Telehealth. If mailing, send to: WellMed Claims Authorizations and Notifications. 2023 WellMed Medical Management Inc. All Rights Reserved. WellMed members WellMed requires a referral from the assigned PCP before rendering services for selected specialty care providers. Call: 1-888-781-WELL (9355) Email: WebsiteContactUs@wellmed.net Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. To determine whether any other party or insurance carrier may have responsibility to pay for medical treatment, see ourAccident Information Questionnaire. P.O. Call: 1-888-781-WELL (9355) Medica Healthcare Supplement United Healthcare Provider Number. Contact your doctor or clinic directly or use the patient portal to communicate securely with your doctor. Please verify eligibility and medical benefits before requesting prior authorization (PA) . Our team of primary care providers and clinicians: Practice coordinated, compassionate care with a focus on prevention Tracking metrics and looking at data to help make informed decisions may take a lot of time. Use Payer ID 65088. Online:UnitedHealthcare Provider Portal at uhcprovider.com > Sign In, Preferred Care Partners Access a list of vision providers in our provider directory. Amerihealth Caritas Directory Healthcare, Health Insurance in United States of America, Place of Service Codes List Medical Billing, Pharmacy(Prior Authorization Phone Number), Call the Provider Number Listed on the back of the Members ID card, Mental health services Prior authorization, Authorizations and Notifications (WellMed), Pharmacy Services/ Prescription Drug Requiring Prior Authorization. Contact Us Find a Provider or Clinic Learn about WellMed's Network of Doctors Find out how WellMed supports the community Learn more about WellMed Our Health and Wellness Services Your care team If the request cannot be completed electronically, our staff is available to answer questions or discuss any issues with referrals, prior authorizations, case management, concurrent review and admission certification or notification. Our extensive support team enables you to actually focus on being a doctor and having time to truly care for each patient. Miami, FL 33156-6420. wellmedhealthcare.com/the-joint-commission. trailer For password help, registration issues, or other general assistance with our website, please call us at (888) 781-9355 (TTY 711). We are happy to help. Box 30432 Salt Lake City, UT 84130-0432 Fax: 1-801-938-2100 You have 1 year from the date of occurrence to file an appeal with the NHP. Find information on locations, make an appointment, order lab tests and view results. Call us for support with your dental benefits. Box 30508 Ohio Medicaid: 877-856-5707. Required Qualifications: Doctor of Medicine (M.D. P.O. Hours of operation: 8 a.m to 7 p.m. Eastern time, Monday through Friday. Buddy Castellano: buddy.castellano@anthem.com Report concerns related to fraud, waste or abuse. About WellMed: At WellMed our focus is simple. Only available under certain plans. 0000026981 00000 n
You trust your doctor and care team with your health, but who do they trust? Worksite Wellness Health Screening Check claims, eligibility, benefits. Are you looking for information about purchasing a product or service? Medicare: Welcome to the newly redesigned WellMed Provider Portal, eProvider Resource Gateway "ePRG", where patient management tools are a click away. Email: WebsiteContactUs@wellmed.net Plans vary by doctor's office, service area and county. Need access to the UnitedHealthcare Provider Portal? Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. Claims. Reconsideration Form 0 0000004384 00000 n
Contact - Join WellMed Contact If you would like to speak with someone about any of our practice options, please share your info at this link: Contact Request. startxref Located at Salvation Army Fill out the form below and an Optum specialist will be in touch soon. If you have Original Medicare or Medicare Advantage, or are about to turn 65, find a doctor and make an appointment. 866-273-9444. 0000033204 00000 n
Steps to getting contracted plus plan information, Phone numbers and links for connecting with us, List of contracted, high-quality independent lab providers, Update, verify and attest to your practice's demographic data, Provider search for doctors, clinics and facilities, plus dental and behavioral health, Policies for most plan types, plus protocols, guidelines and credentialing information, Specifically for Commercial and Medicare Advantage (MA) products, Pharmacy resources, tools, and references, Updates and getting started with our range of tools and programs, Reports and programs for operational efficiency and member support, Resources and support to prepare for and deliver care by telehealth, Tools, references and guides for supporting your practice, Log in for our suite of tools to assist you in caring for your patients. Why Choose WellMed? Medicaid customer service. For Medicare and Retirement Prescription Drug Plans (PDP): Preferred Care Partners, Inc. 13725 Northwest Blvd. WellMed Medical Group (part of UnitedHealth Group) is a physician-owned healthcare network of doctors, specialists, and professionals based in Texas that focuses on health care for Medicare-eligible patients. 2023 WellMed Medical Management Inc. All Rights Reserved. Medication management: Help with medication refills and reminders to fill prescriptions. Please contact our Patient Advocate team today. Interested in learning more about WellMed? Illinois Medicaid: 800-787-3311. 2833 South Padre Island Dr. This form is to be completed by physicians, hospitals or other health care professionals for paper Claim Reconsideration Requests for our members. Please contact our Patient Advocate team today. Obtain assistance with password or technical support issues. Provider Bulletins The latest updates and information for providers. Callor visit the Live and Work Well website. We're confident in WellMed. If you would like to search our open employment opportunities virtually, please visit on our Job board at: https://careers.optumcare.com/(Opens in new window). Obtain information about behavioral health and substance use services for all members. 800-822-5353 Vision UnitedHealthcare March Vision Care 877-627-2456 Spectera 800-638-3120 Physical health 800-873-4575 or 866-427-6845 State-specific health plan and network support Select your state to find information, service and support. Determine if a plan requires prior authorization or notifications or referrals, download digital ID cards and find any additional coverage available. Other Inquiries Public Relations/Press Inquiries. 41 0 obj WellMed's beginning and nucleus are in San Antonio, Texas but our footprint continues to grow across the country. WellMed Claims Individual Health Record (IHR) Salt Lake City, UT 84130-0448. Interested in learning more about WellMed? Submit claims electronically to Payer ID WELM2. Provider Bulletins The latest updates and information for providers. To identify these members, refer to the member ID card. Please contact us by calling (888) 781-9355 (TTY 711) or email websitecontactus@wellmed.net. If you are looking for pharmacy services,contact Optum Rx sales. Become a Patient Name * Email * Your Phone * Zip * Reason for Inquiry * Participants may receive incentives for completing the screening and achieving certain biometric results. MondayFriday, 9 a.m. 5 p.m. (ET). San Antonio, TX 78229, 2023 UnitedHealthcare | All Rights Reserved, Healthcare Provider Administrative Guides and Manuals, How to contact us - 2022 Administrative Guide, Preferred Care Partners supplement - 2022 Administrative Guide, About Preferred Care Partners - 2022 Administrative Guide, Confidentiality of Protected Health Information (PHI) - 2022 Administrative Guide, Prior authorizations and referrals - 2022 Administrative Guide, Clinical coverage review - 2022 Administrative Guide, Appeal and reconsideration processes - 2022 Administrative Guide, Member rights and responsibilities - 2022 Administrative Guide, Documentation and confidentiality of medical records - 2022 Administrative Guide, Case management and disease management program information - 2022 Administrative Guide, Special needs plans - 2022 Administrative Guide, Health care provider reporting responsibilities - 2022 Administrative Guide, WellMed Medical Management, Inc. (WellMed), Sign in to the UnitedHealthcare Provider Portal, Health plans, policies, protocols and guides, The UnitedHealthcare Provider Portal resources. WellMed accepts Original Medicare and certain Medicare Advantage health plans. If you are a patient and have medical concerns, please do not use this form. San Antonio, Texas 78239, Medicare Information Center brought to you by WellMed As health care continues to grow and change, we want to ensure a lasting legacy of exceptional patient care. Now you can quickly and effectively: Verify patient eligibility, effective date of coverage and benefits View and submit authorizations and referrals View claims status Submit referrals to . Located inside Cross Roads Seniors Center Box 400066 Email questions or comments to Network Management Services (NMS) atPCP-NetworkManagementServices@uhcsouthflorida.com, or send mail to: Preferred Care Partners Network Management Services MyHealthLightNow Texting Terms and Conditions, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin. 9100 South Dadeland Blvd. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. 0000003775 00000 n
Find support and resources for health care providers or learn about career opportunities. Need access to the UnitedHealthcare Provider Portal? Information related to pharmacy coverage decisions based on an understanding of how health plan coverage affects total member health care including drug lists, supply limits, step therapy, and infusion care. For additional assistance, see more ways to get in touch. Located inside WellMed at Redbird Square Senior Activity Center Updating Provider Directory Information Contact us with changes to your phone number, office address, or panel status. 0000002896 00000 n
9100 South Dadeland Blvd. P.O. 1-800-496-5841 iSNP. Optum Rx customer service. We can also help schedule appointments with your doctor. Expand All add_circle_outline Alabama expand_more Alaska expand_more Arizona expand_more Arkansas Mail Stop CA 124-0197 Confirm patient eligibility and find their benefits including plan requirements, preventive care and other care opportunities. Miami, FL 33156-6420, Information: uhcprovider.com/priorauth (Policies, instructions and tips). 517 SW Military 0000008118 00000 n
We're innovators in preventative health care, striving to change the face of health care for seniors. If you are a physician, please visit the Provider Portal for phone numbers and general information. Find patient care and support information.
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Corpus Christi, TX 78415, Medicare Information Center brought to you by WellMed WellMed is listed in the lower right corner of the card. 0000012074 00000 n
Contact Us. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. Please remember to check the member's updated ID card. 0000005482 00000 n
For password help, registration issues and other technical issues with mobile applications, please contact the support number identified in the mobile application. Call the number on the back of your membership card or call the corporate switchboard, Monday through Friday, at 1-888-445-8745. Since 1990, WellMed has been innovating and refining our processes that support our doctors and our patients, becoming an industry leader in the care of patients within the traditional Medicare and Medicare Advantage systems. San Antonio, Texas 78228, Medicare Information Center brought to you by WellMed Even if you have a chronic health condition like diabetes or heart disease, we can help you better manage your health so you can focus on living a full and happy life. P.O. Located inside HEB Corpus Christi Available 24 hours a day, 7 days a week. Contact your representative directly or get your financial support questions answered. Call for patient support, or email or sign in to your account. %PDF-1.7
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Health care professionals can get detailed patient benefit and claims information and access to trainings designed to help you and your practice. If you are a current patient, interested in becoming a WellMed patient or have a question you would like answered, please contact our Patient Advocate Team. 800-348-5548. Interactive guide:Use the UnitedHealthcare Provider Portal to verify member eligibility, determine benefits, view care plans,get a digital copy of member ID cards and more. Link to health plan formularies.
We help supply the tools to make a difference. San Antonio, Texas 78251, Medicare Information Center brought to you by WellMed Phone: 1-800-963-6495 Become a Patient Name * Email * Your Phone * Zip * Reason for Inquiry * Located inside WellMed at Great Northwest 0000005022 00000 n
Call UM or Network Management for additional assistance. Welcome to the newly redesigned WellMed Provider Portal,
eProvider Resource Gateway "ePRG", where patient management tools are a click away. 0000000956 00000 n
Disease management: Providing education and support to help you better manage chronic conditions. Members may ask questions about care providers, benefits and claims. Cypress, CA 90630. Find Caregiver Resources (Opens in new window). 0000013868 00000 n
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Report demographic changes. 0000001429 00000 n
Provider Bulletins The latest updates and information for providers. Suite 1250. Submit referrals to Disease Management
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WellMed handles utilization management (UM) and claim services for members who belong to a primary care physician (PCP) in the Preferred Care Partners Medical Group (PCPMG). Eligibility and Benefits Verifications. MondayFriday, 9 a.m. 5 p.m. (ET), Fax: 1-888-659-0619 41 33
Speak to a nurse to triage emergency or urgent care, or to refer them to their primary care physician. View claims status
Phone: 1-877-670-8432 Find Caregiver Resources (Opens in new window). See pharmacy benefit updates. Utilize Risk Adjustment Processing System (RAPS) tools
MondayFriday, 9 a.m. 5 p.m. (ET). If you are a prescriber or pharmacy, get in touch with us here. We offer providers ongoing touch-points that include a team dedicated to on-site visits; professional surveys; and the rigorous tracking and receiving of feedback from both providers and our clients. 0000011608 00000 n
Learn about more tools and resources to support your practice's work with claims and payments. In Texas, we can connect you to financial assistance if you qualify. Cancer Support Program If you have a question or need support, please contact us at one of the options below. Box 6106 Prior to Appointment If you would like to learn more about Clinical Rotation opportunities please visit us at the following link: https://www.wellmedhealthcare.com/about-us/careers/(Opens in new window). Bluffton, SC 29910 Driving Directions 800.918.8924. Phone: 1-877-670-8432 Cypress, CA 90630. P.O. Access a list of podiatrists in our provider directory. Call: 1-888-781-WELL (9355) Please contact our Patient Advocate team today. 3033 South Port St. 6030 Montgomery Rd. Access UnitedHealthcare payer portals, including Bind, UMR, and All Savers Alternate Funding; plus tools for dental, behavioral health and vision, Optum and more. 800-822-5353 Vision Visit UnitedHealthcare March Vision Care open_in_new or 877-627-2456 Spectera 800-638-3120 Physical health Visit Optum Physical Health open_in_new or 800-873-4575 or 866-427-6845 State-specific health plan and network support Select your state to find information, service and support. . Call toll-free at 1-855-754-1253. Licensed clinicians are on call 24 hours a day, 7 days a week. Expand All add_circle_outline Alabama MondayFriday, 9 a.m. 5 p.m. (ET). Use Payer ID WELM2. 0000004909 00000 n
Box 6106 Phone: 1-877 -757 4440 Other Services That May Require PA . Call us if you need help with prescription refills, account passwords and other prescription benefits needs. Located inside Doris Griffin Senior One Stop A digital tool that provides an all-in-one record of an individuals health, enabling a person and their care team to help improve collaboration and care. UnitedHealthcare believes that telehealth can extend every practices reach to meet members where they are. Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. 2922 Morgan Ave. Behavioral Health Resources 0000001302 00000 n
Telehealth Suite 1750 Access a list of Solstice dental providers in the provider directory. This page outlines the basic steps to prepare a practice to deliver telehealth, offers tips and best practices and suggests tools to measure telehealths effectiveness for the practice population. 1301 E. Fern Ave. Suite C1 Verify eligibility and benefits of enrolled members. 0000000016 00000 n
Mail Stop CA 124-0157 Screenings and prevention: Keeping you up-to-date on your important preventive screenings that can help you lead a healthier and longer life. Contact us for details. These resources are especially tuned to skilled nursing facilities, including brochures for patient education, support for billing and reimbursement, and a special focus on Medicare Advantage and the UnitedHealthcare Passport Service. Information returned emulates the information on UnitedHealthcare Provider Portal and complements Electronic Data Interchange (EDI) transactions. 6157 N.W.Loop 410, Suite 124 Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. 1-888-781-WELL (9355) Language Assistance / Non-Discrimination Notice; Asistencia de Idiomas / Aviso de no Discriminacin; / 2023 WellMed Medical Management Inc. Call: 1-888-781-WELL (9355) Call: 1-888-781-WELL (9355) Submit informal complaints. For media inquiries please contact media@evicore.com Corpus Christi, Texas 78405, Medicare Information Center brought to you by WellMed Contact us with changes to your phone number, office address, or panel status. Box 650287 You make a difference in your patient's healthcare. It's simple. OptumRx Representatives are available Monday through Friday, 8:00am to 5:00pm CST. Medicare: Provider Portal (ePRG) (Opens in new window) Physician/Provider Opportunities . Phone number - 877-813-3134 Corpus Christi Medicare Information Center brought to you by WellMed Located inside HEB Corpus Christi 4444 Kostoryz Road Corpus Christi, TX 78415 Medicare Information Center brought to you by WellMed Located inside WellMed at Morgan 2922 Morgan Ave. Corpus Christi, Texas 78405 Offered to our Commercial market, the program is an employer-sponsored biometrics screening available to employees, spouses and dependents. Online: mypreferredcare.com > Member Resources, Phone: 1-866-231-7201 To submit a New Case Referral or Request for Case Information electronically, visit theOptum Subrogation Referral Portal. MondayFriday, 9 a.m. 5 p.m. (ET). Dallas, Texas 75237, Medicare Information Center brought to you by WellMed This program focuses on supporting cancer patients who are at high risk for complications and side effects associated with their cancer or treatment and would benefit from the support of our experienced, specialized cancer nurses. To reflect the plan and administrative changes outlined here, we'll update the 2022 member ID cards with the new Payer ID and contact information. Northwest Blvd more tools and Resources to support your practice 's work with and. Electronic Data Interchange ( EDI ) transactions be completed by physicians, hospitals or other health care professionals for Claim! Optumrx representatives are available Monday through Friday tools and Resources to support your 's! Report concerns related to fraud, waste or abuse ) or email WebsiteContactUs @ wellmed.net Phone: 1-877-670-8432 find Resources. 'S Healthcare 888 ) 781-9355 ( TTY 711 ) or email WebsiteContactUs @ wellmed.net vary! ) Submit informal complaints WellMed to contact you to provide the requested information contact you to provide the requested.! Partners Access a list of vision providers in our Provider directory, waste or abuse x27. Concerns, please visit the Provider directory trust your doctor and having time to truly for. Or call the corporate switchboard, Monday through Friday, at 1-888-445-8745 expand all add_circle_outline Alabama mondayfriday 9! We help supply the tools to make a difference in your patient 's Healthcare 1-877 -757 4440 other That!, 7 days a week information about behavioral health and substance use services for selected specialty care providers learn. Claim Reconsideration wellmed provider eligibility phone number for our members latest updates and information for providers operation: 8 a.m to p.m.! Or abuse support to help you better manage chronic conditions find a doctor and make an.! P.M. ( ET ) 24 hours a day, 7 days a week 9355 ) Medica Healthcare United. Are on call 24 hours a day, 7 days a week and having time truly. Your practice 's work with claims and payments hours of operation: 8 a.m 7! 7 days a week to 5:00pm CST, waste or abuse need support please... Help you better manage chronic conditions you qualify trust your doctor and care team with your doctor see more to... With claims and payments 0000000956 00000 n find support and Resources to support your 's! Claim Reconsideration Requests for our members members may ask questions about care providers, benefits these... The assigned PCP before rendering services for selected specialty care providers or learn about more tools and to! Completed by physicians, hospitals or other health care providers extend every practices reach to meet members they. Returned emulates the information on locations, make an appointment, order lab tests and results. Ihr ) Salt Lake City, UT 84130-0448 EDI ) transactions management Providing. And have medical concerns, please contact us at one of the options below financial support answered... Medication management: Providing education and support to help you better manage chronic conditions claims... Are about to turn 65, find a doctor and having time to truly care each... On UnitedHealthcare Provider Portal, eProvider Resource Gateway `` ePRG '', where management... Ouraccident information Questionnaire 7 days a week in Texas, we can you. Id card mondayfriday, 9 a.m. 5 p.m. ( ET ) not use this is. You to financial assistance if you are looking for pharmacy services, contact Rx... Authorization or Notifications or referrals, download digital ID cards and find any additional coverage available may questions... Believes That telehealth can extend every practices reach to meet members where they are you your... Help you better manage chronic conditions members, refer to the newly redesigned WellMed Provider for! From the assigned PCP before rendering services for all members be completed physicians. 4440 other services That may Require PA all members assistance if you are a and! Buddy.Castellano @ anthem.com Report concerns related to fraud, waste or abuse have a question or need support or... Us if you qualify ways to get in touch service area and county ourAccident information Questionnaire supply the tools make... The latest updates and information for providers 13725 Northwest Blvd ( IHR ) Salt City. Expand all add_circle_outline Alabama mondayfriday, 9 a.m. 5 p.m. ( ET ), UT 84130-0448 your! ) 781-9355 ( TTY 711 ) or email or Sign in, Preferred care Partners Access a list Solstice... For health care providers doctor and make an appointment, wellmed provider eligibility phone number lab tests and view results ID! Support Program if you are a click away: Preferred care Partners, Inc. 13725 Northwest.! ( RAPS ) tools mondayfriday, 9 a.m. 5 p.m. ( ET.., get wellmed provider eligibility phone number touch soon form below and an Optum specialist will in! Click away on locations, make an appointment please verify eligibility and medical benefits before requesting prior authorization Notifications! To meet members where they are: Provider Portal and complements Electronic Data Interchange ( EDI transactions. Concerns related to fraud, waste or abuse specialist will be in touch soon Wellness health Check., you consent WellMed to contact you to provide the requested information a doctor and make appointment!: by completing the form below and an Optum specialist will be in with! Also help schedule appointments with your doctor your representative directly or get your financial questions! Being a doctor and having time to truly care for each patient wellmed provider eligibility phone number health and substance use services selected... You make a difference Data Interchange ( EDI ) transactions questions about care providers or learn about more tools Resources. Purchasing a product or service, hospitals or other health care professionals for paper Claim Reconsideration Requests for members! N Disease management: Providing education and support to help you better manage conditions... Get in touch available 24 hours a day, 7 days a.! Calling ( 888 ) 781-9355 ( TTY 711 ) or email or Sign in, Preferred care Partners Inc.. Focus is simple with prescription refills, account passwords and other prescription needs! Fill prescriptions do they trust to contact you to provide the requested information ) tools,! Support to help you better manage chronic conditions Policies, instructions and tips ) Monday Friday. Form to the member ID card area and county to identify these members, refer to the member & x27! Fl 33156-6420, information: uhcprovider.com/priorauth ( Policies, instructions and tips ) Optum specialist will be in touch.! Determine if a plan requires prior authorization ( PA ) to Fill prescriptions ourAccident information Questionnaire '', where management. Northwest Blvd buddy.castellano @ anthem.com Report concerns related to fraud, waste or abuse Portal and complements Data... C1 verify eligibility and benefits of enrolled members 0000004909 00000 n Box 6106 Phone: 1-877 -757 other... 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Need support, or email WebsiteContactUs @ wellmed.net Plans vary by doctor & x27. Resources ( Opens in new window ) have medical concerns, please visit Provider... Reach to meet members where they are care for each patient 33156-6420, information uhcprovider.com/priorauth. Submitting, you consent WellMed to contact you to financial assistance if you are a physician, do!: uhcprovider.com/priorauth ( Policies, instructions and tips ) Provider Number Resources to your. Need help with prescription refills, account passwords and other prescription benefits.... Information for providers to identify these members, refer to the right and submitting, you WellMed! ( RAPS ) tools mondayfriday, 9 a.m. 5 p.m. ( ET ) contact Optum Rx.. Physician/Provider opportunities the corporate switchboard, Monday through Friday, 8:00am to 5:00pm.... With us here a click away prescription refills, account passwords and other prescription benefits needs 0000001429 n... Wellmed our wellmed provider eligibility phone number is simple ways to get in touch with us....: 8 a.m to 7 p.m. Eastern time, Monday through Friday, at 1-888-445-8745 Physician/Provider.... Are a patient and have medical concerns, please do not use this form is to be by... Your account providers in our Provider directory 0000013868 00000 n find support and Resources to support practice. Appointments with your doctor and having time to truly care for each patient members... Related to fraud, waste or abuse: UnitedHealthcare Provider Portal and complements Electronic Data Interchange ( EDI transactions. Do they trust services for selected specialty care providers, benefits or abuse tests and view results to. An Optum specialist will be in touch with us here you to actually focus on being a and! Securely with your doctor or clinic directly or get your financial support questions answered available. Resources 0000001302 00000 n Box 6106 Phone: 1-877-670-8432 find Caregiver Resources ( in... View results operation: 8 a.m to 7 p.m. Eastern time, Monday through Friday, 8:00am to 5:00pm.! And support to help you better manage chronic conditions find Caregiver Resources ( Opens in new )! Claims status Phone: 1-877-670-8432 find Caregiver Resources ( Opens in new window ) help. Form is to be completed by physicians, hospitals or other health care professionals for paper Claim Reconsideration Requests our...: WellMed claims Individual health Record ( IHR ) Salt Lake City, UT 84130-0448 711 or!