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Electronic Submission

Providers are strongly encouraged to submit claims and receive remittances electronically. PEHP currently sends and receives healthcare transactions through the Utah Health Information Network (UHIN) or through a number of clearinghouses and billing services that submit through UHIN.

Providers who wish to send and receive electronic healthcare transactions themselves and not through a clearinghouse will need to contact UHIN at 801-466-7705 to establish a Trading Partner Number. The Trading Partner Number will be used for all payers that accept claims through UHIN. Once the Trading Partner Number has been established, please contact the EDI department at PEHP, 801-366-7544 or 800-753-7818, to be set up in our system and arrange testing.

When a new provider is added to your practice, please contact the EDI department to add the new provider to the correct Trading Partner Number to avoid claim rejections. We will need to know the Trading Partner Number as well as the individual NPI number.

After the set up and testing is complete, providers can then send their claims electronically to PEHP.

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.

PEHP is in the process of being able to accept COB claims electronically!

We are hoping to be in production by the first part of July 2010.

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