Home Pehp Home URS Feedback
search

Provider Menu
FAQs
Plan benefit information
Provider lists
Provider manual
Provider Relations Representatives
PEHP’s Formulary
General Information
FAQs
Fraud and Abuse
Utah PricePoint
Meeting schedules
Pharmacy Corner
Useful links
Personal Health Concerns
Books Available
Updates from Medical Director
Claim Questions?
: 801-366-7555
: 800-765-7347
 
 
Welcome to the Provider Section

PEHP values the commitment and service the provider community offers to PEHP members. We look forward to your partnership for many years to come.

Please navigate using the options you need through the Provider menu.

Log on to myPEHP today to check:

  • Member Eligibility
  • Benefit Limits
  • Claim Status
  • Fee Schedule Lookup
  • Clear Claim Connection

An Electronic Trading Partner Agreement (ETPA) must be executed to permit access to the above information. If you have not signed an agreement, please print the agreement and fax the entire document to your Provider Relations Representative.

Does your office staff need training on any of PEHP’s policies, procedures, and/or benefits? We would be happy to visit your office. Please call your Provider Relations Representative to schedule an appointment.

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.

Read more

  
 
Notice of Privacy Practices | Legal Notice and Disclaimer
© 2008 Public Emploees Health Program