To help meet the requirements of new Colorado insurance regulation 4-2-80, we’re requesting that all health care professionals who are in-network for the UnitedHealthcare Colorado Option Standardized Plan provide us with the following demographic information by Sept. 30, 2022:
If you choose not to submit this information, please check the box that reads: “I choose not to disclose my demographic information.”
Your information is confidential
UnitedHealthcare and the state of Colorado will keep personally identifiable information confidential and won’t disclose any information without your written consent.
How the state will use your information
The state of Colorado will use this information to better understand the opportunities for improving racial health equity and reducing health disparities and to provide aggregate information about the diversity of the health care professionals in our network.
If you have any questions, please contact email@example.com or your provider advocate.