Track practice enrollment, network contracts and provider-directory changes through the correct administrative team.
provider enrollment credentialing
Bureau of Medicaid Operations — Provider Enrollment mailing address
Official page read
Phone
No phone listed for this route
Published hours
Not published in this record
Product, plan and location
medicaid Utah
Mailing addressPROVIDER ENROLLMENT
Bureau of Medicaid Operations
P.O. Box 143106
Salt Lake City, UT 84114-3106
Confirm purpose before mailing
From the Utah Medicaid provider enrollment packet. The packet's fax number was not added because a newer fax list could not be verified (site returns access denied to automated fetches). Phone help: Medicaid Information line.
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Call preparation · editorial guide
Make the call count.
Track practice enrollment, network contracts and provider-directory changes through the correct administrative team.
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Individual and group NPIs
Application reference, location and requested network
Submission dates and outstanding checklist
Questions to resolve
Was the application accepted as complete?
Are contracting and credentialing at different stages?
What effective date is confirmed in writing?
This is a general administrative checklist, not payer policy or advice about a particular patient. Confirm the current plan instructions.
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