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Provider Manual - How to obtain eligibility
How to obtain Eligibility and Claims status on our web site
To enroll, please download the Electronic Trading Partner Agreement (ETPA),
fill out the last page and return the entire document to your Provider Relations Representative.
Upon receipt of the Agreement, you will be assigned a User ID Number
and a password. After that, you can click the button below to access
the myPEHP web site or use the button on the left side of the screen.
How to obtain Benefits / Eligibility / Claims through Customer Service
To obtain benefits, verify eligibility or check claims status, you must contact Customer Service at one of the following numbers:
801-366-7555
800-765-7347
800-933-7347 preauthorization/prenotification
Please make sure you have the following information ready.
To Obtain Benefits:
- Subscriber ID number
- Patient name
- Date of service (if available)
- Diagnosis
- Type of visit or procedure to be done
To Obtain Eligibility:
- Subscriber ID number
- Patient name
- Date of service
To Check the Status of a Claim:
- Subscriber ID number
- Patient name
- Date of service
- Provider of service
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