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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
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
Pharmacy Forms
Coordination of Benefits/Direct Claim Form Submit Claim Form Electronically Express Scripts Home Delivery Order Form
How does my Pharmacy/Medical Identification Card work? … more
801-366-7555/800-765-7347 or Message Center in the New Portal
Customer Service
Our Customer Service Representatives answer questions relating to claims, member eligibility, and benefits. They … more
Changes starting on January 1, 2026
Please review changes below and plan accordingly to avoid delays:
What’s changing?
Preauthorization (PA) required for certain dental procedures. See … 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