Policies and Procedures

Clinical Practice Guidelines

Harken Health follows the same clinical practice guidelines as UnitedHealthcare. These can be found at Unitedhealthcareonline > Tools & Resources >Policies, Protocols and Guides >Medical & Drug Policies and Coverage Determination Guidelines >Clinical Guidelines.

Provider Administrative Guide

Harken Health follows UnitedHealthcare policies and procedures. The full provider administrative guide can be found at Unitedhealthcareonline>Tools and Resources>Policies Protocols and Guides.

Care Management and Disease Management

Our Harken Health Centers will be responsible for coordinating our care management and disease management. If you would like to refer your patient to our care management/disease management programs, please contact us at 800-797-9921 to inquire which Harken Health Center the member belongs.

Tools and Resources

The forms below may be sent to Harken Health at the address below or faxed to 844-855-7490.

PO BOX 30521
Salt Lake City, UT 84130-0521

Forms and Print Outs

Transition of Care/Continuity of Care Application Form
Appeals and Complaints
Authorization to Disclose Patient Health Information (PHI)
Psychological Testing Request
Mental Health Records Consent Form
Vision Out of Network Claim Form
Dental ADA Claim Form
Electro-convulsive Therapy Form

Reference Guides

Harken Health Provider Quick Reference Guide
Harken Health Provider Compact
Member ID Card User Guide