Value Providers - Ecare
Need Immediate Care? Consult a Doctor Remotely
With your PEHP E-Care benefit you have access to care for urgent needs such as:
COVID-19 Symptoms
Eye infections
Painful urination … more
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Need Immediate Care? Consult a Doctor Remotely
With your PEHP E-Care benefit you have access to care for urgent needs such as:
COVID-19 Symptoms
Eye infections
Painful urination … more
If a Provider believes PEHP has made an error in processing a claim or making a decision, the Provider may appeal as follows:
First-Level Appeal - A written appeal must be completed in full, … more
PEHP is updating its claims payment system in phases. Learn more
National Drug Code Billing Requirement
Affected Providers
Hospitals
Other providers billing for services under the Inpatient … more
Affected Providers
Hospitals
Other providers billing for services under the Inpatient Prospective Payment System (IPPS) and/or Outpatient Prospective Payment System (OPPS).
Professional claims … more
A remittance advice/EOP provides information on how a claim was processed. PEHP offers three different ways to obtain the remittance advice/EOP:
Electronic
After the claim has been adjudicated, … more
A remittance advice/EOP provides information on how a claim was processed. PEHP offers three different ways to obtain the remittance advice/EOP.
Electronic
After the claim has been adjudicated, … more
Does your health plan give money back?
PEHP has given back nearly $200 million to employers and members.
Contact Us
One stop shopping means all your benefits under one roof. … more
Provider Basics is a reference guide to treating PEHP patients. Become familiar with this guide to reduce your payment denials and minimize uncovered and/or unnecessary healthcare costs for our … more
As healthcare gets costlier and more complex, carefully consider where and how you get care to maximize your PEHP benefits.
“Know Before You Go” — that means taking a few simple steps beforehand … more
Medical Plans
PEHP offers multiple medical plans and networks. Your plan outlines your medical coverage and your network is where you go for services, such as clinics and hospitals.
Check … more