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
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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
ATTENTION
PEHP is replacing its claims payment system in phases based on when a member's plan year begins. See transition timeline below.
Here's what providers need to know:
Currently, only 3 … more
PEHP Value Providers include outstanding healthcare providers available to members with the lowest out-of-pocket costs. This page gives you a brief overview of some of our value providers. To … more
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
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
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
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
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
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
PEHP now offers an online tool which allows providers to create a primary or COB claim directly from pehp.org via the secure provider portal.
The “Submit Medical Claims” link is located on the left … more