Why is there a new member account and when can I access it?

PEHP updated its core operating system, which comes with its own member account, to better serve you across all departments. You can access your new member account the first day of your upcoming plan year. For a specific date, please contact your HR department.

06/02/22

Why do I need to create a new PEHP account?

Our new operating system generated new member IDs that are in sync with your new member account. You’ll have to create a new PEHP account using your new ID number to access your benefit information, claims, enroll or change coverage, find providers and costs, see your copays, deductible, out-of-pocket max, and much more.

06/02/22

Why am I getting a new PEHP member ID?

Our new operating system generated new member IDs that are in sync with your new member account. To avoid an interruption of benefits, please update your ID card number with your providers the next time you go in.

06/02/22

How do I access my old claims?

You can access your old claims from your new PEHP member account. Under the My Benefits menu, choose Claims History.

06/02/22

Do my doctors have my new member ID number?

No, you’ll have to update your member ID number with all your providers. Be sure to show them your new ID card at your next appointment.

06/02/22

Is online enrollment changing?

Check with your employer on how you enroll or make changes to your benefits. The layout for PEHP online enrollment is changing, but the same policy applies to making enrollment changes. You’ll have to wait until your employer’s annual enrollment period to make changes, unless you have a Life Event, such as a new baby/adoption, marriage/divorce, etc.

06/02/22

How do I access the PEHP Provider Directory?

You can access the PEHP Provider Directory from your new member account under the “Find Providers & Costs” menu on top.

06/02/22

How do I sign up for a Healthy Utah Biometric Screening?

Please contact us at (801) 366-7300 or healthyutah@pehp.org

06/02/22

How do I avoid payment problems?

Don’t begin using your new ID card until your new plan year starts. Until then, just keep using your existing card with the ID number that begins with “174.”

Use your existing ID card up to the last day of your current plan year and use your new card from the first day of your new plan year.

12/27/22

How should providers bill for services?

For a claim to be paid, your provider must submit the right member number for that claim.

This means that for services received up to the last day of your current plan year, your provider must submit claims using your old member number that starts with “174.”

For services received from the first day of your new plan, your provider must submit claims using your new member number that starts with an “M000.”

Providers are the only ones that can fix the problem of a claim submitted with the wrong member number. They can do so by simply resubmitting your claim with the right member number.

12/27/22

How do I get a copy of my PEHP ID card?

Log in to your PEHP online account at pehp.org. Under the “My Benefits” drop down menu, select “View ID Card.”

12/27/22

How do I access the Provider Directory & Cost Tools?

To access the PEHP Provider Directory & Cost Tools, make sure to allow pop-ups on your browser from https://pehpmembers.healthtrioconnect.com

03/10/23

How do I view claims before September 1 or January 1?

To view your historical claims before we migrated you to our new system, you have to login to your old PEHP account. Make sure you use your old login credentials. Eventually, all your claims will reside within your new online account.

03/10/23

How does my spouse and/or adult dependent create an account?

To create an online account, your spouse must add “-01” and your adult dependent must add “-02” at the end of your ID number.

03/10/23

How do I access claims for everyone on my plan?

To access claims for everyone on your plan, each adult in your plan must create an online account and grant you access to their claims. To do this, they need to go to the Permissions section under the My Preferences menu.

03/10/23

Can a contracted provider request a member to pay PEHP's portion of a submitted claim?

No, this is not allowed under our contract terms. Accepting payment from a member for a claim submitted to PEHP creates complications for the member, the provider, and PEHP in terms of payment and accounting. It is essential to adhere to the contractual terms to ensure a smooth claims process.

08/04/23