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...
Thank you to the providers who participated in our 2026 Provider Satisfaction Survey. Your feedback helps us understand what’s working well and where we can enhance our services to better...
Providers can quickly verify their network participation using the U of U Health Plans Provider Directory. Here is a step-by-step guide to help you search for your clinic or facility...
We’ve recently received reports from Healthy U Medicaid members being told that only one Durable Medical Equipment (DME) supplier in Utah is authorized to provide oxygen concentrators. While that’s true...
Everyone wants the best health outcomes for their members. As a provider, you are in a unique position to help through well-care visits. Parents don’t realize how critical well-care visits...
When a member has Medicare as their primary insurance and Healthy U Medicaid as secondary, it’s important to understand how statutorily excluded codes affect claim submission and coordination of benefits...
Coordination of Benefits (COB) is an essential process in healthcare claims administration that ensures patients receive the maximum benefits available across all applicable insurance coverage while preventing duplicate payments. The...
Disposable medical supplies filled on a monthly basis may be refilled between days 25 and 30 to ensure uninterrupted access for the member. This early refill window is intended to...
The primary role and purpose of a Peer-to-Peer (P2P) review is to provide additional information for discussion regarding a denied decision. A P2P offers an opportunity for conversation and to...
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 and revised medical policies is provided...
Accurate provider information is essential for smooth claims processing, timely payment, and ensuring members can find appropriate care. However, the demographic information required for billing claims is not the same...
When submitting claims with Place of Service (POS) 99 – Other Place of Service, it is essential to clearly document where the services were actually rendered. POS 99 is used...
