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.

Please provide the following information to receive a Deseret Mutual fee schedule...
Type of provider:	MedicalDental
Indicate your state:	UtahIdaho
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)
Fee Schedule delivery method:	E-mailFAX
FAX Number: (required for FAX delivery of Fee Schedule)

The fee schedule you receive will be based on codes from claims you’ve submitted in the last 18 months. It may also be supplemented with up to 200 codes typically billed by other providers in your specialty.