Utah: Start Here
Beginner guide for Utah—HealthCare.gov, UID independent review, § 31A-22-650 PA & appeals.
Read guideState playbook
Utah
State insurers, legislation, and appeal resources for patients and advocates in Utah.
4 guides
Utah Prior Authorization Law
§ 31A-22-650—30-day PA notice, no emergency PA; SB 319 reforms effective 2027.
Read guideUtah Health Insurance Appeals and Grievances
180-day filing, 30/60-day decisions, deemed exhaustion, path to UID IRO.
Read guideUtah Independent Review (UID / IRO)
Binding on plan—180-day filing, 45-day standard / 72-hour expedited IRO.
Read guidePrior auth & internal appeals
Match the plan on the member ID card. Use the denial letter for where to file appeals.
- SelectHealth
- Regence BlueCross BlueShield of Utah
- Molina Healthcare of Utah
- BridgeSpan Health Company
- University of Utah Health Plans
- HealthCare.gov (Utah Marketplace)
- Utah Medicaid (DHHS)
External appeals
After internal appeal, for eligible Utah fully insured plans only.
- UID — independent review
- Medicaid — DHHS fair hearing