Provider Credentialing in Utah

Utah's healthcare market is anchored by the Salt Lake City metro area, home to Intermountain Health (one of the nation's most recognized integrated health systems) and University of Utah Health. Intermountain Health operates its own health plan — SelectHealth — which has dominant market share in Utah and is the highest-priority credentialing target for most Utah providers. Not being in-network with SelectHealth significantly limits patient access in the Wasatch Front.

SelectHealth is an Intermountain subsidiary offering commercial, Medicare Advantage, and Medicaid products. Credentialing with SelectHealth as a payer is separate from any clinical relationship with Intermountain facilities. Regence BlueCross BlueShield of Utah and PEHP (Public Employees Health Program, which covers state government employees) are also significant Utah payers.

Utah Medicaid expanded to full coverage in 2020, bringing additional managed care enrollment through plans including SelectHealth Community Care, Molina Healthcare of Utah, and University of Utah Health Plans Healthy U. Each managed care plan requires separate credentialing.

Arctic Health helps Utah providers credential with SelectHealth (the dominant priority), all Utah Medicaid managed care plans, and commercial carriers, understanding that the Intermountain-dominated market requires specific expertise in their network management processes.