Remittance Advice/EOP

A remittance advice/EOP provides information on how a claim was processed. PEHP offers three different ways to obtain the remittance advice/EOP:

Electronic

After the claim has been adjudicated, PEHP will send an electronic remittance advice (835).

Benefits include:

• Cuts down on paper
• Can be loaded into the providers practice management system for posting
• Accounts receivable are significantly reduced, as provider can post payments in a timely manner

This feature is also required; if the provider wants to be set up with Electronic Funds Transfer (EFT) as we discontinue the paper remittance when they are set up for EFT.

Website

PEHP gives providers the option of downloading the remittances from the secured portion of our website. A user id and password is required, therefore, if you do not have one, please contact the appropriate Provider Relations Specialist.

Mail 

Only in some circumstances, when a claim has been adjudicated by PEHP, a paper remittance will be mailed to the provider's office.