Orchard - Unchanged

Dental Electronic Submissions

Submitting Claims Electronically

To receive payment, providers must be setup in PEHP's system and submit claims electronically.

Get Set Up

Complete the Provider Account Information form and email it to providersubmissions@pehp.org.
Allow 10 business days for processing before submitting claims.

How to Submit Claims

  • Via Clearinghouse: Utah Health Information Network (UHIN) provides a private and secure gateway for electronic data exchanges. You can set up an account with UHIN or just send individual claims through its portal for a nominal monthly fee. If you have a preferred clearinghouse, just ask them to submit your claims electronically to PEHP via UHIN. Learn more at www.uhin.org.
  • Once you establish an account with UHIN, please contact our EDI department at 801-366-7544 to be setup in our system for testing.

OR

  • PEHP Provider Portal (Account setup required): Submit individual dental claims directly. See how.

> If a claim is rejected, check that all fields are complete and accurate.

PEHP Provider Portal Access

To access the PEHP Provider Portal, you need to be setup in our system. Complete the Provider Account Information form and email it to providersubmissions@pehp.org.
Allow 10 business days for processing before submitting claims.

Once registered, create a portal account to:

  • Submit claims. See how.
  • Check eligibility & benefits
  • View claim status
  • Enroll/update EFT (required for payment)

> First login = portal administrator.
> Questions? Call 801-366-7544.

Reminder

  • Preauthorization is required for many procedures. Learn More.