La primavera es el momento perfecto para limpiar su botiquín. Los medicamentos viejos o que no se usan pueden perder su efectividad o incluso ser peligrosos. Una limpieza rápida ayuda...
Spring is the perfect time to clean out your medicine cabinet. Old or unused medicines can lose strength or even be dangerous to use. A quick clean-out helps keep you...
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...
Utah’s 2026 General Session introduced several significant changes affecting provider directories, insurance coverage requirements, autism services, and physical therapy cost sharing. Below is a summary of key bills and their...
Encontrar a un doctor, clínica o el especialista adecuado no tiene por qué ser difícil. University of Utah Health Plans ayuda a sus miembros a buscar proveedores dentro de la...
To ensure accurate and timely claims processing, we want to remind all providers of the correct billing requirements when patients are seen in multiple locations. When a patient receives care...
U of U Health Plans prefers to receive corrected claims via EDI transaction. To request a corrected claim, submit the following information in Loop 2300 of an 837I (Institutional) or...
In risk adjustment reporting, documentation is interpreted using the ICD-10-CM Official Guidelines for Coding and Reporting. These guidelines outline when coders may presume relationships between conditions and when they may...
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...
In the various workshops, presentations, and surveys we conduct throughout each year, appeals is one topic that always raises questions. Here are some of the most common appeal issues we...
Individual and Family Plans offered on and off the Individual Marketplace Exchange use the Healthy Premier and U Health Plus networks. • Healthy Premier is a statewide network. • U...
