Utah Medicaid

Utah Medicaid claims must be submitted directly to the Utah Health Information Network.

At this time Utah Health Information Network refuses to establish direct connections from all outside vendors, requires providers to subscribe to their network for a fee, and requires formatting of submitted files to UHIN's specifications. When asked if a standard 837 generated by another product could be used, the only response from UHIN was that "it will have to be reformatted and you must be a member for us to tell you that", implying that the national standards may not be sufficient to meet their requirements. All interested electronic submitters are required to enroll directly with their service for a yearly membership fee, and fees are calculated based on business type, size, and claim volume. Information about how to submit electronic files and "reformat" the submissions is not provided until after membership status is acquired.

In other words, SolAce EMC probably can't help you with UHIN submissions.

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