Change of Location/TIN Only--Not Currently Accepting New Providers
Includes United Healthcare, UMR, Surest, GEHA
Only Accepting Out-of-Network Contracting
Including Select Health, Optum, & Molina Plans
Including Select Health, Optum, & Molina Plans
**Please note--the State of Utah controls Medicare/Medicaid contracts. Application approval and network participation are not guaranteed. The provider must be willing to abide by State audit and documentation requirements.
Estimated contracting time is 60-120 days following application submission.
All applications will be submitted as quickly as possible, but processing and contract activation times vary by payer. Any services performed before the activation date of your contract (provided by the individual payers) will be considered out-of-network services and are subject to the rates and policies outlined in the patient’s insurance plan.
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