Fee Schedule
Patient Eligibility
Provider Courtesy Review Process
Request Provider Application
Update Your Information
W-9 Form
Billing (EDI) Enrollment
Funds Transfer (EFT) Enrollment
Remittance Advice (ERA) Enrollment
HIPAA Standard Companion Guide
Plan Identification Codes
Medical Pharmacy Preauthorization
Provider Preauthorization Request
Preauthorization Guidelines
Provider Portal
Deseret Alliance
Deseret Choice Hawaii
Deseret Premier
Deseret Protect
Deseret Select
Deseret Value
Deseret Dental
Deseret Dental PLUS
Senior Dental
Breakdown of Dental Plans
All Student Handbooks
Preventive Care Services
All DMBA Handbooks
Holiday and Early Closures Calendar
Portal Navigation
Applied Behavior Analysis (ABA) Checklist
Billing with National Drug Codes - FAQs
Claims Submission - Non-Medicare
Claims Submission - Medicare
Modifier Payment Table - Anesthesia
Modifier Payment Table - Surgery
ICD-10 Information
Skilled Nursing Facility Levels of Care
Utah and SE Idaho (DMBA)
Other Domestic U.S. (UHC)
Hawaii (DMBA)
Hawaii (MDX)
UnitedHealthcare (UHC)
DMBA (Contract holders in Utah and Idaho only)
MetLife (All Others)
Diabetic Suppliers
TruHearing (Hearing Aids)
VSP Vision
Home Health
Medical Equip/Supplies
Physicians
Rehabilitation/Skilled Nursing
If you need help navigating DMBA’s Provider Portal, please choose the correct training guide below based on your provider network status.
DMBA Contracted Providers:
UHC and MDX Contracted Providers and Non-Contracted Providers: