Provider Services

2018 Utah and Idaho Physician Fee Schedule Updates are available through the "Fee Schedule" request that is located in the Services menu above
Provider applications will not be accepted through 2018, as we have determined that our current provider panel is sufficient to meet the needs of our members. We'll update this information when we reopen our panel
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DMBA to close early on Friday, December 7
Thursday, December 06, 2018

DMBA’s IT department will be upgrading our server power systems beginning Friday, December 7. Because of this, our office will close at 3:30 p.m. that day. Also, our website will not be accessible until our office reopens for business on Monday, December 10 at 8 a.m. We apologize for any inconvenience this may cause you.

New Automated Preauthorization Request Form
Tuesday, September 11, 2018

DMBA is pleased to announce a new automated Provider Preauthorization Request form. By using this tool, your preauthorization request will be processed promptly and efficiently. And you’ll have the convenience of submitting any supporting documentation online, as well. If you have questions about this information, please call Member Services at 801-578-5600 in the Salt Lake City area or toll free at 800-777-3622.

When billing unclassified drug codes (for example, J3490, J3590, J7199, J7599, etc.), the National Drug Code (NDC) is also required to identify the specific drug administered to the participant. DMBA uses NDC information to determine whether the drug meets the eligibility requirements of the participant’s medical plan. Beginning September 1, 2018, DMBA will deny charges for unclassified drug codes that are billed without the NDC, and the claim will need to be resubmitted with the NDC to be considered for payment. To avoid claim denials, please make sure that unclassified drugs codes...

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It’s time to register for the 2018 Provider Education Summit (formerly the Provider Education Fairs). This free workshop is a collaboration between multiple healthcare organizations. We’ll feature a wide range of engaging subjects, including the ever popular payer panel. Last year’s events attracted more than 350 attendees, including billers, coders, and office managers from across the state. The events will be held in four locations—Salt Lake City, Ogden, Provo, and St. George—to offer providers from all areas of Utah the opportunity...

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Warm Holiday Wishes!
Wednesday, December 13, 2017

As 2017 draws to a close, DMBA wishes you a joyous holiday season and a happy and prosperous new year. We appreciate all you do!