Heads Up! More members moving to new claims payment system on July 1

Here's what you need to know:

Members moving to the new system will receive a new PEHP ID card and number (starts with M000) to begin using for all services on July 1.
Members will also receive a letter from PEHP with their new ID number. If they don't have their card for services on/after July 1, please use the new ID number to verify coverage and submit claims.

Important for July Migration

Use the “174100” ID for services through June 30, 2025.
Use the “M0000” ID for services on or after July 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

801-419-3699

cammie.keim@pehp.org