Electronic Funds Transfer
PEHP offers Electronic Funds Transfer (EFT). Providers that would like to participate in the EFT process must meet the following criteria:
Be able to receive an electronic remittance (835) and/ … more
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PEHP offers Electronic Funds Transfer (EFT). Providers that would like to participate in the EFT process must meet the following criteria:
Be able to receive an electronic remittance (835) and/ … more
When PEHP is the primary plan, its eligible benefits are paid before those of the other health benefit plan and without considering the other health plan’s benefits. When PEHP is the secondary plan, … more
PEHP is upgrading its claims payment system and member portal to better serve you. The transition to the new system will happen in phases based on your plan year renewal date.
If your PEHP ID … more
PEHP is currently accepting applications from dental providers for our Preferred Dental Panel in the following specialties and/or areas: endodontics, periodontics, prosthodontics, pedodontics, and … more
PEHP only accepts paper claims for the following:
Dental
Tertiary (2 separate EOBs attached)
Include Medical Records attached
Air ambulance claims with records
Invoices for vaccine clinics ( … more
801-366-7555 or 800-765-7347
Customer Service
Our Customer Service Representatives answer questions relating to claims, member eligibility, and benefits. They also address general Master Policy … more
Winter 2025 Provider News & Info
Phase 3 transition on July 1, 2025
Fall 2024 Provider News & Info
See new policy changes
Summer 2024 Provider News & Info
New fee schedules effective … more
What is PEHP Health Coaching?
PEHP Health Coaching will help participants develop healthy habits. A health coach will work to design a personalized action plan and provide education, encouragement … more
For faster payment, providers are strongly encouraged to submit claims and receive remittances electronically.
You can submit claims electronically as follows:
If your patient's PEHP ID number … more
New Employee Information
Welcome to PEHP!
You'll get an email from the State with your PEHP Member ID number after you begin your job. Once you receive this email, you can create your online … more