Electronic Funds Transfer

PEHP requires all contracted Dental & Medical providers to be set up with electronic funds transfer (EFT) services to receive payments.

Providers must be able to receive an electronic remittance (835) and/or be able to download and view remittances through the PEHP portal.

Note: Once enrollment in EFT is complete, paper remittance and checks will no longer be sent.

• Complete the Provider EFT Form and return it to us via the Message Center in the PEHP Provider Portal.
• If you plan to submit claims via the PEHP portal, enter N/A or None in the UHIN Trading Partner Number field of the EFT form.
• Questions? Call our EDI Department at 801-366-7544.
• Note: If a PEHP member receives services from a non-contracted provider, the payments will go directly to the member.