PRISM Provider Account Administrator Lookup
If your provider/facility is not listed, or if the administrator is no longer with your organization, please complete the user access request form opens in a new tab and email it to providerenroll@utah.gov.
Otherwise, please complete the user access request form opens in a new tab in the link below and send it to your administrator.
When completing the user access request form, you will need to specify which profile(s) you want for PRISM. Use the following table to determine which profile(s) you need.
Function | Profile | Area |
Modify provider information, submit new enrollment, and disenrollment requests. | EXT Provider Credentialing Specialist | Provider Enrollment |
Add or modify EDI information including submission method, contact, and trading partner. User can submit changes to DOH. | EXT Provider EDI Team | Provider Enrollment |
View only access, cannot make modifications. | EXT Provider View Only | Provider Enrollment |
View, upload and submit files to DOH. | EXT Provider Upload Files | Provider Enrollment |
View HIPAA Response/Acknowledgements and upload HIPAA files. View TPN Information. | EXT EDI Analyst | Provider Enrollment |
Submit claims | Claims Submitter - Provider | Claims |
Inquire on claims, including pharmacy claims. | Claims Inqury - Provider | Claims |
Submit claims, inquire on claims including pharmacy claims, and adjust/void claims. | Claims Processor - Provider | Claims |
Create a PA or modify a PA that is not in a final status. | EXT PA Provider Access | Prior Authorization |
Create a PA or modify a PA that is not in a final status. Create an Admission Record for Nursing Facility and Hospice. | EXT Admission/PA Provider Access | Prior Authorization |
Member eligibility inquiry | EXT Member Provider Access | Member Eligibility |
Create TPL lead, View member TPL information | EXT TPL Provider Access | TPL |
Access EHR incentive information link and the eMIPP system to update/submit eligibility, appeals, audits and payment information. | Provider EHR Incentive Specialist | EHR |
Complete new provider enrollment or validate converted provider data. Approve any new users for the Provider’s domain. Management for the organization, including uploading scanned user agreements, assigning user profiles and managing/terminating user access. Profile does not have access to EHR Incentives. | EXT Provider Account Administrator | Security |
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