These forms offer an easy way for you to stay current with Unity to ensure that claims are processed quickly.
Facility / Practitioner Notification Forms
Electronic Remittance Advice (ERA/835) & Electronic Funds Transfer (EFT)
Behavioral Health Forms
© 2017 Unity Health Plans Insurance Corporation. All rights reserved.
Quartz Health Solutions, Inc., Unity Health Plans Insurance Corporation, Gundersen Health Plan, Inc., Gundersen Health System, and UW Health are separate legal entities.
Unity Health Insurance is a Qualified Health Plan issuer in the Health Insurance marketplace. For assistance in a language other than English, call 800.362.3310 and the Customer Service representative will get you help in the language you need. TTY users should call 711 / 800.877.8973. Unity Health Insurance does not discriminate on the basis of race, color, national origin, disability, age, sex, gender identity, sexual orientation, or health status in the administration of the plan, including enrollment and benefit determinations.