Improved Eligibility Responses Coming Soon

We are working on a more robust electronic eligibilty response (271) to give you, the provider, more information regarding benefits and eligibility in electronic form. This enhanced response will save you the task of contacting our office by telephone and give you needed information to finish the registration of your patient. We are currently seeking providers interested in testing with us. Please contact UHIN Memeber Relations at (801) 466-7705, option 1 if you can help. The UHIN Memeber Relations Coordinators can also show you how to use the UHIN tool to send an eligibility request (270) if you do not have that capability in your practice management system. Watch future newsletters for the announcement for when this important functionality will be in production

NPI (National Provider Identifier)

The NPI is a unique health identifier for physicians, health care professionals, dentists, and facilities. This assigned NPI will not expire and will replace all the provider identifiers used today in standard health and dental care transactions for all carriers.  All providers are required to obtain and use the NPI by May 23, 2007.

PEHP encourages all providers to apply for their NPI as soon as possible.  Do not wait until 2007.  PEHP will begin testing electronic transactions with providers who have obtained their NPI in spring/summer 2006.

Please contact your PEHP Provider Relations Representative as soon as you have obtained your NPI.

Providers may apply for their NPI in one of two ways:

• Through an easy web-based application process at https://nppes.cms.hhs.gov.
• By submitting a paper application available either on the above web site or by calling Fox Systems, Inc. at 800-465-3203.

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