PEHP
dentalmedicalvision
Summary
PEHP is a dental, medical, and vision payer operating in Utah. Claims route under payer ID 10574, with 7 alternate IDs in use across clearinghouses. Through clearinghouses it supports eligibility checks, professional claims, institutional claims, dental claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.
At a glance
- Payer ID
10574Also seen as 11049, 11050, CX080, PEHP, PEHPU, SX106 and 1 more- Also known as
- PEHP -CHIP, PEHP Health & Benefits, Public Employees Health Plan
- Service area
- UT
Clearinghouse transaction setup
Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.
| Transaction | Enrollment | Typical setup |
|---|---|---|
| Eligibility checks (270/271) | Not required | Immediate |
| Professional claims (837P) | Required | Several weeks |
| Institutional claims (837I) | Required | Several weeks |
| Dental claims (837D) | Required | Several weeks |
| ERA / remittance (835) | Required | Several weeks |
Common questions
- What is the payer ID for PEHP?
- The payer ID for PEHP is 10574. Alternate IDs seen across clearinghouses include 11049, 11050, CX080, PEHP.
- Does PEHP require ERA enrollment?
- Yes. PEHP requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
- What states does PEHP cover?
- PEHP operates in UT. Coverage can differ by plan and product line, so confirm the specific plan before you file.
- What types of coverage does PEHP offer?
- PEHP covers dental, medical, and vision.
- Can I submit claims to PEHP electronically?
- Yes. PEHP is reachable through clearinghouses for eligibility checks, professional claims, institutional claims, dental claims, and electronic remittance. Electronic claims are supported for professional (837P), institutional (837I), and dental (837D).
Compiled from public payer resources and clearinghouse catalogs. Details change often, so confirm with the payer before relying on them. Spot something out of date? Tell us and we will fix it.