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Medicaid Utah

With this payer, your practice can submit professional and institutional claims, check claim status, verify eligibility and benefits, and receive ERAs electronically after completing payer enrollment. Dental claims, EFT, combined ERA/EFT, coordination-of-benefits transactions, and attachments are not available through this electronic setup, so plan those workflows separately.

Primary payer ID10648
Directory IDNLWNP
States1

Supported Electronic Transactions

TransactionStatus
Eligibility & benefits (270/271)Enrollment required
Claim status (276/277)Enrollment required
Professional claims (837P)Enrollment required
Institutional claims (837I)Enrollment required
Dental claims (837D)Not supported
Electronic remittance (ERA 835)Enrollment required
Electronic funds transfer (EFT)Not supported
ERA + EFT combinedNot supported
Coordination of benefits (271)Not supported
Attachments (275)Not supported

Other payer IDs and names

Coverage states

Utah.

Enrollment requirements

Workflow Notes

Common questions

Can I submit professional and institutional claims electronically to this payer?

Yes. Professional claims use 837P and institutional claims use 837I, both after completing payer enrollment; dental 837D claims are not available.

Can I check claim status and eligibility electronically?

Yes, claim status through 276/277 and eligibility and benefits through 270/271 are available after enrollment. The separate coordination-of-benefits transaction listed for this payer is not available.

Does this payer support electronic remittance and EFT?

ERA 835 is available after payer enrollment. EFT and the combined ERA plus EFT option are not available through this setup.

Can I send attachments electronically with claims?

No. Electronic attachments using 275 are not available, so use the payer's separate approved process for supporting documentation.

Run this payer inside Hero EMR

Hero EMR submits claims, checks eligibility, and posts remittances automatically for the payers it connects to. The first physician is free.

See a demo

Payer connectivity data last synced 2026-05-26. Compiled by Hero EMR from its clearinghouse network, which is built on the Stedi public payer network. Support status can change; confirm during onboarding. Back to the payer directory.