11 - 20 of 62 results
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 … more
Pharmacy Forms
Coordination of Benefits/Direct Claim Form Submit Claim Form Electronically Express Scripts Home Delivery Order Form
How do I submit pharmacy claims if I have coverage with … more
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. … more
Know Before You Go
As healthcare gets costlier and more complex, carefully consider where and how you get care to maximize your PEHP benefits. Know Before You Go means taking a few simple … more
Coordination of benefits (COB) claims are those claims your primary insurance has already paid and PEHP becomes your secondary insurance. Cash-paid (direct) claims are those you paid the cash price … more
At PEHP, we understand that navigating the healthcare system can sometimes feel overwhelming. Our dedicated Care Coordination team is committed to making your healthcare journey as smooth as … more
801-366-7555/800-765-7347 or Message Center in the Provider Portal
Member & Provider Service Center
Our Customer Service Representatives are here to help with questions about claims, member … more
Affected Providers
Hospitals
Other providers billing for services under the Inpatient Prospective Payment System (IPPS) and/or Outpatient Prospective Payment System (OPPS).
Professional claims … more
PEHP plans are self-funded. Here's what that means to you
Self-funding is a proven, cost-effective method for providing employee benefits.
With a self-funded medical plan, an employer puts … more
A contracted provider has the responsibility to file the claim within 12 months from the date of service. Claims denied for untimely filing are not the member’s responsibility, unless one of the … more