University of Utah Health Plans
University of Utah Health Plans is a payer organization operating in Idaho, Montana, Nevada, and 2 more states. For an ASC, what matters isn't the logo. It's how University of Utah Health Plans pays: where it runs rich, where it runs thin, and how its reimbursement compares with peer plans for the same procedures.
Pilot Analysis
Get the complete University of Utah Health Plans analysis
Tell us where to send it. Our team will prepare an analysis of University of Utah Health Plans covering rates by code, market position, and underpaid areas, and email it to you within 5-10 business days. Need it faster? Book a demo.
What Insights reveals
How University of Utah Health Plans pays
See how University of Utah Health Plans reimburses across procedures and markets, benchmarked against the peer plans competing for the same cases. Not a raw rate sheet, a read on where it sits.
Geographic footprint
University of Utah Health Plans's presence spans Idaho, Montana, Nevada, and 2 more states. See where it concentrates and how that shapes the markets you compete in.
Peer position
Put your own position next to the benchmark for University of Utah Health Plans and bring the gap to your next contract conversation.
Specialty mix
Understand which procedures and specialties drive University of Utah Health Plans's volume, so you know where a rate change moves the needle.
Whether you're an ASC benchmarking a contract or a provider team looking University of Utah Health Plans up, DataLily AI maps how it reimburses across procedures and markets, and where your own rates sit against the peer benchmark.
Reference
Working with University of Utah Health Plans
- Payer ID
- SX155 is the EDI identifier used to route electronic eligibility checks (270/271), claim-status inquiries (276/277), and claims to University of Utah Health Plans through a clearinghouse.
- Eligibility verification
- Coverage and benefits for University of Utah Health Plans members are verified before the date of service, through a clearinghouse using payer ID SX155or through the payer's provider portal.
- Prior authorization
- Requirements are set per plan and per procedure. Confirm whether an authorization is required with University of Utah Health Plans directly before the date of service.
Book a demo: pick a time
A 15-minute walkthrough of University of Utah Health Plans the way it pays.
- What is University of Utah Health Plans's payer ID?
- University of Utah Health Plans's electronic payer ID is SX155. ASC billing teams use it to route eligibility checks (270/271), claim-status inquiries (276/277), and electronic claims to University of Utah Health Plans through a clearinghouse.
- How do ASCs verify eligibility for University of Utah Health Plans members?
- Eligibility and benefits for University of Utah Health Plans members are verified before the date of service, either electronically through a clearinghouse (a 270/271 transaction using payer ID SX155) or through the payer's provider portal.
- Does University of Utah Health Plans require prior authorization for ASC procedures?
- Prior-authorization requirements for University of Utah Health Plans are set per plan and per procedure. Confirm whether an authorization is required with University of Utah Health Plans directly before the date of service.
- What type of payer is University of Utah Health Plans?
- University of Utah Health Plans is a payer organization operating in Idaho, Montana, Nevada, and 2 more states.
- How does University of Utah Health Plans compare with other payers for ASC procedures?
- Ask Rose and you get a plain-language read on where University of Utah Health Plans pays above or below peer plans for your top procedures, charted, and ending in a recommendation you can take into a contract conversation.
- Is University of Utah Health Plans paying my ASC below market?
- Put your own University of Utah Health Plans contract next to the peer benchmark in DataLily AI and you'll see the gap by procedure and market, the fastest way to know whether you're leaving money on the table.