Orchard - Unchanged

New claims system information

If your PEHP ID card number begins with 174100, the information on this page doesn't apply to you until July 2025 or September 2025.

If your PEHP ID card number begins with M0000, please read the information below carefully.

PEHP is replacing its claims payment system and member portal to better serve you. We are excited about these changes that will help us improve your experience with PEHP.

The transition to the new system will be done in phases based on when your plan year renews. Check with your employer to know when you will be moved to the new system.

As part of the transition, you're getting a new ID card and number. Your new ID number begins with "M000." All covered family members can use the same card when they visit a provider. 

Here’s what you need to do:

  1. Use your new ID NUMBER when you visit providers to ensure your claims are paid. Our new claims system will not recognize your old ID number. Note: Covered family members can use the same card and number when they visit a provider.
    1. You will receive a new member ID card in the mail before your new plan year begins - July 2025 or September 2025 (check with your employer for your new plan date). Your new card will have a new member ID number and your plan benefits. Your new ID number begins with "M000." Please discard your old PEHP card and begin using the new card when you visit providers. If you use your old PEHP ID number beginning in "174100" after your new plan year begins, your claims will be denied. It’s important that you give your doctor or pharmacist your new ID number to have your claim paid. Otherwise, you will have to work with the provider on resubmitting the claim under the correct number to get it paid.
  2. Create a new PEHP ONLINE ACCOUNT to see your benefit information
    1. This is important to access your claims, find providers and costs, see your copays, deductible, out-of-pocket max, benefits summary/master policy, and much more. This is also where you will find the secure message center to ask us questions and send us personal documents. To create an account, you must add the extension at the end of your ID number with the hyphen, as shown below:
      M00000XXXXX-00 you (employee covered under PEHP plan)
      M00000XXXXX-01 spouse
      M00000XXXXX-02 adult dependent
      M00000XXXXX-03 adult dependent
      Note: If you want to see all claims for your family, your spouse and adult dependent must create an account and grant you access to their claims under the My Preferences menu-->Permissions. You must wait 24 hours after you create an account to access your account. 
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