Welcome to Harken Health

If you are a former member or provider with questions,
please email us at info@harkenhealth.com.
Providers may also access information on the Harken Provider Portal


Claims & Appeals

How do I file a Medical Claim

A claim will be filed by the doctor's office or health care facility you visit. Harken will receive the claim from the provider and will determine the amount the member is responsible for and how much Harken will pay.

Claims must be submitted within 90 days from the date of service or as required by law or your provider's participation agreement to be considered for payment.

Please mail the claim form along with any applicable supporting documentation to the following address:

Harken Health
Claims Department
PO Box 30521
Salt Lake City, UT 84130-0521

For Electronic Claims submissions, use Payer ID 43313.

You may also fax the claim form and supporting documentation to 844.855.7490.

The member claim form can be found here.

How do I file an Appeal

If you do not agree with the outcome of the claim processing, you may submit a formal appeal.

Your appeal must be submitted to us within 180 days from the date of decision shown on the Explanation of Benefits (EOB) or Provider Remittance Advice (PRA). Attach all supporting materials such as proof of timely filing, member specific treatment plans or clinical records to the formal appeal request, based on the reason for the request. Our decision will be rendered based on the materials available at the time of formal appeal review.

Please mail the Benefit Review and Complaint form along with any applicable supporting documentation to the following address:

Harken Health
Appeals Department
PO Box 30522
Salt Lake City, UT 84130-0522

You may also fax the appeal and supporting documentation to 844.518.7413.

Medical Records

If you are a member that was seen in a Harken Health Center and would like a copy of your medical records, please complete the Medical Record Release form and fax to 844.518.7413 or mail to:

Harken Health
PO Box 30522
Salt Lake City, UT 84130-0522

You may also email the Medical Record Release form to info@harkenhealth.com.