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Utah prompt pay law dental

Under Utah Code §31A-26-301.6, the Utah payment deadline is 30 days (no format split).

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Under Utah Code §31A-26-301.6, the Utah payment deadline is 30 days (no format split). Utah calls it a late fee, not interest, and computes it daily: the total amount the insurer is obliged to pay, times the number of days the response or the payment is late, times a 0.033 percent daily interest rate (§31A-26-301.6(8)(b)). Dental applicability: Covered. "Health care provider" means a person licensed to provide health care under Title 26B, Chapter 2, Part 2 or under Title 58, Occupations and Professions — and dentists are licensed under Title 58, Chapter 69, the Dentist and Dental Hygienist Practice Act. A self-funded private-employer (ERISA) plan is generally beyond this statute's reach and runs on the federal claims-procedure clock instead — but that comes from the courts reading 29 U.S.C. § 1144, not from its text, and it is not categorical: a self-funded governmental or church plan is not an ERISA plan at all, § 1144(b)(6) leaves multiple employer welfare arrangements open to state insurance law, and nothing in § 1144 bars a state from reaching the third-party administrator or the network contract.

Last verified
2026-08-30
Reviewer
None — owner-published

Dentovio is an independent publisher, not a law firm, insurance department, or government agency. This page was drafted with AI assistance and read against the primary sources linked here, with a per-claim verification record — quote, statutory pinpoint, and the URL actually opened — behind every deadline, rate, and applicability verdict in all fifty-one jurisdictions. It has not been reviewed by a credentialed attorney or dental billing specialist. These pages summarize state prompt-pay statutes as read against the official sources on the date shown, focusing on how each statute treats dental claims. Statutes change and their application turns on plan type, contract status, and claim facts. Educational reference only — not legal advice; confirm current law with the state insurance department or a licensed attorney before acting on a specific claim.

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Source citations

  • PROMPTPAY-UTAH-1 Utah Code §31A-26-301.6 — health care claims practices (official Utah Code) (le.utah.gov)
  • PROMPTPAY-UTAH-2 Utah Code Title 58 ch. 69 — Dentist and Dental Hygienist Practice Act (le.utah.gov)

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