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 members.
We've heard that provider offices enter PEHP member information in their system as the patient having “PEHP.” We have four different networks, so it’s crucial that your staff enrolls our members with the specific network they have. Some benefits of ensuring accuracy in the setup:
For your convenience, copies of the cards can be located in the Provider Library section of the provider website too. Additionally, providers can access our Provider Directory tool in the secure provider portal to identify in-network providers for referrals.