Credentialing & Enrollment Services in Utah
CapitalMed Solutions offers streamlined provider credentialing and Medicaid enrollment services across Utah leveraging the PRISM portal, ensuring full compliance, and minimizing claim denials.
Why Utah Providers Trust Our Credentialing & Enrollment Services?
Secure Enrollment via the PRISM Portal: Utah Medicaid enrollment, revalidation, and maintenance are managed exclusively through the Provider Reimbursement Information System for Medicaid (PRISM)—a modern, web-based portal requiring multi-factor authentication and a Utah‑ID account.
Real-Time Feedback & Error Checking: PRISM features built-in validation, offering immediate feedback during enrollment and alerting providers to required corrections or missing information.
Regulated Revalidation Process: Providers must revalidate every five years via PRISM. Failure to complete revalidation within 60 days of notice triggers a payment hold; termination follows at 90 days. Fair hearing options are available for terminated providers.
Automated Enrollment Verification: PRISM providers automatically link with Managed Care Organizations in Utah; failure to enroll properly may lead to claims denials or exclusion from provider directories.
Credentialing & Enrollment Services We Offer in UTAH
At CapitalMed Solutions, a trusted medical billing service company, we support a wide range of healthcare specialties across Utah, including Salt Lake City, West Valley City, Provo, West Jordan, Orem, Sandy, St. George, Ogden, Layton, and Lehi. Our specialty credentialing and payer enrollment services cover anesthesiology, radiology, cardiology, orthopedics, primary care, pediatrics, and more—helping practices statewide gain network participation efficiently.
Whether requirements are national or Utah-specific, our experts stay current to ensure accurate applications, timely follow-ups, and compliant provider enrollment. For each specialty, we deliver tailored credentialing solutions that reduce delays, prevent denials, and streamline your revenue cycle.
Our Credentialing & Enrollment Process in Utah
Benefits of Choosing Us for Credentialing Services in Utah
Major Insurances Companies
Insurance Networks We Work With for Credentialing in Utah
At CapitalMed Solutions, we partner with major insurance carriers across Utah to ensure seamless provider credentialing and faster payer enrollment. Our relationships with leading payers help healthcare professionals get credentialed efficiently, stay compliant, and serve more patients with confidence.
Ready to streamline credentialing in Utah?
Contact our credentialing specialists today—we’ll guide your team through PRISM enrollment, manage revalidation, ensure portal proficiency, and prepare you for seamless MCO paneling—so you can focus on delivering exceptional patient care.
Working Hours
Monday – Friday 09 AM To 05 PM
Our Location
77 Sugarcreek Blvd Suite 600, Sugar Land, TX 77478