Provider Contracting

Provider Application Process

Please note: We are not accepting applications for the specialties listed below.
  • Behavioral Health Providers (in Davis, Utah, & Salt Lake Counties) – Except Psychiatry & Psychology.
  • Chiropractic
  • Durable Medical Equipment / Medical Supplies
  • Home Health / Hospice / Personal Care Agencies
  • Home Infusion
  • Laboratories
  • Long–Term Acute Care Hospitals (in Davis, Salt Lake & Utah Counties)
  • Orthotics and Prosthetics
  • Physical Therapy (in Davis, Salt Lake, Utah & Weber Counties)
  • Residential Treatment Center
  • Skilled Nursing Facilities (in Davis, Salt Lake & Utah Counties)
  • Specialty Pharmacy

Step One

Our Contracting Committee reviews applications within 15-20 business days. 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. Here is the link to the application: Provider Application Form. If you need to make an update to your practice please use the Provider Information Update Form.

Step Two

Credentialing typically takes 6-8 weeks to complete. The Credentialing 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.

Provider Relations

  • Provider Relations

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

    • Escalated provider issues
    • Provider contracting questions
    • Claims concerns not addressed by Customer Service

    Provider Credentialing
    provider.credentialing@hsc.utah.edu
    801-587-2838 option 3

  • Emily Bird, Provider Consultant

    emily.bird@hsc.utah.edu

    801-587-2666

    Provider Consultant Map

    Salt Lake County in Utah and all Nevada:

    • Physicians, practitioners, physical therapy providers, chiropractors, behavioral health providers, audiologists, podiatrists, optometrists, dentists; independent hospitals, and ambulatory surgical centers

    Throughout Utah:

    • Pathology labs
    • Dialysis centers
    • Steward hospitals
    • Physician Group of Utah (PGU)
  • Sandra Campbell, Provider Consultant

    Sandra.campbell@hsc.utah.edu

    801-587-2943

    Provider Consultant Map

    Beaver, Carbon, Emery, Garfield, Grand, Iron, Juab, Kane, Millard, Piute, San Juan, Sanpete, Sevier, Utah, Washington, and Wayne counties in Utah; and all Colorado and Wyoming:

    • Physicians, practitioners, physical therapy providers, chiropractors, behavioral health providers, audiologists, podiatrists, optometrists, dentists; independent hospitals, and ambulatory surgical centers

    Throughout Utah:

    • HCA physicians
    • Anesthesia Groups
    • HCA MountainStar Hospital System
    • Durable Medical Equipment companies
  • Mary Carbaugh, Provider Consultant

    Mary.carbaugh@hsc.utah.edu

    801-587-2920

    Provider Consultant Map

    Box Elder, Cache, Daggett, Davis, Duchesne, Rich, Morgan, Summit, Tooele, Uintah, Wasatch, and Weber counties in Utah; and all Idaho:

    • Physicians, practitioners, physical therapy providers, chiropractors, behavioral health providers, audiologists, podiatrists, optometrists, dentists; independent hospitals, and ambulatory surgical centers

    Throughout Utah:

    • Interpreting Agencies
    • Intermountain Healthcare
    • Skilled Nursing Facilities
    • Home Health, and Hospice
    • Long-Term Acute Care hospitals

Practice Location Update Form

Please include any associated provider(s) and NPI(s) number(s) that we need to have listed under the change. You may include a provider roster with this form. This information is required to complete this request.
Anything with a * next to it is a required field.



* CONTACT INFORMATION: (IF A DIFFERENT CONTACT PERSON IS USED FOR EACH SERVICE TYPE, PLEASE INCLUDE DETAILS IN THE EMAIL)

* ASSOCIATED PROVIDER: (IF MULTIPLE PROVIDERS PLEASE INCLUDE A ROSTER IN YOUR EMAIL)
LOCATION INFORMATION (PLEASE CHECK ANY THAT APPLY TO THE OFFICE LOCATION)
Website URL: By providing the URL to your clinic website, you give University of Utah Health Plans permission to publish a link to your site in our provider directories. U of U Health Plans assumes no responsibility or liability for the information displayed on your site.

Questions about Plans?

  • 6053 Fashion Square Drive, Suite 110
  • Murray, UT 84107