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Provider Relations

Doctor high-fiving young patient

Provider Relations

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Provider Relations Contact Information

UUHP Utah Provider Consultant Map

Provider Relations (Office)

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

Provider Consultant Map 
provider.relations@hsc.utah.edu 
Phone: 801-587-2838 option 2

Provider Consultants

Emily Bird - Utah Provider Consultant Map

Emily Bird

Provider Consultant

Physicians, practitioners, physical therapy providers, chiropractors, behavioral health providers, audiologists, podiatrists, optometrists, dentists; independent hospitals, and ambulatory surgical centers: Salt Lake County in Utah and all Nevada.


Provider Consultant Map

Throughout Utah:
  • Pathology labs
  • Dialysis centers
  • Holy Cross Hospitals
  • Holy Cross Medical Group

Emily.Bird@hsc.utah.edu
801-587-2666

Sandra Campbell - Utah Provider Consultant Map

Sandra Campbell

Provider Consultant

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

Network Services Representative Map

Throughout Utah:
  • HCA physicians
  • Anesthesia Groups
  • HCA MountainStar Hospital System
  • Durable Medical Equipment companies

Sandra.Campbell@hsc.utah.edu
801-587-2943

Mary Carbaugh - Utah Provider Consultant Map

Mary Carbaugh

Provider Consultant

Physicians, practitioners, physical therapy providers, chiropractors, behavioral health providers, audiologists, podiatrists, optometrists, dentists; independent hospitals, and ambulatory surgical centers in: Box Elder, Cache, Daggett, Davis, Duchesne, Rich, Morgan, Summit, Tooele, Uintah, Wasatch, and Weber counties in Utah; and all Idaho.

Network Services Representative Map

Throughout Utah:
  • Interpreting Agencies
  • Intermountain Healthcare
  • Skilled Nursing Facilities

  • Home Health, and Hospice

    Long-Term Acute Care hospitals

Mary.Carbaugh@hsc.utah.edu
801-587-2920

Provider Information Update Form

In order to process the update, include any associated provider(s) and NPI(s) number(s) that we need to have listed under the change.

Please submit a provider roster, W-9, or other necessary documentation below. This information is typically required to complete this request.
Important: Submission Instructions for Provider Documentation
Due to security constraints, providers are currently unable to attach documentation directly to the Provider Information Update Form. Until further notice, please submit any accompanying documentation (rosters, W9 forms, etc.) via email to: provider.relations@hsc.utah.edu

To help ensure documents are received and processed efficiently:

  • Complete and submit this form (Note: A copy of the form submission & values will be emailed upon submission)
  • In the subject Line, please include Form Submission ID: 03efedeb-cc1a-4ee5-bc7c-17a8cb463315, as well as, the provider or organization name.
  • To help ensure documents are received and processed efficiently, please combine multiple files into a single ZIP or other archive file whenever possible before sending your email.

Anything with a * next to it is a required field.

CONTACT INFORMATION

EXISTING ADDRESS
EXISTING BILLING ADDRESS

PRACTICE INFORMATION

* ASSOCIATED PROVIDER: (IF MULTIPLE PROVIDERS, ATTACH INFORMATION AS A SPREADSHEET OR OTHER FORM OF ROSTER BEFORE SUBMITTING THIS FORM.)
NEW PRACTICE ADDRESS
(PICK ALL THAT APPLY)
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.
NEW BILLING ADDRESS