At the request of our employer groups, PEHP has created a narrow network known as the Capital Care Network, which is effective as of May 1, 2015. The PEHP Capital Care Network is primarily centered around Iasis and University of Utah Healthcare facilities and associated practitioners. This network also includes Primary Children’s Hospital and all rural facilities. The physician panel is smaller as participating providers must have access to the participating facilities. Members must utilize Capital Network providers and hospitals in order to receive maximum benefits. Some Capital Network plans do not have out-of-network benefits. To review copies of these cards, go to www.pehp.org, for Providers, Provider Library, Member ID Cards.
Feel free to contact your Provider Relations Specialist, should you have any questions about this new Network.
We are happy to announce our new claim submission tool. Providers who do not have access to electronic submission may key in claim information and submit claims through our website at no charge. The tool is designed to support individual claim submissions and is not designed for batch claim submissions. It is available through the secured provider portal. If your office does not have login credentials, contact your Provider Relations Specialist.