Providers

Provider website offers helpful tools and information to allow
you to focus on our members healthcare needs.

Claims & Billing

» Appeals
» Code Edits
» Coordination of benefits (COB)
» Electronic Funds Transfer
» Electronic Submission
» Paper Submission
» Remittance
» Timely Filing
» National Provider Identifier

Care Management &
Wellness

» Disease Management Programs
» Medical Pre-authorization
» WeeCare Prenatal Program
» Wellness Programs

Dental Services

» Appeals
» Authorization / Coding Req.
» Contracts/credentialing
» Coordination of benefits (COB)
» Electronic Funds Transfer
» Electronic Submission
» Paper Submission
» Remittance
» Timely Filing

Electronic Data Interchange (EDI)

» Benefits of EDI
» EDI Services
» What is UHIN?

Online Services

» Electronic Trading Partner Agreement (ETPA)
» PEHP for Providers

Contact Us

» Customer Service
» Provider Relations Specialists

Contracts/Credentialing

» Application
» Contracting Process
» Credentialing Policy
» Medical Networks

Pharmacy

» Preferred Drug List
» Mail Service
» Pre-authorization
» Quantity Levels
» Recent Formulary Updates
» Specialty Pharmacy

Provider Library

» FAQ
» Forms
» Member ID Card
» Provider Newsletters
» Provider Manual

What's New

» Communications

Provider Home»Provider Newsletters

Provider Newsletters

Spring 2010 issue

Buckle up for a scenic tour of what’s new for PEHP and our providers

Fall 2009 issue

With our partners and online tools, PEHP makes claims a piece of cake.

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.