Request a Deseret Mutual Fee Schedule

Only providers contracted directly with Deseret Mutual in Utah and Idaho should request fee schedules. All other contracted providers can call Deseret Mutual Customer Service at 1-800-777-3622 to verify the appropriate provider network to contact for fee schedules.

To receive a Deseret Mutual fee schedule by e-mail, please provide the following information:
Type of provider:  
Indicate your state:  
Provider's Last Name:
(please do not use a Clinic's name) 		 
Provider's First Name and Middle Initial:  
Provider Tax ID:  
Provider NPI:  
Contact Name:  
E-mail Address:  
Confirm E-mail Address:  
Provider/Contact Phone Number:
(including area code) 		 
Comments (if any):

 
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