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Provider Contracting

  • Provider Contracting

    Provider Contracting
    providercontracting@hsc.utah.edu
    801-587-2838 option 4

  • Todd Randall, Provider Contracting Executive

    todd.randall@hsc.utah.edu

    801-587-2774

    Utah: Salt Lake County

    • Labs
    • Dialysis centers
    • Behavioral Health Facilities

  • Stephanie Haws, Provider Contracting Executive

    stephanie.haws@hsc.utah.edu

    801-213-0140

    Utah: Beaver, Carbon, Emery, Garfield, Grand, Iron, Juab, Kane, Millard, Piute, San Juan, Sanpete, Sevier, Utah, Washington, & Wayne counties

    Colorado & Wyoming

    • Anesthesia
    • Durable Medical Equipment
    • Single Case Agreements

  • Brenda Groves, Provider Contracting Executive

    brenda.groves@hsc.utah.edu

    801-587-2881

    Utah: Box Elder, Cache, Daggett, Davis, Duchesne, Rich, Morgan, Summit, Tooele, Uintah, Wasatch, & Weber counties

    Idaho

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

Provider Application Process

Step One

To apply, complete the Provider Application form and email it to providercontracting@hsc.utah.edu, or fax the completed form to 801-281-6121.

Note: Incomplete Applications—Including degree (e.g. MD, APRN), hospital privileges/admitting plan, Group and Individual NPI (where indicated), Organization’s Medicare and Medicaid enrollment numbers, and W-9 Taxpayer Identification Form—will be denied.

Our Contracting Committee reviews applications within 15 to 20 business days.

  • If the application is approved, one of our Contracting Executives will extend a contract to you. When we receive the signed contract back from you, we will initiate the credentialing of all providers listed in Exhibit B.
  • If the application is denied, you will be notified.

If you need to make an update to your practice, use the Provider Information Update Form, not a new Application.

Step Two

Credentialing typically takes 6-8 weeks to complete. The Credentialing Committee makes the final determination as to whether a provider meets our credentialing criteria. This committee meets the first Monday of each month, excluding holidays. Once credentialed, providers can begin to see members.

Adding a new Provider

If you already have a contract and are adding a new provider, please click on the Provider Credentialing tab (in the provider navigation bar, above), and follow the steps under “Where to Start? Let’s Get Started.”

Provider Business Updates

If you need to update your existing location or business information, complete and submit the 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.

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  • Murray, UT 84107

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