Member Services – (formerly PRC)

The Paiute Indian Tribe of Utah and FourPoints Health now have a dedicated Member Services Team that offers insurance enrollment assistance, and prior authorization referral care services (formerly PRC) for qualifying Tribal Members and their families.

If you are new to this service, please take a moment to review eligibility criteria and information below. 

You can contact the team via the Podium app in the lower right, or call: 435.201.5747

Office Hours: Monday – Friday, 8:00 am – 5:00 pm Mountain Time.

**If you require urgent after hours assistance, please call your local FourPoints Health clinic and choose option 3 for the on-call provider when prompted**

ELIGIBILITY Requirements:
PITU Member Living in PRCDA (qualifying service area)

Documentation required:

  • Membership verification.
Member of a Fully Recognized Tribe living on PITU reservation

Documentation required:

  • Proof of tribal enrollment (CIB, Tribal ID).
  • Proof of address (Utility Bill, Rental Agreement, Notarized letter stating member is living with said person.
PITU Member Away at School (Must be full-time)

Documentation required:

  • Proof of tribal enrollment (CIB, Tribal ID).
  • Proof of full-time school enrollment (official school document). 
Non-Native Women Pregnant with Eligible Member Child

Documentation required:

  • Proof of pregnancy from FourPoints Health clinic.  
  • Proof of eligible father tribal enrollment (CIB, Tribal ID).  
  • Proof of PRC eligibility for father. 
Married to a PITU Member Living in PRCDA

Documentation required:

  • Marriage Certificate (Must be legally married). 
  • Proof of PRC eligibility for spouse. 
Native Member of FRT works for the Tribe

Documentation required:

  • Proof of tribal enrollment (CIB, Tribal ID).
Child Living in Eligible Household until 19th Birthday

Documentation required:

  • Proof of parent PRC eligibility.  
  • Only eligible until 19th bday.
  • Proof of legal guardianship.  

 

Member Living Outside PRCDA

Documentation required:

  • Proof of residence inside the PRCDA (service area) must be within 180 days of new residence.
  • Proof of PRC eligibilty during residence within PRCDA.
PITU Member Moving Back into PRCDA

Documentation required:

  • Proof of residence within PRCDA (qualified service area) for at least 90 days (Utility bill, rent agreement, tax records).
PITU Foster Child

Documentation required:

  • Proof of tribal enrollment (CIB, Tribal ID) 
  • Proof of living in service area when placed in care 
  • Proof of legal guardianship for Foster Care 
    Non-Native Living in Eligible Member Household with Communicable Disease

    Documentation required:

    • Proof of diesease
    • Proof of residency