Email Form
Contact Us
Got questions? Interested in learning more about UnitedHealthcare Shared Services? Fill out the form below and with a click, we're ready to help. But please, fill out the form completely so we can get you the right information quickly.
Name
(required)
:
ID Number as shown on ID card
(optional - Do not enter Social Security Number)
:
Employer:
Group Number:
Employee / Dependent:
Address 1:
Address 2:
City:
State
Zip:
Comments / Questions:
You must provide either a valid E-Mail Address or a Phone Number. If your inquiry pertains to protected health information, please provide a phone number where we can reach you. We will only respond to requests of this nature via the telephone.
Phone Number:
E-Mail: