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To obtain your login access code

visit https://uhealthplan.utah.edu/for-providers/link/

Join Our Network

As a nonprofit, member-owned health insurance co-op, we’re all about making health insurance less costly for everyone, including the low-income segment of our population. We believe Idaho's doctors and hospitals should be fairly compensated for the work they perform. Unique plans offering members a select network of providers committed to maintaining affordability by emphasizing preventative healthcare.

Connected Preventive Care Coverage

Unique plans offering members significant cost savings combined with a select network of providers committed to maintaining affordability by emphasizing preventative healthcare. Accepted by doctors and hospitals across the state. Limited provider choices in Billings and Missoula.

Access  Preventive Care Coverage

Preferred Provider Organization (PPO) plans Accepted by doctors and hospitals across the state. Limited provider choices in Billings and Missoula.

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Claims

Claims Submission

Claims should be submitted through the Utah Health Information Network (UHIN). Visit the website for more information.

Receiving Funds From MHC

We must have a W-9 on file before we can make any payments to you. You can fax your W-9 form to 406-447-5799. If we do not have a direct deposit set up for your group, we will send a paper check.

Policies
Prior Authorization and Processes

Preauthorizations and Appeals

Preauthorization

For patient eligibility and benefits, please call 1-844-262-1560

For prior authorizations for medical services, please call 1-801-587-2851

For prior authorizations for prescription drugs, please call 1-866-236-5976

For questions about appeals, call 1-844-262-1560

Please fax inpatient notifications to 1-801-262-0103

Please fax outpatient prior authorization requests to 1-801-213-1358

Newsletters

Winter 2019

March 11, 2020 at 6:00:00 AM

Our winter newsletter is a bit late, but still full of great information. We've got future editions scheduled so you won't miss anything important. We even have a new team member to make sure the spring edition is out soon.

Fall 2019

You've asked. We listened. We have a new website! The initial website overhaul has been made but we still want your input. What do you like? What would make it easier to use? Let us know. We are...

Summer 2019

Having trouble with MRI Prior authorization denials?
General MRI criteria can be found on the MHC website, www.mhc.coop. Most musculoskeletal MRI’s require evidence of failure of a trial of conservative therapy. This includes a three-week trial of prescription...

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Montana Health CO-OP does not discriminate on the basis of race, color, national origin, disability, age, sex, gender, sexual orientation, or health status in the administration of the plan, including enrollment and benefit determinations.

 

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