Welcome Providers

University of Utah Health Plans (U of U Health Plans) contracts with physicians and other health care professionals and facilities to offer provider networks essential to the delivery of health care and services to our members. U of U Health Plans is committed to the “quadruple aim” of improving the patient and provider experience, improving the quality of care and the health of populations, and reducing the cost of care.

We recognize the importance of population health and payment reform and have developed extensive care management and value-based payment programs that improve health and align provider reimbursement with value and positive outcomes.

Questions regarding claims processing?

Claims

Wondering if a claim was received? Finished processing? What was paid to the provider or what is member responsibility? Save yourself a phone call by checking claims status online.

Contracted providers with a secure account – View claims status via our Provider Portal
Noncontracted providers or contracted providers waiting for their Provider Portal account to be set up, contact our Customer Service team.

Claims Information

Verify eligibility, code lists, and resources

Prior Authorization

The prior authorization, also known as precertification or pre-approval, process is needed to ensure the treatment is medically necessary and eligible for coverage.

Resources

U of Utah Health Plans

Network Management

We make it easy for you to take great care of your patients and grow your practice. Check out our approach to Networks, Provider Relations, Contracting and Credentialing:

More Information

Access behavioral health tools and resources

Behavioral Health

Access behavioral health tools and resources related to helping U of Utah Health Plans members.

Get Started

Formularies, preauthorizations, limits and support

Pharmacy

Information regarding benefits, formulary updates, preauthorizations and customer support.

Resources

Keep on top of existing, upcoming and updated policies

Medical Policies

Information on Medical, Pharmacy, Administrative and Reimbursement Policies.

Review Policies

Welcome Providers