UnitedHealthcare Clinical Data Submission Form

The intended use of this process is for providers to submit clinical data to UnitedHealthcare in partnership to meet HEDIS and Medicare STARS quality standards. If you are already sending clinical laboratory data (HbA1c) for Medicare members to UnitedHealthcare through an established format it is not necessary to complete this form. If you have any questions about submitting data or need assistance setting up data transfers, please contact your UnitedHealthcare Network Account Manager or our Provider Call Center at 877-842-3210.