PEHP only accepts paper claims for the following:
Please submit all claims to:
PEHP Claims Department
560 E 200 S
Salt Lake City, Utah 84102-2004
Claims must be sent on appropriate claim forms: UB-04 or CMS-1500. Handwritten claims will not be accepted.
Required Information for Claims Submission
Codes (include all applicable):
Provider:
Charges:
Processing / Turn Around Time
PEHP generally processes claims within 45 days. Please note, the turnaround time for paper claims is longer than electronically submitted claims due to the extra handling required.
Payments
Contracted Providers
Non-Contracted Providers