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  • Remittance Advice/EOP

    A remittance advice/EOP details how your claim was processed. PEHP offers three convenient ways to obtain it:

    Electronic (835)

    Sent electronically after claim adjudication.

    Benefits: … more

  • Remittance Advice/EOP

    A remittance advice/EOP details how your claim was processed. PEHP offers three convenient ways to obtain it:

    Electronic (835)

    Sent electronically after claim adjudication.

    Benefits: … more

  • ROI Dental Calculator

    How Much Can Your Office Save by Billing Electronically?

    The dental return on investment (ROI) calculator tool helps offices identify the cost-savings potential that can be achieved by switching … more

  • Credentialing Policy

    Upon receipt of a completed application, the application is reviewed and if the applicant has met the credentialing requirements a contract will be sent. The credentialing process may take up to … more

  • Electronic Funds Transfer

    PEHP requires all contracted Dental & Medical providers to be set up with electronic funds transfer (EFT) services to receive payments.

    Providers must be able to receive an electronic remittance (835 … more

  • Electronic Funds Transfer

    PEHP requires all contracted Dental & Medical providers to be set up with electronic funds transfer (EFT) services to receive payments.

    Providers must be able to receive an electronic remittance (835 … more

  • PEHP for Providers

    The PEHP for PROVIDERS is a secured online provider site allowing you to easily and cost-effectively access resources and information that can simplify and expedite your organization’s daily tasks. … more

  • AgeWell Rebate for Seniors

    You already make your health a priority. Why not get rewarded for it?

    PEHP members covered under the Medicare Supplement plan are eligible to earn the AgeWell Rebates to encourage healthy, … more

  • Coordination of Benefits (COB)

    It is the responsibility of the member to provide PEHP with accurate COB information. When PEHP is the primary plan, its eligible benefits are paid before those of the other health benefit plan. … more

  • Benefits of EDI

    As of January 1, 2015, PEHP requires all contracted medical and facility providers to submit claims electronically, and beginning January 1, 2026, this requirement will also apply to all dental … more