Orchard - Unchanged

Contact Us

801-366-7555 or 800-765-7347

Customer Services and Provider Specialists

Our Customer Service Representatives and Provider Specialists answer questions relating to claims, member eligibility, and benefits. They also address general Master Policy questions.

Inpatient Prenotification and Outpatient Preauthorization

All inpatient medical services require prenotification include mental health/substance abuse services. Inpatient prenotifications can be initiated by calling the number above (for Salt Lake City School District and Jordan School District, please call the Blomquist Hale Consulting Group directly at 801-262-9619 or 800-926-9619).  Certain Outpatient and Pharmacy services require pre-authorization. If you are referring or providing any such service for a PEHP member, please call the number above to initiate the authorization review process.

Case Management

Our Case Managers assist members with acute conditions by helping them find economical ways to meet their healthcare needs without compromising quality of care.  Provider referrals are welcome.

EDI Helpdesk

Our EDI Helpdesk answers detailed EDI questions including testing and rejection codes.  The Helpdesk also sets up providers for EDI and adds them to existing trading partner numbers, provides payer IDs, and addresses EDI related issues for claim submission and payment. They can be reached directly at 801-366-7544 or 800-753-7818.