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Enrollment V3 Overview

1. Purpose​

This service helps organizations manage health benefit enrollment with UnitedHealthcare. It allows authorized partners to submit information about individuals who need to be added to, updated in, or removed from a health plan. The system ensures that submitted data is routed correctly and provides confirmation for each transaction.

2. Who can use this service​

This service is designed for external business partners such as:

  • Employers
  • Brokers
  • Benefit administrators
  • Other organizations that manage health plan membership

It’s intended for those who oversee benefit enrollment processes and need to align their systems with UnitedHealthcare’s, without requiring deep technical knowledge.

3. What information is available​

The service supports high-level data related to health benefit enrollment, including:

  • Basic details about subscribers and dependents (e.g., names, relationships)
  • Types of coverage involved (e.g., medical, dental, vision, life insurance, disability)
  • Status updates on enrollment or change requests
  • General information about additions, updates, or terminations

4. Benefits of this service​

  • Efficiency: Automates the exchange of enrollment data, replacing manual forms and spreadsheets.
  • Accuracy: Ensures timely updates so coverage reflects current employee or dependent status.
  • Simplified Coordination: Handles communication across multiple internal systems, so users don’t need to manage each one individually.
  • Clear Feedback: Provides acknowledgements for each submission, making it easy to track and follow up.

5. Example uses​

Organizations might use this service to:

  • Add new employees or family members during open enrollment or onboarding
  • Update personal details like address, marital status, or benefit elections
  • Terminate coverage when someone leaves the company or becomes ineligible
  • Monitor submission progress without needing to interpret technical codes

6. Important notes​

  • This overview is non-technical and omits internal implementation details.
  • Use of the service is governed by agreements with UnitedHealthcare and may evolve over time.
  • Each submission is acknowledged individually, helping users track and reconcile records.
  • Data privacy and security are prioritized, with safeguards in place behind the scenes.
  • New users typically go through a planning and testing phase before full implementation.