University of Utah Health Plans uses reimbursement policies as guidelines for payment determinations in accordance with the member's benefits. Quarterly notice of recently approved, revised, and archived reimbursement policies is...
Opioid poisoning remains a leading cause of preventable overdose deaths and is characterized by respiratory depression, decreased consciousness, and pinpoint pupils. Prompt recognition and intervention are critical to preventing serious...
Extension for Community Healthcare Outcomes Project ECHO is a distance-based telementoring model that connects University of Utah specialists with multiple primary care providers (PCPs) through Zoom to facilitate didactic and...
University of Utah Health Plans uses medical policies as guidelines for coverage determinations in accordance with the member's benefits. Quarterly notice of recently approved, revised, and archived medical policies is...
Maintaining accurate provider directory information is essential for helping members access care and for meeting federal regulatory requirements. The No Surprises Act requires health plans to verify provider directory information...
Providers submitting inpatient hospital claims on a UB-04 are required to report covered days, non-covered days, and associated non-covered charges. This may include services that are not prior authorized or...
Beginning January 1, 2027, we will no longer offer Individual Exchange (Marketplace) plans to residents of Utah County. This change affects product availability only and does not impact provider network...
University of Utah Health Plans continues its partnership with Previon Inc. to provide convenient at-home colorectal cancer screening through mail-delivered FIT (Fecal Immunochemical Test) kits. Our plan improved screening rates...
We want providers to succeed. By helping them understand which Primary Care Chronic conditions to document and which are often missed, we can better protect members through proper risk adjustment...
We want providers to succeed. By helping them understand which Pregnancy and Postpartum conditions to document and which are often missed, we can better protect members through proper risk adjustment...
We want providers to succeed. By helping them understand which Diabetes Mellitus & Associated complications and conditions to document and which are often missed, we can better protect members through...
We want providers to succeed, and helping them understand what Behavioral Health & Neurodevelopmental conditions to document and what is commonly missed is a great way to ensure we can...
