Utah Dental

Medicaid of Utah
  • Direct Link
  • Payer ID UTMCD
    To enroll Providers with Medicaid of Utah go to http://mmcs.health.utah.gov/hcfenroll/index.jsp enter providers Medicaid ID number, fill out Medicaid of Utah enrollment form and click submit. Provider is instantly set up to send Medicaid claims through Apex.
BCBS of Utah
  • Direct Link
  • Payer ID UTBCS
  • This payer takes anywhere from 1-21 days to send an email approval
  • Send enrollment e-mail through Claimstaker Plus- Provider Tab, Enrollment Info

BCBS Enrollment Form

EMIA of Utah
  • Direct Link
  • Payer ID UTEMI
  • This payer takes anywhere from 1-21 days to send an email approval
  • Send enrollment e-mail through Claimstaker Plus- Provider Tab, Enrollment Info
PEHP of Utah
  • Direct Link
  • Payer ID UTPHP
  • This payer takes anywhere from 1-21 days to send an email approval
  • Send enrollment e-mail through Claimstaker Plus- Provider Tab, Enrollment Info
Select Health of Utah (formerly known as IHC)
  • Direct Link
  • Payer ID UTIHD
  • This payer takes anywhere from 1-21 days to send an email approval
  • Send enrollment e-mail through Claimstaker Plus- Provider Tab, Enrollment Info
DMBA of Utah
  • Direct Link
  • Payer ID UTDMB
  • This payer takes anywhere from 1-21 days to send an email approval
  • Send enrollment e-mail through Claimstaker Plus- Provider Tab, Enrollment Info

 
National Payers Requiring Enrollment

UCCI
  • Direct Link
  • Payer ID – 89070 and 54771
  • If the office does not have a provider ID:
    • The office needs to call UCCI at (800) 633-5430, option 3, and let UCCI know that they will be submitting claims through Apex EDI.   Be sure to have them acknowledge every provider in the office that submits claims to UCCI.
  • If the office knows their provider ID you can submit the online form for them:
  • To Enroll for ERA’s:

Other National Payers Enrollment Forms