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Provider Relations

doctor high-fiving young patient

Provider Relations

Provider Relations Contact Information

HCU Provider Relations Territory Map

Provider Relations (Office)

  • Escalated provider issues
  • Provider contracting questions
  • Hospice Services
  • Claims concerns not addressed by Customer Service

Network Services Representative Map 
providers@healthchoiceutah.com 
Fax: 801-646-7207

Provider Network Service Representatives

Amy Prince - Territory Map

Amy Prince

Provider Network Service Representative


Primary contact for contracting, demographic updates, credentialing, and claim concerns for providers and hospitals in: Carbon, Emery, Grand, Salt Lake, and San Juan Counties.


Network Services Representative Map

Primary contact throughout Utah for:
  • Intermountain Healthcare
  • Home Health Agencies
  • Hospice Services
  • Personal Care Agencies

Kayanne Malin - Territory Map

Kayanne Malin

Provider Network Service Representative


Primary contact for contracting, demographic updates, credentialing, and claim concerns for providers and hospitals in: Beaver, Garfield, Iron, Juab, Kane, Millard, Piute, Sanpete, Sevier, Utah, Washington, and Wayne Counties.

Network Services Representative Map

Primary contact throughout Utah for:
  • HCA MountainStar Hospitals and Physicians
  • Holy Cross Hospitals and Physicians
  • Durable Medical Equipment Companies
  • Laboratory Services

Lisa DeKarver - Territory Map

Lisa DeKarver

Provider Network Service Representative


Primary contact for contracting, demographic updates, credentialing, and claim concerns for providers and hospitals in: Box Elder, Daggett, Davis, Duchesne, Rich, Morgan, Summit, Tooele, Uintah, Wasatch, and Weber Counties.

Network Services Representative Map

Primary contact throughout Utah for:
  • University of Utah Hospitals and Clinics
  • Skilled Nursing Facilities
  • Long-Term Acute Care Hospitals
  • Dialysis Centers

Provider Information Update Form

Please include any associated provider(s) and NPI(s) number(s) that we need to have listed under the change. If needed, attach a provider roster, W-9, or other necessary documentation below. This information is required to complete this request.

Anything with a * next to it is a required field.

CONTACT INFORMATION

EXISTING ADDRESS
EXISTING BILLING ADDRESS

PRACTICE INFORMATION

* ASSOCIATED PROVIDER: (IF MULTIPLE PROVIDERS, ATTACH INFORMATION AS A SPREADSHEET OR OTHER FORM OF ROSTER BEFORE SUBMITTING THIS FORM.)

NEW PRACTICE ADDRESS
(PICK ALL THAT APPLY)

Website URL: By providing the URL to your clinic website, you give Health Choice Utah permission to publish a link to your site in our provider directories. Health Choice Utah assumes no responsibility or liability for the information displayed on your site.

NEW BILLING ADDRESS