New demographic update form

Last modified: July 29, 2022

We’ve updated the Care Provider Demographic Information Update form — the old form has been retired effective immediately.

Attestation requirements
All providers contracted with UnitedHealthcare must attest to their practice data and demographic information every 120 days.

Accurate demographic data helps connect you with members searching for a care provider. It also helps support claims processing and compliance with regulatory requirements.

We’re here to help
If you have any questions about the attestation requirements, please reach out to your UnitedHealthcare representative or visit our Contact us page.