Provider Relations & Contracting

New Provider Application Process - A two step process.

Please note: We are not accepting applications for the specialties listed below.
  • Chiropractic
  • Durable Medical Equipment / Medical Supplies
  • Home Health / Hospice
  • Laboratories
  • Long–Term Acute Care Hospitals (in Davis, Salt Lake & Utah Counties)
  • Licensed Clinical Social Workers (in Davis, Salt Lake & Utah Counties)
  • Palliative Care
  • Physical Therapy

Step One

Applications are reviewed weekly by a Contracting Committee. If the application is not approved, you will be notified. If the application is approved, one of our Contract Executives will extend a contract to you. When we receive the signed contract back from you, we will initiate the credentialing of all of the providers that are listed in Exhibit B.

Step Two

Credentialing typically takes 6-8 weeks to complete. The Credentilaing Committee is chaired by our Medical Director and they give the final determination if a provider meets our credentialing criteria. This committee meets the first Monday of each month, excluding holidays. Once credentialed, providers may begin to see members.

  • Please include a copy of the business W-9 Tax Form with the application.

Adding a new Provider

If you already have a contract and are adding a new provider, please click on the Provider Credentialing tab (on the left side of page).

Provider Business Update

If you are a provider and need to update your existing business information please use the following Provider Update Form.

Todd Randall, Provider Contracting Executive

Todd.randall@hsc.utah.edu

801-587-2774

  • Negotiates contracts with all providers in the state of Utah and surrounding areas

Brenda Groves, Provider Contracting Executive

Brenda.groves@hsc.utah.edu 

801-587-2881

  • Negotiates contracts with all providers in the state of Utah and surrounding areas

If you need to reach University of Utah Health Plans Provider Relations, please contact us directly at:

Provider Relations
provider.relations@hsc.utah.edu 
801-587-2838 option 2


Sandra Campbell, Provider Consultant

Sandra.campbell@hsc.utah.edu

801-587-2943

Provider Consultant Map

Provider relations for:

  • Professional Providers including physicians, practitioners, physical therapy providers, chiropractic, behavioral health providers, audiologists, podiatrists, optometrists, dentists:

South of 5300 South in Salt Lake County and Utah County.

  • HCA MountainStar Hospital System
  • HCA /Parallon Enrollments
  • IASIS Hospitals
  • Physician Group of Utah (PGU)
  • Independent Hospitals
  • Ambulatory Surgical Centers
  • Durable Medical Equipment companies
  • Pathology labs
  • Anesthesia Groups

 


Mary Carbaugh, Provider Consultant

Mary.carbaugh@hsc.utah.edu 

801-587-2920

Provider Consultant Map

Provider relations for:

  • Professional Providers including physicians, practitioners, physical therapy providers, chiropractic, behavioral health providers, audiologists, podiatrists, optometrists, dentists:
  • North of 5300 South in Salt Lake County; Box Elder, Weber, Davis, Summit, Wasatch, and Tooele counties.
  • Shriners Hospital
  • Intermountain Health Care
  • Mountain West Medical Center
  • Multiplan
  • Dialysis Centers
  • Home Health, Hospice
  • Skilled Nursing Facilities
  • Ambulance companies
  • Interpreting Agencies
  • LTACS

About Provider and Facility Search

Definitions & Terminology Used in Search

University of Utah Contracting Criteria

Provider information in this directory is collected from information that we receive from our provider network and updated 5 days per week, excluding weekends, holidays, or interruptions due to upgrades, system maintenance, or unplanned outages. This information is subject to change at any time.