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Care and Disease Management

Disease management services are provided by MEDCO/Optimal Health, a nationally recognized leader in disease management support.

Patients who are identified as having diabetes, COPD, heart failure or coronary artery disease, by their Pharmacy, or medical claims are engaged over the phone and by mail to help them better understand and manage their disease.

Patients can also self or physician identify. Currently if you have a patient who suffers from diabetes, COPD, heart failure or coronary artery disease please, contact PEHP customer Service at 800-765-7347.

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.