Universal HealthCare

* Mandatory Fields

Member

Provider

Agent

Agent Pre-Registration

Note : To register, you must have a valid registration number that you received from your general agent. The code is case sensitive which means there is a difference between capital and lower case letters.

* Registration Code
* Last Name
* First Name
* Date Of Birth	MM/DD/YYYY
* SSN	NNN-NN-NNNN
* Email Address
* Zip
* City
* State

Note : If you want your username and password to be emailed to you please enter your valid Email Address. Once you enter the information in the above boxes and click on the Yes button, you will be redirected away from Universal Health Care's web site and into Syberworks Registration Page. All the information entered will become non editable once you are in the Syberworks Registration Page.

DISCLAIMER: I understand that if I provide false or invalid information on this registration form, it may cause delays in certification and appointment processes. I attest that all information provided is current and correct to the best of my knowledge.

Yes No

Non-Contracted Providers Registration

Note : Once you click the Submit button below, your username and password will be emailed to you immediately. You will have access to Eligibility and Benefits, along with the Formulary and Provider Directory, which do not require a password.

* Last Name / Facility Name	Check here if facility
* First Name
Middle Initial:
* Contact Person
* Phone#
* Address
* Zip
* City
* State
* Email Address

Member Registration

How to Register?

UHC Member Registration is a 2- step process. Please follow the steps to complete the online Registration.

Step 1 : Identification

Please fill in the following information.Your Information is kept confidential and secure at all times.

Choose Medicare (or) Medicaid

Medicare Medicaid

* Medicare Number

* First Name

* Last Name

* Date Of Birth

(example : MM/DD/YYYY)

* Sex

Male Female

Step 2 : Email Address and Password

Provide your e-mail address and create a password.

You will use this information to log in and access your information each time you return to the site.

* Enter your E-mail Address

(Example: yourscreenname@aol.com)

* Confirm E-mail Address

(Retype your E-mail address exactly as you did above)

* Create a Password

(Must be atleast 6 characters. All passwords are cAsE sEnSitiVE.)

* Confirm Password

(Retype your password exactly as you did above)

Sign up for Free Email

If you don’t have a email address, create one at the below links

Step 3 : Choose your Username and Password

* Username

Characteristic

* Password

* Confirm Password

Registration Help

If you are having any problems with the registration process please contact us so we can immediately help you.
Please Click here to Contact us.

Learn more about our Privacy policy, UHC Privacy Notice

1) The Username should be unique.
2) The Username must be between 5 and 25 characters long.
3) It must be Alphabets or Numerals or Combination of both
4) Special characters are not allowed other than "_" and "."
5) It should end with a Alphabet or Numerals