Final migration to new claims payment system complete

On September 1, 2025, we moved the rest of our members to the new claims payment system. All PEHP members now have an ID number that starts with "M0000."

Here's what you need to know:

Members migrated to the new system in September received a new PEHP ID card and number (starts with M000) to begin using for all services on September 1.
Members also received a letter from PEHP with their new ID number.

Important for September Migration

Use the “174100” ID for services through August 31, 2025.
Use the “M0000” ID for services on or after September 1, 2025.
Claims submitted with the wrong ID number will be denied and must be resubmitted using the correct number and portal.
If your claim is rejected, it’s most likely due to an incorrect ID number. To find out why your claim was rejected, use the EDI Claim Acknowledgement Tool in the Classic Portal. Note: Rejection code 33 indicates an incorrect ID number. To verify your patient’s ID, use the Member ID Lookup TooI in the Classic Portal or contact the patient for the correct ID number.

Learn More

How to contact us

Claims, provider portal, and other customer service items

If you need to report a new issue or have any concerns, the best way to reach us is via the secure Message Center in the New Portal. When calling us (801-366-7555), please select the correct queue within the provider phone tree to avoid longer wait times.

Important! If you need to send us documents, please use the Message Center.

PEHP Provider Contracts

If you have questions about your contract with PEHP, please contact the following:

Todd Sprouse, Director of Provider Contracting

801-803-0143

todd.sprouse@pehp.org

Mike Corrigan, Senior Provider Contracting Manager

801-597-5682

mike.corrigan@pehp.org

Cammie Keim, Provider Contracting Manager

801-366-7339

cammie.keim@pehp.org