Medical Networks
PEHP has four network options from which our members and employers can choose. Employers may or may not require the use in-network providers for benefits to be payable. If swing-out (out of … more
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PEHP has four network options from which our members and employers can choose. Employers may or may not require the use in-network providers for benefits to be payable. If swing-out (out of … more
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
PEHP is currently accepting applications from medical providers in the following specialties in the Wasatch front: psychiatry, endocrinology and rheumatology. For rural areas outside the Wasatch … more
As of January 1, 2015, PEHP requires all contracted medical and facility providers to submit claims electronically. Some of the many benefits of submitting claims electronically include: … more
PEHP offers Electronic Funds Transfer (EFT). Providers that would like to participate in the EFT process must meet the following criteria:
Be able to receive an electronic remittance (835) and/ … 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
PEHP currently supports the following transactions:
837: Health Care Claim – PEHP accepts dental, professional and institutional claims. PEHP will return a Functional Acknowledgment (999) report … more
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
801-366-7555 or 800-765-7347
Customer Services and Provider Specialists
Our Customer Service Representatives and Provider Specialists answer questions relating to claims, member eligibility, … more
FREE MEDICARE PRESENTATIONS » Join us for a free presentation to learn about Medicare and PEHP’s Medicare Supplement plans. We’ll be available after each presentation to answer questions.
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