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Agent of Record Validation – NPN Validation API Overview

1. Purpose​

This service helps confirm whether a broker or producer is recognized and active within UnitedHealthcare’s partner network. It checks a registration number—commonly the National Producer Number (NPN)—and returns basic identifying details when valid. This ensures that downstream business processes, such as quoting or enrollment, begin with verified information.

2. Who can use this service​

  • This service is designed for approved UnitedHealthcare partners, including affiliates and organizations involved in quoting and enrollment.
  • It’s intended for business teams and technical implementers who integrate their systems with UnitedHealthcare’s quoting tools.
  • It is not available for general public use and requires coordination through official partner channels.

Note: This overview does not include setup instructions or internal access steps. Those are handled directly through your UnitedHealthcare contact.

3. What information is available​

  • Validation Status: A simple “yes” or “no” response indicating whether the NPN or similar identifier is valid.
  • Basic Partner Details: If valid, the service returns general information such as:
    • The name of the broker or agency
    • A reference ID used internally
    • A broad classification of the partner (e.g., agency vs. individual)
  • No technical formats or sensitive data are exposed.

4. Benefits of this service​

  • Early Trust: Confirms partner legitimacy before deeper engagement, reducing errors and delays.
  • Operational Efficiency: Helps streamline quoting, enrollment, and other workflows by starting with verified data.
  • Data Accuracy: Supports consistent and clean records across systems and reports.

5. Example uses​

  • Enrollment Flows: Validate a broker before allowing access to plan details or submission forms.
  • Partner Portals: Offer a “Verify Your Broker” feature to confirm registration before uploading documents or starting group processes.
  • Onboarding Conversations: Use this service as part of your integration story with UnitedHealthcare to ensure readiness before launching live activities.

6. Important notes​

  • Dynamic Content: Plan availability may change over time. Regular updates and communication with your carrier partner are recommended.
  • Access requires a formal partnership with UnitedHealthcare and is not self-service.
  • Support: Relationship managers and onboarding coordinators are available to assist with setup and integration.
  • Part of a Suite: This service complements other quoting tools (e.g., plan benefits by state, rates by group) but can be used independently.
  • This summary excludes technical details such as authentication, data formats, error codes, and endpoint URLs.
  • This overview is intended for marketing, onboarding, and public-facing materials and reflects the service’s high-level purpose and value.