Only an Authorized Agent for the provider business entity will be permitted to set up a new account for UHA’s Online Provider Portal and add the additional users of the account.
A representative from UHA’s Contracting Services Department will be calling the provider’s office asking to speak with an Authorized Agent for that provider’s business entity. If we are not able to speak with an Authorized Agent, we will not be able to process your Online Provider Portal Registration request.
Complete the form below.
After you submit this form, UHA must verify your identity in order to execute an Online Provider Services Agreement for your Provider organization.
For questions please call Customer Services at 522-2268, or 800-458-4600, extension 302, from the neighbor islands.