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Public Employees Health Program (Utah)

CommercialNon-ParticipatingEDI Enrollment Required

Also covers / subsidiaries: PEHP, Utah Public Employees Health Plan

Core Payer & Clearinghouse Profile

Electronic Payer ID

SX106

Routes through UHIN (Utah Health Information Network); enrollment required and a UHIN pass-through fee applies.

Timely Filing Limit (TFL)

12 months from date of service (15 months when secondary)

Appeal Window

Varies — confirm via portal / clearinghouse

Clearinghouse Gateway

UHIN; reachable via Office Ally, Claim.MD

Provider Services

801-366-7555

Claims Fax

Varies — confirm via portal / clearinghouse

Claims Address

PEHP Claims Department, 560 E 200 S, Salt Lake City, UT 84102-2004

Provider Portal

https://www.pehp.org/providers/online-services/pehp-for-providers

Utah's self-funded commercial-style plan for public and government employees statewide.

National EDI Clearinghouse Capabilities

Direct ANSI X12 electronic transaction support verified for Public Employees Health Program (Utah).

837P Professional Claims
837I Hospital Claims
837D Dental Claims
835 ERA Electronic Remittance
270/271 Real-Time Eligibility
276/277 Claim Status Inquiry
Secondary Claim Submission
Worker's Compensation EDI
Electronic Attachments (PWK)

Values vary by plan, line of business, and provider agreement. Confirm in the payer portal or with your clearinghouse gateway before submitting electronic claims.

Tired of Chasing Public Employees Health Program (Utah) Denials & Delayed Payments?

Aethera's billing specialists work Public Employees Health Program (Utah) every day — handling EDI clearinghouse rejects, prior authorizations, payment posting, and 30-day AR aging recovery.

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