Welcome to the UHIN Payer List

This list contains the names of each Payer connected to UHIN, as well as contact information and the types of transactions each Payer supports. UHIN also offers a printable version of the UHIN Payer List.

The table below lists the current payer contact information and transaction status.  To acquire the Trading Partner Number, you will need to enroll with the payer.  They will review any special testing requirements with you at that time.

LOB or Line of Business Codes:  I = Institutional; P=Professional; D=Dental; COB=Coordination of Benefits

277FE=Claim Acknowledgement 835=Remittance Advice; 270/271=Eligibility Request/Response; EFT=Electronic Funds Transfer

 

 

Payer/

Clearinghouse

Primary Payer ID 5-Digit Payer ID Contact Telephone/email LOB 277FE 835 270/271 EFT

Allied Health Systems

HT001439-001 U1439 (801) 352-7270 x241 P Yes      
Altius HT000170-003 U0170

Test/Setup: (314) 506-1459 or

Production Support: (800) 743-3901 x1459

EBI: ediproductionsupport@cvty.com

 I,P,COB  Yes  Yes   Yes

Chiropractic Health Plans (CHP)

HT001439-001 U1439 (801) 352-7270 x241 P Yes      
Dental Select HT006329-001 CX093

(800) 999-9789 or

www.dentalselect.com/providers/edi

D Yes Yes   Yes
DMBA HT000006-001 SX105

edienrollment@dmba.com

(800) 777-3622, Option 1,3,4

I,P,COB Yes Yes

 Real-time &

 Batch

 
DMBA HT000006-001  

edienrollment@dmba.com

(800) 777-3622, Option 1,3,4
D,COB Yes      

EMI Health

HT000214-001 SX110 (859) 626-3115 I,P Yes Yes  Batch  

EMI Health

HT000214-001 SX110 (859) 626-3115 D Yes Yes    

EMI Health Med Advantage

HT000214-003 U21743 (570) 344-9237 x6000 I,P   Yes    

Everest Administrators

HT006004-001 UEVER

(801) 853-1700

No Enrollment Needed

I,P Yes      

Everest Administrators

HT006004-001 UEVER

(801) 853-1700

No Enrollment Needed

D Yes      

FEP Regence

Federal Program 4010

HT000001-011 12B1E

(800)713-1693

edisupport@regence.com

I,COB   Yes

 Real-time & 

 Batch

Yes

FEP Regence

Federal Program 4010

HT000001-012 BS188

(800) 713-1693

edisupport@regence.com

P,COB   Yes

 Real-time & 

 Batch

Yes

FEP Regence

Federal Program 4010

HT000001-015 CUBTF

(800) 713-1693

edisupport@regence.com

D,COB   Yes  

 Real-time & 

 Batch

Yes
Medicaid FFS HT000004-001 SKUT0

(800) 662-9651

(801) 538-6155, Option 3, 5

I,P Yes Yes  Batch Yes
Medicaid MCO HT000004-002 U4002

(800) 662-9651

(801) 538-6155, Option 3, 5

I,P Yes Yes  Batch Yes
Medicaid DVP HT000004-003 U4003

(800) 662-9651

(801) 538-6155, Option 3, 5

I,P Yes Yes  Batch Yes
Medicaid Crossovers HT000004-005 U4005

(800) 662-9651

(801) 538-6155, Option 3, 5

I,P Yes Yes  Batch Yes
Medicaid Dept of HS HT000004-006 U4006

(800) 662-9651

(801) 538-6155, Option 3, 5

I,P Yes Yes  Batch Yes
Medicaid BUR OP HT000004-007 U4007

(800) 662-9651

(801) 538-6155, Option 3, 5

I,P Yes Yes  Batch Yes
Medicaid Atypical HT000004-801 U4801

(800) 662-9651

(801) 538-6155, Option 3, 5

I,P Yes Yes  Batch Yes
Medicaid IHS RESUB HT000004-802 U4802

(800) 662-9651

(801) 538-6155, Option 3, 5

I,P Yes Yes  Batch Yes
Medicaid IHS RMB HT000004-803 U4803

(800) 662-9651

(801) 538-6155, Option 3, 5

I,P Yes Yes  Batch Yes

Medicare A-Noridian

HT000011-001 03501 (800) 967-7902 I   Yes    

Medicare A-Noridian

HT000011-001 03501 (800) 967-7902 COB   Yes     

Medicare B-Noridian

HT000012-001 03502 (800) 967-7902 P   Yes     

Medicare B-Noridian

HT000012-001 03502 (800) 967-7902 COB   Yes     

Molina HealthCare of

Utah

HT001363-001 SX109

(866) 409-2935 or

www.molinahealthcare.com/edi/getting-started.html

I,P

COB

Yes Yes  Batch Yes
PEHP HT000158-001 SX106 (801) 366-7544 I,P Yes Ye

 Real-time &

 Batch

Yes
PEHP HT000158-001 SX106 (801) 366-7544 D Yes Yes

 Real-time &

 Batch

Yes
PEHP HT000158-001 SX106 (801) 366-7544 COB Yes Ye

 Real-time &

 Batch

Yes

Regence

BlueCross Blue Shield 5010

HT000001-100 U1100

(800) 713-1693

edisupport@regence.com

All Yes Yes

 Real-time &

 Batch

Yes

Regence

BlueCross Blue Shield 4010

 
HT000001-001 12842

(800) 713-1693

edisupport@regence.com

I Yes Yes

 Real-time &

 Batch

Yes

Regence

BlueCross Blue Shield 4010

HT000001-002 SB910

(800) 713-1693

edisupport@regence.com

P Yes Yes

 Real-time &

 Batch

Yes

Regence

BlueCross Blue Shield 4010

HT000001-005 CBUT1

(800) 713-1693

edisupport@regence.com

D Yes Yes

 Real-time &

 Batch

Yes
SelectHealth HT000015-001 SX107

(801) 442-5442

edi@selecthealth.org

I,P Yes Yes

 Real-time &

 Batch

Yes
SelectHealth HT000015-001 SX107

(801) 442-5442

edi@selecthealth.org

D Yes  

 Real-time &

 Batch

Yes

State Farm Medical

HT005054-001 31059 (877) 693-3071 I,P Yes Yes  Real-time  

State Farm Medical 

HT005054-001   (877) 693-3071 D Yes Yes  Real-time  

State Farm Medical 

HT005054-001 31059 (877) 693-3071 COB Yes Yes  Real-time  

State Farm Property & Casualty

HT005054-001 31059 (877) 693-3071 I,P Yes      

Tall Tree

HT005000-001 88067 (801) 938-1125 I,P Yes      

Tall Tree

HT005000-001 88067 (801) 938-1125 D Yes      
U of U Health Plans HT000179-002 SX155

(801)587-6426

(801)587-8915

I,P Yes Yes  See Medicaid Yes
U of U Health Plans HT000179-002 SX155

(801)587-6426

(801)587-8915

COB Yes Yes  See Medicaid Yes
Union Pacific Railroad Employes Health Systems HT006844-001  U6844

(801)595-4383

helpdesk@uphealth.com

I,P Yes      
Union Pacific Railroad Employes Health Systems HT006844-001  U6844

(801)595-4383

helpdesk@uphealth.com

COB Yes      
Valley Mental Health HT001700-001 UVMH1

(801)273-6311

(801)273-6319

I,P Yes Yes  See Medicaid  
Valley Mental Health HT001700-001 UVMH1

(801) 273-6311

(801) 273-6319

COB Yes Yes  See Medicaid