New Account Setup

Complete the steps below to setup a new account with UHIN this includes:

Trading Partner Number Setup, Contracts, and Enrollment

Step 1:

Master Services Agreement & Enrollment Form

Complete master services agreement Complete Enrollment Form

Step 2:

Send us your forms

Send completed Master Services Agreement and Enrollment Form to UHIN via:


Fax: 877-693-4161

Mail to:
UHIN Enrollment Team
1226 East 6600 South
Salt Lake City, UT 84121

Please double check to see if you are sending the newly saved, SIGNED version of your document.
Thank you.

Step 3:

You can expect the following from UHIN:

A welcome email from the Enrollment Team
Our Corporate Trainer will reach out to you
You will receive User IDs and Passwords
You will receive status updates on your selected Payers

If you haven't heard back within 4 days****, please contact us at

  • What forms are needed to create an account with UHIN?

    1. Electronic Commerce Agreement (ECA)

    2. Notice of Delegation

    3. UHIN Enrollment Form

    4. Amendment A

  • What if I don't want a Delegate on my Account?

    Simply fill out the top portion of the form and leave the middle section blank. Sign the bottom of the form.

  • Why do you need to know the estimated number of claims per year?

    This information is used to determine pricing for the first year.

  • Do I need to sign up for all of the payers?

    You can sign up for the payers you know you are going to be billing. If you need to add payers later, you can do so by filling out a Clearinghouse Service Change Form.