University of Utah Health Plans Customer Complaint Form

Please Note: Use this form if you are contacting us about a denied claim (e.g. timely filing, nonparticipating provider) or a denied service, partially authorized or reduced services, please use the Customer Appeal Form. For other complaints, please use this form.

If you need help filling out this form, call us at 801-587-6480 or 1-888-271-5870. (Si necesita ayuda para llenar o completar este formulario, llamenos al 801-587-6480 o 1-888-271-5870). If you are deaf or hard of hearing, you can call Utah Relay Services at 711 or 1-800- 346-4128. Si habla español, puede llamar a Spanish Relay Utah al 1-888-346-3162. These are free public telephone relay services or TTY/TDD. Estos son servicios gratuitos de retransmisión telefónica pública o TTY / TDD.


Member Information

Are you the provider, the member, a vendor or a UUHP Customer Service Representative?



Provider Information


Health Plan Product


Complaint Information


Upload File

You can fax the information to the Complaint Team at the fax # 801-587-9985.

You may mail the information to:
Complaint Team
6053 Fashion Square Dr., Suite 110
Murray, UT 84107