Provider Education Opportunity
Discover Who We Are
Want to know more about who we are and what we do at Mountain Health CO-OP? Existing and future participating providers are welcome to join us.Ā
What we will be covering
- Who we are
- Send messages
- Prior Authorization
- Resources
- New Provider Portal
- and more
Reserve Now
Register now for a seat at the opportunity nearest to you! Seating is limited, so reserve your place today.
Gillette, WY
Tuesday, September 19
10:00 Am
Sheridan, WY
Wednesday, September 20
10:00 Am
Rock Springs, WY
Wednesday, September 27
10:00 Am
Jackson, WY
Wednesday, September 28
10:00 – 11:30Am CDT
For assistance: 877-814-9909
[email protected]
Prior Authorizations
Use Provider Portal to request and review prior authorizations and all other patient details.Ā
Online submission is preferred method (Previously labeled: Medical Electronic Request Form)
Claims
Forms For Providers
Claims Submission
Claims should be submitted through our plan administratorās clearinghouse, the Utah Health Information Network (UHIN). More details: http://www.uhin.org/
Forms For Providers
Receiving Funds & Setting up EFT
We must have a W-9 on file before we can make any payments to you. You can fax your W-9 form to 801-281-6121. If we do not have a direct deposit set up for your group, we will send a paper check.
Forms For Providers
Submitting Additional Documentation
For submitting additional documentation, please use the Medical Documentation Submission Form.
Search All Provider Forms & Documents
Search by Document Name
Sort by Purpose
Behavioral Health Provider Policies
Residential Treatment Center (RTC) Requirements Policy
Forms For Providers
Claims Submission
Claims should be submitted through our plan administratorās clearinghouse, the Utah Health Information Network (UHIN). More details: http://www.uhin.org/
Forms For Providers
Home Health Care Request Form
For a better experience, complete your request here Or you may fax your request: 801-213-1358. Please include this document at the front of your submission.
Forms For Providers
Location Add/Change Form
Use this form to add a location, change location, and change billing information.
Join our Provider NetworkĀ
Being a Co-Op Provider
As a non-profit, member-owned health insurance CO-OP, we are dedicated to ensuring access to quality cost-effective health insurance for our communities.
We offer an array of benefit plans that will fit your patient’s individual needs.
We believe doctors and hospitals should be fairly compensated for the work they perform.
Questions?
[email protected]
Complete form to receive contract documents.
Provider Newsletters
Winter 2022
Now that 2022 is behind us, this is an excellent time to review patient records to ensure everyone is current with their annual preventive visits for 2023.
Fall 2022
We’re pleased to announce the successful launch of the new, secure Mountain Heal CO-OP Provider Portal.
Summer 2022
The Federal No Surprises Act went into effect January 1, 2022, bringing new requirements for health plans and providers.Ā
Spring 2022
In recent years, suicide rates have continued to rise. This topic needs to be continually talked about to bring more education around suicide prevention.
Fall 2021
Mountain Health CO-OP, in collaboration with University of Utah Health Plans (UUHP), has been in the process of creating a new secure portal to replace the current LINK Provider Portal.
Summer 2021
The CO-OP is excited to share our new website. This website has been built to create an
easier user experience for our members, providers, and brokers. The website is easier to navigate, with updated information, a user-friendly.
Winter 2021
According to the July 16, 2020 NCQA blog, āKidney disease affects 37 million American adults, but 90% are unaware they even have it.āĀ
Provider Contacts
Idaho
Greg Sonnenberg
Vice President
Lindsey Shelton
Provider Network Specialist
855-447-2900 – Option 6
Montana
Leah Martin
Assistant Vice President
Jill Martin
Provider Network Specialist
Taetumn Bailey
Provider Network Specialist
Tasha Harris
Provider Network Specialist
855-447-2900 – Option 6
Wyoming
Morris McGaugh
Director
Lindsey Shelton
Provider Network Specialist
855-447-2900 – Option 6
General
Patient eligibility and benefits:
1-844-262-1560
Prior authorizations for medical services:
1-801-587-2851
855ā885ā7695
801-213-2132
Machine Readable Files
WY Providers: https://uhealthplan.utah.edu/individual/json/38576_WY_provider.jsonĀ Ā
WY Formulary:Ā https://cbg.adaptiverx.com/web/json?key=8F02B26A288102C27BAC82D14C006C6FC54D480F80409B684B8B05E60D7B96C5
WY 2021 Plans:Ā https://uhealthplan.utah.edu/individual/json/38576_WY_Plans_2021.json
WY 2022 Plans:Ā https://uhealthplan.utah.edu/individual/json/38576_WY_Plans_2022.json
WY 2023 Plans:Ā https://uhealthplan.utah.edu/individual/json/38576_WY_Plans_2023.json
Ā
ID Providers:Ā https://uhealthplan.utah.edu/individual/json/38128_ID_provider.json
ID Formulary:Ā https://cbg.adaptiverx.com/web/json?key=8F02B26A288102C27BAC82D14C006C6FC54D480F80409B6817BE0B726223EAB6
ID 2021 Plans:Ā https://uhealthplan.utah.edu/individual/json/38128_ID_Plans_2021.json
ID 2022 Plans:Ā https://uhealthplan.utah.edu/individual/json/38128_ID_Plans_2022.json
ID 2023 Plans:Ā https://uhealthplan.utah.edu/individual/json/38128_ID_Plans_2023.json
Ā
MT Providers:Ā https://uhealthplan.utah.edu/individual/json/32225_MT_provider.json
MT Formulary:Ā https://cbg.adaptiverx.com/web/json?key=8F02B26A288102C27BAC82D14C006C6FC54D480F80409B683776EC592BD4A9DE
MT 2021 Plans:Ā https://uhealthplan.utah.edu/individual/json/32225_MT_Plans_2021.json
MT 2022 Plans:Ā https://uhealthplan.utah.edu/individual/json/32225_MT_Plans_2022json
MT 2023 Plans:Ā https://uhealthplan.utah.edu/individual/json/32225_MT_Plans_2023.json