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  • 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

  • Value Providers Save You Money

    PEHP Value Providers include outstanding healthcare providers available to PEHP members with the lowest out-of-pocket costs. You may also get cash back for eligible services when you visit some … more

  • Providers

    These one-page tip sheets give you an overview of what you need to know about treating PEHP patients.

    Cardiology Provider Tips

    PROVIDER TIPS » Cardiology

    Preauthorization

    General … more

  • What is UHIN?

    The Utah Health Information Network (UHIN) is a nonprofit, broad-based coalition of Utah healthcare insurers, providers, and others, including local government entities. UHIN provides a private and … more

  • Hospital Coverage In Cache County

    Beginning July 1, 2017, in-network hospitals and providers in Cache County will change on the Summit Network. Cache Valley Hospital is replacing Logan Regional Hospital and two surgical centers, … more

  • Vision Plans

    PEHP sponsors two plans to help ensure healthy vision for members and their families. EyeMed and Opticare of Utah offer benefits for regular eye exams, lenses, frames, contacts, and other expenses … more

  • Helpful Apps

    This list contains moble apps you may find helpful for fitness, health, and reducing out-of-pocket pharmacy and healthcare costs.

    Pharmacy

    Express Scripts (iPhone, Android – Free) Make managing … more

  • Appeals

    If a provider disagrees with how a claim was processed, provider may dispute the claim referring to the steps listed below:

    Disputed Claim– Within 180 days after PEHP’s initial determination, … more

  • Code Edits

    Clear Claim Connection, a web-based code auditing reference tool created by McKesson Health Solutions, enables providers and their office staff to review PEHP’s claim auditing rules and the clinical … 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