The American Medical Association (AMA) CPT Editorial Panel has approved a comprehensive redesign of the CPT code set for maternity care services. Effective January 1, 2027, the longstanding global maternity...
We want providers to succeed, and helping them understand what Cardiology and Vascular conditions to document and what is commonly missed is a great way to ensure we can protect...
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...
Spending time outdoors is one of the best parts of summer, but too much sun exposure can damage your skin. And some medications can make your skin more sensitive to...
