Dental Contracts and Credentialing

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 providers in counties outside the Wasatch Front. If you meet the above criteria, please contact the Provider Relations Specialist for your area including your name, tax identification number, specialty, location, and phone number.

Contracting Process

1. Identify if PEHP has an open panel for your specialty and area.
2. Request an application from PEHP.
3. PEHP credentials provider.
4. Contract is sent to credentialed provider.
5. Provider reads and signs provider agreement.

The effective date of participation is based upon when PEHP receives the signed agreement. PEHP will make the effective date the 1st of the month if received by 15th of the month, otherwise it will be the first of the following month.

Credentialing

Upon receipt of a completed application, the application is reviewed and if the applicant has met the credentialing requirements a contract will be sent. The credentialing process may take up to four weeks.

Delegated Credentialing

PEHP may delegate credentialing activities to contracted provider groups that include at least three providers. The group must agree to follow PEHP credentialing requirements.

Recredentialing

PEHP requires that all providers falling within the scope of the PEHP program complete the recredentialing process at least once every three years. A verification form will be sent to the provider. All providers are expected to respond to the request in a timely manner. Proof of insurance including the limits must be sent with the verification form. All Providers must be recredentialed and approved for continued network participation.

PEHP Provider Relations Credentialing / Re-Credentialing Policy and Procedure