PRISM Provider Training
To help providers with the system changes, new eLearning courses are available below
Provider eLearnings by Process and Steps
This section of eLearnings is organized in a sequential step by step arrangement
Overviews
- Initiating a New PA Request by a Provider: Overview opens in a new tab
- Prior Authorization Generation Process: Overview opens in a new tab
- Performing Prior Authorization opens in a new tab
- Inquiries opens in a new tab
- How to Enter a General Prior Authorization in PRISM (Video Demo) opens in a new tab
Initiating a New PA Request by a Provider
- Adding PA Basic Information opens in a new tab
- Adding Beneficiary Information opens in a new tab
- Adding Provider Information opens in a new tab
- Adding Diagnosis Information opens in a new tab
- Adding Procedure Information opens in a new tab
- Uploading Documents opens in a new tab
- Adding Supplemental Information opens in a new tab
- Submitting a Prior Authorization Request opens in a new tab
Overviews and Introductions
- Introduction to Claims and Encounters opens in a new tab
- Claims and Encounters Inquiry: An Overview opens in a new tab
- Claim Types: An Overview opens in a new tab
- Entities Involved in Claims and Encounters: An Overview opens in a new tab
- Introduction to Claims Adjustments opens in a new tab
Direct Data Entry Claims Online
- Understanding Submission Channels in Claims and Encounters opens in a new tab
- Understanding the Different Sections of a DDE Claim Form opens in a new tab
- Creating a Professional DDE Claim opens in a new tab
- Creating an Institutional DDE Claim opens in a new tab
- Creating a Dental DDE Claim opens in a new tab
- Creating a DDE Claim Based on a Template opens in a new tab
- Modifying the Information on a DDE Claim Template opens in a new tab
Generating Acknowledgement
Managing Claims Adjustments by a Provider
- Adjusting Professional Claim Information by a Provider opens in a new tab
- Adjusting Ambulance Information by a Provider opens in a new tab
- Adjusting Provider Service Facility Location Information on a Professional Claim by a Provider opens in a new tab
- Adjusting Diagnosis Code List by a Provider opens in a new tab
- Adjusting Other Payer Information by a Provider opens in a new tab
- Adjusting Patient Code List by a Provider opens in a new tab
- Adjusting Patient Vision Condition Information by a Provider opens in a new tab
- Adjusting Related Causes Information by a Provider opens in a new tab
- Adjusting Relevant Dates by a Provider opens in a new tab
- Adjusting Service Line Drug Information by a Provider opens in a new tab
- Adjusting Spinal Manipulation Information by a Provider opens in a new tab
- Adjusting Institutional Claim Information by a Provider opens in a new tab
- Adjusting Dental Claim Information by a Provider opens in a new tab
Accessing Claims Information by a Provider
- Viewing Claims Information by a Provider opens in a new tab
- Viewing Pharmacy Claims Header Information by a Managed Care Organization opens in a new tab
- Viewing Ambulance Information by a Provider opens in a new tab
- Viewing Attachments by a Provider opens in a new tab
- Viewing Codes List by a Provider opens in a new tab
- Viewing Cutbacks by a Provider opens in a new tab
- Viewing Diagnosis Codes by a Provider opens in a new tab
- Viewing Claim Enhancement Amounts by a Provider opens in a new tab
- Viewing Claim Notes by a Provider opens in a new tab
- Viewing the Other Payer Information by a Provider opens in a new tab
- Viewing Patient Vision Condition by a Provider opens in a new tab
- Viewing Patient Code Lists by a Provider opens in a new tab
- Viewing Related Causes by a Provider opens in a new tab
- Viewing Relevant Dates by a Provider opens in a new tab
- Viewing Service Line Drug Information by a Provider opens in a new tab
- Viewing Situational Information by a Provider opens in a new tab
- Viewing Servicing Facility Locations by a Provider opens in a new tab
- Viewing Spinal Manipulation Information by a Provider opens in a new tab
- Viewing the Claim Spenddown List by a Provider opens in a new tab
Balance Billing
Aging Waiver
- Entering an Application for the Aging Waiver Program as a Provider opens in a new tab
- Processing an Aging Waiver Initial Enrollment for a Provider opens in a new tab
- Processing an Aging Waiver Annual Review for a Provider opens in a new tab
- Processing Substantial Changes in Health Status for a Provider opens in a new tab
- Processing a Care Plan Amendment for a Provider opens in a new tab
- Processing a Disenrollment for a Provider opens in a new tab
- Processing Inpatient Admission for a Provider opens in a new tab
- Processing Incident Report for a Provider opens in a new tab
- Processing Agency Transfer for a Provider opens in a new tab
- Supporting Comprehensive Care Plan for a Provider opens in a new tab
EPAS
- EPAS: An Overview opens in a new tab
- Entering an Application for Employment related Personal Assistant Services (EPAS) opens in a new tab
- Employment-related Personal Assistant Services Initial Enrollment for a Provider opens in a new tab
- Employment-related Personal Assistant Services - Annual Review for a Provider opens in a new tab
- Employment-related Personal Assistant Services - Substantial Change in Health Status for a Provider opens in a new tab
- Employment-related Personal Assistant Services - Care Plan Amendment for a Provider opens in a new tab
- Employment-related Personal Assistant Services - Disenrollment for a Provider opens in a new tab
- Employment-related Personal Assistant Services – Supporting Information - Comprehensive Care Plan for a Provider opens in a new tab
New Choices Waiver
- New Choices Waiver: An Overview opens in a new tab
- New Choices Waiver Initial Enrollment for a Provider opens in a new tab
- Processing Initial Enrollment for New Choices Waivers for a Provider opens in a new tab
- New Choices Waiver Annual Review by a Provider opens in a new tab
- New Choices Waiver – Care Amendment Plan for a Provider opens in a new tab
- New Choices Waiver - Inpatient Admission for a Provider opens in a new tab
- New Choices Waiver - Incident Report for a Provider opens in a new tab
- New Choices Waiver - Disenrollment Request for a Provider opens in a new tab
- New Choices Waiver - Return to Community from Inpatient for a Provider opens in a new tab
- New Choices Waiver - Change in Living Arrangement for a Provider opens in a new tab
- New Choices Waiver - Agency Transfer for a Provider opens in a new tab
- New Choices Waiver - Substantial Change in Health Status for a Provider opens in a new tab
- New Choices Waiver – Adding Supporting Information in a Comprehensive Care Plan for a Provider opens in a new tab
Technology Dependent Waiver
Checking Status of an Application
- Frequently Asked Questions About Utah IDs opens in a new tab
- Introduction and Overviews to PRISM for Providers (7 minutes) opens in a new tab
- Logging Notes for Local Health Departments opens in a new tab
- PRISM Account Access One Time Validation Letter (Validating Converted Medicaid Provider Information) (4 minutes) opens in a new tab
- Provider Account Admin: Managing a Provider Domain (8 minutes) opens in a new tab
- Viewing Archived Documents (2 minutes) opens in a new tab
- Viewing Medicaid Code and Rate Information: Provider opens in a new tab
Enrolling as an Individual Sole Proprietor Provider (1 hour 36 minutes)
- Overview: Enrolling as an Individual/Sole Proprietor Provider (7 minutes) opens in a new tab
- Add Basic Information (11 minutes) opens in a new tab
- Add Locations (11 minutes) opens in a new tab
- Add Specialties (5 minutes) opens in a new tab
- Add Provider Controlling Interest/Ownership Details (10 minutes) opens in a new tab
- Add License and Certifications (5 minutes) opens in a new tab
- Add Taxonomy Details (4 minutes) opens in a new tab
- Add Additional Information (5 minutes) opens in a new tab
- Add Mode of Claim Submission (6 minutes) opens in a new tab
- Associate Billing Agent (7 minutes) opens in a new tab
- Associate Billing Provider (4 minutes) opens in a new tab
- Associate MCO Plan (3 minutes) opens in a new tab
- Add Payment Details (3 minutes) opens in a new tab
- Complete Enrollment Checklist (4 minutes) opens in a new tab
- Upload Documents (4 minutes) opens in a new tab
- Submit Enrollment Application (2 minutes) opens in a new tab
Enrolling as an Individual Rendering Servicing Provider (1 hour)
- Overview: Enrolling as an Individual Rendering/Servicing Provider (7 minutes) opens in a new tab
- Provider Basic Information (7 minutes) opens in a new tab
- Add Specialties (5 minutes) opens in a new tab
- Add Provider Controlling Interest/Ownership Details (10 minutes) opens in a new tab
- Add License and Certifications (5 minutes) opens in a new tab
- Add Taxonomy Details (4 minutes) opens in a new tab
- Add Additional Information (5 minutes) opens in a new tab
- Associate Billing Provider (4 minutes) opens in a new tab
- Associate MCO Plan (3 minutes) opens in a new tab
- Complete Enrollment Checklist (4 minutes) opens in a new tab
- Upload Documents (4 minutes) opens in a new tab
- Submit Enrollment Application (2 minutes) opens in a new tab
Enrolling as an Atypical Individual Provider (1 hour and 29 minutes)
- Overview: Enrolling as an Atypical Individual Provider (7 minutes) opens in a new tab
- Add Basic Information (5 minutes) opens in a new tab
- Add Locations (10 minutes) opens in a new tab
- Add Specialties (4 minutes) opens in a new tab
- Add Provider Controlling Interest/Ownership Details (10 minutes) opens in a new tab
- Add License and Certifications (4 minutes) opens in a new tab
- Add Taxonomy Details (4 minutes) opens in a new tab
- Add Additional Information (5 minutes) opens in a new tab
- Add Mode of Claim Submission (6 minutes) opens in a new tab
- Associate Billing Agent (7 minutes) opens in a new tab
- Associate Billing Provider (4 minutes) opens in a new tab
- Associate MCO Plan (3 minutes) opens in a new tab
- 835/ERA Enrollment Form (5 minutes) opens in a new tab
- Add Payment Details (3 minutes) opens in a new tab
- Complete Enrollment Checklist (4 minutes) opens in a new tab
- Upload Documents (4 minutes) opens in a new tab
- Submit Enrollment Application (2 minutes) opens in a new tab
Enrolling as an Atypical Agency (1 hour and 27 minutes)
- Overview: Enrolling as an Atypical Agency Provider (6 minutes) opens in a new tab
- Add Basic Information (5 minutes) opens in a new tab
- Add Locations (9 minutes) opens in a new tab
- Add Provider Controlling Interest/Ownership Details (10 minutes) opens in a new tab
- Add License and Certifications (4 minutes) opens in a new tab
- Add Taxonomy Details (4 minutes) opens in a new tab
- Add Additional Information (5 minutes) opens in a new tab
- Add Mode of Claim Submission (6 minutes) opens in a new tab
- Associate Billing Agent (7 minutes) opens in a new tab
- Associate Billing Provider (4 minutes) opens in a new tab
- Associate MCO Plan (3 minutes) opens in a new tab
- 835/ERA Enrollment Form (5 minutes) opens in a new tab
- Add Payment Details (3 minutes) opens in a new tab
- Complete Enrollment Checklist (4 minutes) opens in a new tab
- Upload Documents (4 minutes) opens in a new tab
- Submit Enrollment Application (2 minutes) opens in a new tab
Enrolling as a Group Practice Provider (1 hour and 26 minutes)
- Overview: Enrolling as a Group Practice Provider (7 minutes) opens in a new tab
- Add Basic Information (4 minutes) opens in a new tab
- Add Locations (11 minutes) opens in a new tab
- Add Specialties (5 minutes) opens in a new tab
- Add Provider Controlling Interest/Ownership Details (10 minutes) opens in a new tab
- Add License and Certifications (4 minutes) opens in a new tab
- Add Taxonomy Details (4 minutes) opens in a new tab
- Add Additional Information (5 minutes) opens in a new tab
- Add Mode of Claim Submission (6 minutes) opens in a new tab
- Associate Billing Agent (7 minutes) opens in a new tab
- Associate Billing Provider (4 minutes) opens in a new tab
- Associate MCO Plan (3 minutes) opens in a new tab
- 835/ERA Enrollment Form (5 minutes) opens in a new tab
- Add Payment Details (3 minutes) opens in a new tab
- Complete Enrollment Checklist (4 minutes) opens in a new tab
- Upload Documents (4 minutes) opens in a new tab
- Submit Enrollment Application (2 minutes) opens in a new tab
Enrolling as a Facility/Agency/Organization (FAO) (1 hour and 27 minutes)
- Overview: Enrolling as a Facility Agency Organization Provider (7 minutes) opens in a new tab
- Add Basic Information (6 minutes) opens in a new tab
- Add Locations (11 minutes) opens in a new tab
- Add Specialties (5 minutes) opens in a new tab
- Add Provider Controlling Interest/Ownership Details (10 minutes) opens in a new tab
- Add License and Certifications (4 minutes) opens in a new tab
- Add Taxonomy Details (4 minutes) opens in a new tab
- Add Additional Information (5 minutes) opens in a new tab
- Add Mode of Claim Submission (6 minutes) opens in a new tab
- Associate Billing Agent (7 minutes) opens in a new tab
- Associate Billing Provider (4 minutes) opens in a new tab
- Associate MCO Plan (3 minutes) opens in a new tab
- 835/ERA Enrollment Form (5 minutes) opens in a new tab
- Add Payment Details (3 minutes) opens in a new tab
- Complete Enrollment Checklist (3 minutes) opens in a new tab
- Upload Documents (4 minutes) opens in a new tab
- Submit Enrollment Application (2 minutes) opens in a new tab
Enrolling as a Contractor/MCO (1 hour and 3 minutes)
- Overview: Enrolling as a Contractor/MCO (7 minutes) opens in a new tab
- Add Basic Information (5 minutes) opens in a new tab
- Add Locations (10 minutes) opens in a new tab
- Add Provider Controlling Interest/Ownership Details (10 minutes) opens in a new tab
- Add Identifiers (3 minutes) opens in a new tab
- Add Mode of Claim Submission (6 minutes) opens in a new tab
- Associate Billing Agent (7 minutes) opens in a new tab
- Associate MCO Plan (3 minutes) opens in a new tab
- Add Payment Details (3 minutes opens in a new tab
- Complete Enrollment Checklist (4 minutes) opens in a new tab
- Upload Documents (4 minutes) opens in a new tab
- Submit Enrollment Application (2 minutes) opens in a new tab
Enrolling as a Billing Agent (30 minutes)
- Overview: Enrolling as a Billing Agent (7 minutes) opens in a new tab
- Add Basic Information (6 minutes) opens in a new tab
- Add Mode of Claim Submission (4 minutes) opens in a new tab
- Associate Billing Agent (7 minutes) opens in a new tab
- Upload Documents (4 minutes) opens in a new tab
- Submit Enrollment Application (2 minutes) opens in a new tab
Managing the Information of an Individual Sole Proprietor Provider (1 hour and 32 minutes)
- Overview: Managing the Information of an Individual Sole Proprietor Provider (4 minutes) opens in a new tab
- Update Basic Information (7 minutes) opens in a new tab
- Update Locations (8 minutes) opens in a new tab
- Update Specialties (8 minutes) opens in a new tab
- Update Provider Controlling Interest/Ownership Details (6 minutes) opens in a new tab
- Update License and Certifications (6 minutes) opens in a new tab
- Update Taxonomy Details (6 minutes) opens in a new tab
- Update Additional Information (5 minutes) opens in a new tab
- Update Mode of Claim Submission/EDI (6 minutes) opens in a new tab
- Update Billing Agent Association (8 minutes) opens in a new tab
- Update Billing Provider Association (6 minutes) opens in a new tab
- Update MCO Plan Association (2 minutes) opens in a new tab
- Update 835/ERA Enrollment Form (4 minutes) opens in a new tab
- Update Payment Details (4 minutes) opens in a new tab
- Complete Modification Checklist (4 minutes) opens in a new tab
- Upload Documents (5 minutes) opens in a new tab
- Submit Modification Request for Review (3 minutes) opens in a new tab
Managing the Information of an Individual Rendering/Servicing Provider (1 hour)
- Overview: Managing the Information of an Individual Rendering/Servicing Provider (4 minutes) opens in a new tab
- Update Basic Information (6 minutes) opens in a new tab
- Update Specialties (7 minutes) opens in a new tab
- Update Provider Controlling Interest/Ownership Details (6 minutes) opens in a new tab
- Update License and Certifications (6 minutes) opens in a new tab
- Update Taxonomy Details (6 minutes) opens in a new tab
- Update Additional Information (5 minutes) opens in a new tab
- Update Billing Provider Association (6 minutes) opens in a new tab
- Update MCO Plan Association (2 minutes) opens in a new tab
- Complete Modification Checklist (4 minutes) opens in a new tab
- Upload Documents (5 minutes) opens in a new tab
- Submit Modification Request for Review (3 minutes) opens in a new tab
Managing the Information of an Atypical Individual Provider
- Overview: Managing the Information of an Atypical Individual Provider (4 minutes) opens in a new tab
- Update Basic Information (5 minutes) opens in a new tab
- Update Locations (6 minutes) opens in a new tab
- Update Specialties (7 minutes) opens in a new tab
- Update Provider Controlling Interest/Ownership Details (6 minutes) opens in a new tab
- Update License and Certifications (6 minutes) opens in a new tab
- Update Taxonomy Details (6 minutes) opens in a new tab
- Update Additional Information (5 minutes) opens in a new tab
- Update Mode of Claim Submission/EDI (6 minutes) opens in a new tab
- Update Billing Agent Association (8 minutes) opens in a new tab
- Update Billing Provider Association (6 minutes) opens in a new tab
- Update MCO Plan Association (2 minutes) opens in a new tab
- View Servicing Provider Details (2 minutes) opens in a new tab
- Update 835/ERA Enrollment Form (4 minutes) opens in a new tab
- Update Payment Details (4 minutes) opens in a new tab
- Complete Modification Checklist (6 minutes) opens in a new tab
- Upload Documents (5 minutes) opens in a new tab
- Submit Modification Request for Review (3 minutes) opens in a new tab
Managing the Information of an Atypical Agency Provider (1 hour and 29 minutes)
- Overview: Managing the Information of an Atypical Agency Provider (4 minutes) opens in a new tab
- Update Basic Information (5 minutes) opens in a new tab
- Update Locations (6 minutes) opens in a new tab
- Update Specialties (7 minutes) opens in a new tab
- Update Provider Controlling Interest/Ownership Details (6 minutes) opens in a new tab
- Update License and Certifications (6 minutes) opens in a new tab
- Update Taxonomy Details (6 minutes) opens in a new tab
- Update Additional Information (5 minutes) opens in a new tab
- Update Mode of Claim Submission/EDI (6 minutes) opens in a new tab
- Update Billing Agent Association (8 minutes) opens in a new tab
- Update Billing Provider Association (6 minutes) opens in a new tab
- Update MCO Plan Association (2 minutes) opens in a new tab
- View Servicing Provider Details (2 minutes) opens in a new tab
- Update 835/ERA Enrollment Form (4 minutes) opens in a new tab
- Update Payment Details (4 minutes) opens in a new tab
- Complete Modification Checklist (4 minutes) opens in a new tab
- Upload Documents (5 minutes) opens in a new tab
- Submit Modification Request for Review (3 minutes) opens in a new tab
Managing the Information of a Group Practice Provider (1 hour and 26 minutes)
- Overview: Managing the Information of a Group Practice Provider (4 minutes) opens in a new tab
- Update Basic Information (6 minutes) opens in a new tab
- Update Locations (6 minutes) opens in a new tab
- Update Specialties (7 minutes) opens in a new tab
- Update Provider Controlling Interest/Ownership Details (6 minutes) opens in a new tab
- Update Taxonomy Details (6 minutes) opens in a new tab
- Update Additional Information (5 minutes) opens in a new tab
- Update Mode of Claim Submission/EDI (6 minutes) opens in a new tab
- Update Billing Agent Association (8 minutes) opens in a new tab
- Update Billing Provider Association (6 minutes) opens in a new tab
- Update MCO Plan Association (2 minutes) opens in a new tab
- View Servicing Provider Details (2 minutes)
- Update 835/ERA Enrollment Form (4 minutes) opens in a new tab
- Update Payment Details (4 minutes) opens in a new tab
- Complete Modification Checklist (4 minutes) opens in a new tab
- Upload Documents (5 minutes) opens in a new tab
- Submit Modification Request for Review (3 minutes) opens in a new tab
Managing the Information of a Facility/Agency/Organization Provider (1 hour and 25 minutes)
- Overview: Managing the Information of a Facility/Agency/Organization Provider (4 minutes) opens in a new tab
- Update Basic Information (4 minutes) opens in a new tab
- Update Locations (5 minutes) opens in a new tab
- Update Specialties (7 minutes) opens in a new tab
- Update Provider Controlling Interest/Ownership Details (6 minutes) opens in a new tab
- Update License and Certifications (6 minutes) opens in a new tab
- Update Taxonomy Details (6 minutes) opens in a new tab
- Update Additional Information (5 minutes) opens in a new tab
- Update Mode of Claim Submission/EDI (6 minutes) opens in a new tab
- Update Billing Agent Association (8 minutes) opens in a new tab
- Update Billing Provider Association (6 minutes) opens in a new tab
- Update MCO Plan Association (2 minutes) opens in a new tab
- Update 835/ERA Enrollment Form (4 minutes) opens in a new tab
- Update Payment Details (4 minutes) opens in a new tab
- Complete Modification Checklist (4 minutes) opens in a new tab
- Upload Documents (5 minutes) opens in a new tab
- Submit Modification Request for Review (3 minutes) opens in a new tab
Managing the Information of a Contractor/MCO Provider (1 hour and 8 minutes)
- Overview: Managing the Information of Contractor/MCO Provider (4 minutes) opens in a new tab
- Update Basic Information (5 minutes) opens in a new tab
- Update Locations (8 minutes) opens in a new tab
- Update Provider Controlling Interest/Ownership Details (6 minutes) opens in a new tab
- Update Identifiers (5 minutes) opens in a new tab
- Update Mode of Claim Submission/EDI (6 minutes) opens in a new tab
- Update Billing Agent Association (8 minutes) opens in a new tab
- Update Billing Provider Association (6 minutes) opens in a new tab
- Update MCO Plan Association (2 minutes) opens in a new tab
- View Network Provider Details (2 minutes) opens in a new tab
- Update Payment Details (4 minutes) opens in a new tab
- Complete Modification Checklist (4 minutes) opens in a new tab
- Upload Documents (5 minutes) opens in a new tab
- Submit Modification Request for Review (3 minutes) opens in a new tab
Managing the Information of a Billing Agent (22 minutes)
- Overview: Managing the Information of a Billing Agent (4 minutes) opens in a new tab
- Update Basic Information (5 minutes) opens in a new tab
- Update Mode of Claim Submission/EDI (5 minutes) opens in a new tab
- Upload Documents (5 minutes) opens in a new tab
- Submit Modification Request for Review (3 minutes) opens in a new tab
Provider eLearning Trainings
(Document Library)
Here Providers can find all our Provider eLearning modules organized by PRISM Subsystem. They are sorted in alphabetical order in each subsystem folder. Providers may also search for elearnings by using appropriate key words in the “Search” bar.
Click Here for Help Using this Document Library
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Care Management - Care
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Case Management - Case
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Claims and Encounters - CE
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Contracts Management - CM
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Eligibility and Enrollment - EE
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Prior Authorization - PA
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Provider
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Provider Enrollment - PRV
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Resident Assessment