claim Reconsideration and Appeals
- Clinical Practice Guidelines
- Cultural Competency Library
- Electronic Data Interchange (EDI)
- Pharmacy Program
- Provider Forms
- Reimbursement Policy
- UnitedHealthcare Connected™
You'll find all forms we currently use in the following list. Check back frequently for the most current and up-to-date forms.
National Disclosure Provider Roster Addendum Form (PDF 42.73 KB)
Group Disclosure of Ownership and Control of Interest Form click here (PDF 519.75 KB) for PDF version.
Individual Disclosure of Ownership and Control of Interest Form click here (PDF 427.75 KB) for PDF version.
Prior Authorization Forms
Hysterectomy Form (PDF 160.5 KB)
Long-Acting Opiates Prior Authorization Form (PDF 556.96 KB)
New York Prior Authorization Fax Form (PDF 90.15 KB)
Sleep Testing Requirements Frequently Asked Questions (PDF 157.96 KB)
Sleep Study Worksheet (PDF 192.95 KB)
Sterilization Form (PDF 65.42 KB)