Division of Medicaid and Health Financing manages multiple
medical programs for needy individuals in the State of Utah,
including Medicaid and the Primary Care Network (PCN) Program.
Medicaid administers these programs and encourages electronic
data interchange (EDI) as a means to contain administrative
costs. This page describes the process for activating your
EDI account with Medicaid.
Whether providers are currently sending EDI transactions
or wish to start sending transactions, an EDI account must
be activated with Medicaid.
1. Become a member of the Utah
Health Information Network (UHIN) by
a. Signing the current Electronic
Commerce Agreement, and
b. Obtaining a UHIN
Trading Partner Number* (TPN).
2. Complete one of the following Utah Medicaid Provider
EDI Enrollment applications:
E-form (fastest and most reliable method for
Providers have the responsibility to adequately test all
business rules appropriate to the provider type and specialty.
When using a third party vendor (clearinghouse), it is the
obligation of the trading partner* to ensure the vendor
has adequately tested the business rules appropriate to
each provider type and specialty.
*A provider submitting EDI transactions is considered a