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Providers

At Health Choice Utah, we are committed to a collaborative approach with physicians, hospitals and all other providers in all communities throughout the state of Utah.

We believe our members deserve the highest quality medical care while being treated with both compassion and respect. Assisting you so that you can devote your time to providing quality patient care is one of our highest priorities. Our commitment to you is to support the doctor-patient relationship by streamlining the delivery of care.

What We Offer Our Physician Network

Health Choice Utah brings the expertise and road maps necessary to understand, participate in and maximize the value of the sweeping changes affecting the delivery of healthcare.

We offer real-time tools, technology and up-to-date information to our physicians and providers. We will assist and offer guidance to physicians and hospitals for the purpose of building partnerships in the form of Accountable Care Organizations (ACO), patient-centered medical homes and other entities that will maximize quality and reward performance.

How We Assist Your Practice

We are committed to providing you with tools to help you effectively and efficiently manage the care of the individuals you serve through Health Choice Utah.

Our medical director, Dr. Richard Ferguson, MD. , is not just an administrator. Dr. Ferguson is a practicing physician who has been in Utah for over many years. He understands the concerns and issues you face daily.

We work closely with your team to streamline and expedite prior authorization by minimizing the number of procedures requiring prior authorization. Many of the items still on our abbreviated prior authorization list ask for notification only.

Our Transition of Care Program is unique to the industry. Upon hospital discharge, we initiate an interdisciplinary plan of care which can include assessment of home care needs, follow-up with home care providers, medication reconciliation, scheduling and transition to case management and disease management.

Customer service is the fabric of our organization. Our internal infrastructure is designed to provide your patients speedy access to customer service representatives and to expedite claims processing.

Request to Participate with Health Choice Utah

Request to participate with our group of quality physicians and providers by calling (877) 358-8797 or by using this form.

Electronic Data Exchange (EDI)

At Health Choice Utah, we accept both electronic and paper claims from providers. To help you improve your efficiency and claim accuracy so that you can focus on patient care, we highly encourage you to submit claims electronically by utilizing Electronic Data Interchange (EDI). Learn more here

Health Choice Utah

For information and assistance, call toll-free:
(877) 358-8797

Prior Authorization Fax Line:
(877) 358-8793

Language or ASL interpretation services:
(877) 358-8797

Hours of Operations

Provider Services
Monday – Friday
8 a.m. – 6 p.m.

Prior Authorization
Monday – Friday
8 a.m. – 5 p.m.

Claims
Monday – Friday
8 a.m. – 6 p.m.

Member Services
Monday – Friday
8 a.m. – 6 p.m.

For State-Paid Benefits

To access behavioral health services, contact:

Davis County:
Davis Behavioral Health:
(801) 773-7060

Salt Lake County
Optum Health:
(877) 370-8953 (toll-free)

Utah County:
Wasatch Mental Health:
(801) 373-4760

Weber County:
Weber Human Services:
(801) 625-3700

To access dental or chiropractic services, contact:

Health Program Representative:
(866) 608-9422 (toll-free)

Medicaid Information Line:
(800) 662-9651 (toll-free)