We offer medical billing services in Utah, providing end-to-end revenue cycle management to physician practices, urgent care centers, behavioral health facilities, surgical centers, and hospitals throughout Utah’s cities and counties.
Utah Billing Services is a Utah-based medical billing company built for healthcare providers. We handle the full revenue cycle, eligibility checks, coding, claim submission and denial management for urgent care centres, physician practices, and hospitals across the state.
Coding is done in-house by AAPC and AHIMA certified coders, and we work inside whatever EHR or practice management system you already use.
First, eligibility changes may not be re-verified against Utah Medicaid PRISM, the system used for provider enrollment and claims, before submission.
Second, missing prior authorization for high-cost imaging and behavioral health services can trigger CO-197 denials for absent precertification, authorization, or notification.
Third, missed payer-specific timely-filing windows can result in CO-29 denials when the filing deadline expires.
MGMA estimates that 50% to 65% of denied claims are never reworked, with each rework adding staff-time costs. Because these issues occur at different stages of the revenue cycle, UBS addresses them beyond claim submission.
Switching EHR or practice management systems is a common reason practices delay outsourcing their billing. UBS removes that step from the decision.
Claims follow CMS conditions of participation, the No Surprises Act and its Independent Dispute Resolution process, and Hospital and Payer Price Transparency Rules. Coding is updated to the annual ICD-10-CM revision each October 1 and the annual CPT revision each January 1.
In Utah, insurers are subject to prompt-payment provisions under Utah Code § 31A-26-301.6 (30 days to pay, deny in writing, or request more information on a submitted claim), and emergency-service balance billing is separately addressed under Utah Code § 31A-22-653. UBS supports MIPS/MACRA/QPP reporting and tracks Utah Division of Professional Licensing (DOPL) requirements for the providers we bill on behalf of.
Every numeric claim on this page has to trace back to a client’s own results, so this table shows KPI names and direction of movement rather than invented percentages. Actual figures are shared with each practice as its own onboarding data becomes available.
For a very high-volume, single-specialty group with an established, certified in-house team, keeping billing in-house can be the better choice, since that team already has the specialty-specific coding depth and payer relationships that make outsourcing’s main advantages less relevant.
For most other practices, especially smaller groups or those handling multiple specialties and payer types, outsourcing adds coding certification depth, denial-management capacity, and scalability that’s expensive to replicate in-house.
Maverick
Product Manager
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Sarah
Practice Manager
The team was professional, responsive, and extremely helpful. They made the entire process simple and straightforward.
John
Physician
We have had a great experience working with the team. Their attention to detail and support have been excellent.
Credentialing timelines depend on the payer, the completeness of CAQH ProView and PECOS data, and Utah Medicaid PRISM enrollment processing.
Yes, UBS serves practices across Utah, including rural counties, in addition to the Wasatch Front cities listed above.
