Utah Medicaid PRISM announcement - Discontinued paper claims and PRISM enrollment for 835/ERA
Incident Report for UHIN
Identified
Effective February 23, 2023, Utah Medicaid Fee For Service will no longer receive or process paper claims. All paper claims processing by Medicaid will be discontinued with PRISM go-live. Paper claims received on or after February 23, 2023, will be securely destroyed and no longer returned to providers or their vendors. Providers contracted with a clearinghouse will need to work directly with the clearinghouse to comply with submitting claims electronically.

All Utah Medicaid providers must have completed their Trading Partner Agreements in the PRISM enrollment steps called: Mode of Submission/EDI Exchange, Associate Billing Agent, and 835/ERA Enrollment Form. These must be completed with current submission and receipt Trading Partner Number (TPN) information to ensure claims and other HIPAA transactions are accepted into the PRISM system for processing. If these steps are not completed accurately, files will be rejected as "Entity not approved as an electronic submitter.
Posted Jan 20, 2023 - 09:53 MST
This incident affects: Clearinghouse Platform (Payer Network) and Customer Support.