Coverage profile
How Substrate can help you with PEHP
Substrate can help practices and billers with the following claims tasks for PEHP.
Eligibility
EDI 270/271The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with PEHP.
Frequently asked questions
PEHP payer FAQs
What is the payer ID for PEHP?
The primary payer ID for PEHP is 10574. The correct routing ID can differ by clearinghouse and transaction, so compare the 837P, 837I, 835, 270, and 276 entries before submitting.
What are the 837 payer IDs for PEHP?
The 837P and 837I payer ID for PEHP is 10574 via Stedi.
What is the 835 payer ID for PEHP?
The 835 payer ID for PEHP is 10574 via Stedi.
What is the 270 payer ID for PEHP?
The 270 payer IDs for PEHP are 10574 via Stedi and 10574 via Availity.
What state does PEHP operate in?
PEHP operates in UT.
Routing reference
PEHP payer IDs and operating states
Use the payer ID listed for the transaction you are submitting. Verify current routing and enrollment requirements with your clearinghouse.
| Payer name | PEHPSource: Substrate payer directory · last refreshed |
|---|---|
| Operating states | UTSource: Substrate payer directory · last refreshed |
| 837P professional claims payer IDStedi | 10574Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 837I institutional claims payer IDStedi | 10574Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 835 ERA payer IDStedi | 10574Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDStedi | 10574Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDAvaility | 10574Source: Availity payer catalog · catalog dated · matched by payer ID |
Routing sources and verification
- Substrate payer directoryPayer identity, aliases, operating states, and vendor IDs. Last refreshed .Open payer website ↗
- Stedi payer catalogMatched by payer ID; matched record: PEHP. Source dated .PrimaryPayerId is used as the transaction payer ID when the corresponding Stedi support flag is true.Open current Stedi reference ↗
- Availity payer catalogMatched by payer ID; matched record: PUBLIC EMPLOYEES HEALTH PLAN (PEHP). Source dated .The attached API workbook supplies 270 and 276 payer IDs only. It does not supply 837P, 837I, or 835 IDs.Open current Availity reference ↗
Clearinghouse payer IDs are transaction-specific and can change. Confirm the current payer list and the member’s ID card before submission.
Payer contact directory
PEHP phone and fax numbers
Use the number associated with your task. These contacts were stated in successful eligibility responses and may apply to specific benefits, products, or departments.
- Payer phone
- (801) 366-7555PEHP
| Channel and number | Payer Notes | Department | Specialties |
|---|---|---|---|
| phone(801) 366-7555 |
|
Phone and fax numbers sourced directly from the payer response
Other aliases
Also known as
- 10574
- 11049
- 11050
- CX080
- PEHPU
- SX106
- Z1012
- PEHP -CHIP
- PEHP Health & Benefits
- Public Employees Health Plan
- UTAH PUBLIC EMPLOYEE HEALTH PLAN (PEHP)
- PUBLIC EMPLOYEES HEALTH PLAN (PEHP)
