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Remittance Advices

A remittance advices provides information on how a claim was processed. PEHP offers three different ways to obtain the remittance advice.

Mail

When a claim has been adjudicated by PEHP, a paper remittance will be mailed to the providers office.
PDF Icon For an example of remittance, please click here.

Electronic

After the claim has been adjudicated, PEHP will send an electronic remittance advice (835).

Benefits include:

  • Cuts down on paper
  • Can be loaded into the providers practice management system for posting
  • Accounts receivable are significantly reduced, as provider can post payments in a timely manner

This feature is also required; if the provider wants to be set up with Electronic Funds Transfer (EFT) as we discontinue the paper remittance when they are set up for EFT.

Website

PEHP gives providers the option of printing the remittances off of the secured portion of our website. A user id and password is required, therefore, if you do not have one, please contact the appropriate Provider Relations Specialists.

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.