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Utah Insurance

*Attention Utah Medicaid Pharmacy Providers and Members*

The Utah Medicaid pharmacy vendor, Change Healthcare, is experiencing a network and system outage preventing Medicaid from accessing pharmacy claim information. This outage impacts the ability to process pharmacy claims, and Medicaid members attempting to fill a prescription.

More information is available at Medicaid: Utah Department of Health and Human Services website including Member and Provider FAQs.

Updates are also available at Change Healthcare.

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Utah Insurance Department

The state of Utah is part of the U.S. insurance regulatory framework which is a highly coordinated state-based national system designed to protect policyholders and to serve the greater public interest through the effective regulation of the U.S. insurance marketplace. Through the National Association of Insurance Commissioners (NAIC), U.S. insurance regulators.

Establish national standards and best practices, conduct peer reviews and coordinate their regulatory oversight to better protect the interests of consumers while ensuring a strong, viable insurance marketplace. U.S. insurance regulators also participate in the Internationa l Association of Insurance Supervisors (IAIS) along with the NAIC by participating in major standard setting initiatives, including working with fellow regulators from around the world to better supervise cross-border insurers, identifying systemic risk in the insurance sector, and creating international best practices.

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News

As of January 15, 2022, a new federal policy requires health insurers to cover up to eight over-the-counter COVID-19 tests per month for each covered member. You can also order four free rapid antigen at-home tests per household directly from the federal government.

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Insurance Commissioner Jon Pike, acting as liquidator of Arches Mutual Insurance Co., by and through his special deputy liquidator Stillman Consulting Services LLC, is pleased to announce that checks are being sent to Arches’ medical providers for 100% of their approved claim amounts. […]

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Awareness is your best defense against insurance scammers and hackers who want to steal your information. Most cybercrimes involve identity theft. Criminals steal personal information to hack accounts and access funds. Identity theft can lead to insurance fraud. Here are come common scams. […]

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About Us

The Utah Insurance Department is part of the U.S. insurance regulatory framework which is a highly coordinated state-based national system designed to protect policyholders and to serve the greater public interest through the effective regulation of the U.S. insurance marketplace.

Through the National Association of Insurance Commissioners (NAIC), U.S. insurance regulators establish national standards and best practices, conduct peer reviews and coordinate their regulatory oversight to better protect the interests of consumers while ensuring a strong, viable insurance marketplace. U.S. insurance regulators also participate in the International Association of Insurance Supervisors (IAIS) along with the NAIC by participating in major standard setting initiatives, including working with fellow regulators from around the world to better supervise cross-border insurers, identifying systemic risk in the insurance sector, and creating international best practices.

Read More