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Our online services are only available to providers who have signed an Electronic Trading Partner Agreement (ETPA).
The ETPA agreement governs the rules by which providers agree to access … more
Notice: Due to a software upgrade, we’re experiencing temporary delays in claims processing and payments. Do not submit duplicate claims. Thanks for your patience. Learn More
How to Get … more
PEHP Pays You to Stay Healthy
PEHP Wellness offers cash rewards for participating in wellness programs and activities. This page shows you a list of all rebates* available.
First Steps ($50) … more
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
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
When PEHP is the primary plan, its eligible benefits are paid before those of the other health benefit plan and without considering the other health plan’s benefits. When PEHP is the secondary plan, … more
PEHP is currently accepting applications from dental providers for our Preferred Dental Panel in the following specialties and/or areas: endodontics, periodontics, prosthodontics, pedodontics, and … more
How long does a screening take?
A complete session lasts about 20-30 minutes. If you have several questions or concerns, we are happy to spend extra time with you to ensure you have the … more
PEHP only accepts paper claims for the following:
Dental See how to submit electronically.
Tertiary (2 separate EOBs attached)
Include Medical Records attached
Air ambulance claims with records … more
Medicare doesn't pay everything
Turning 65? Get the coverage you need with a PEHP Supplemental Plan*
See Plans & Rates for 2026
*You must be enrolled in Medicare Part A and B to enroll in … more