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Benefits of EDI

Make your life easier, submit your claims electronically! Some of the many benefits of submitting claims electronically rather than paper submission, include:

  • Improved cash flow
  • Expedited claims processing – On average, electronic claims will be processed nearly three weeks sooner than paper claims
  • Reduced outgoing calls to payers
  • Decreased risk of sending claims with human errors
  • Reduced paperwork
  • Instant validation of claims status including receipt or rejection of the claim

An exception will be made for paper Coordination of Benefit (COB) claims. Until PEHP is able to provide a method for COB claims to be received electronically, COB paper claims will be processed with the same promptness that is dedicated to electronic claims.

Our other EDI services such as electronic claims status, eligibility inquires, and payment remittances can also save your office valuable time and resources.

Beginning July 1, 2010

PEHP will no longer be administering any CHIP medical or dental plans.

PEHP will continue to pay CHIP claims with dates of service prior to July 1, 2010.

Start preparing now....

Start preparing now for the electronic healthcare transactions change to Version 5010 and the ICD-10 conversion. Speak with your practice management vendor or clearinghouse about these coming changes.