Transaction Support
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Supported |
| Claim status (276/277) | Not supported |
| Professional claims (837P) | Enrollment required |
| Institutional claims (837I) | Enrollment required |
| Dental claims (837D) | Enrollment required |
| Electronic remittance (ERA 835) | Enrollment required |
| Electronic funds transfer (EFT) | Not supported |
| ERA + EFT combined | Not supported |
| Coordination of benefits (271) | Not supported |
| Attachments (275) | Not supported |
Other payer IDs and names
- Payer ID
11049 - Payer ID
11050 - Payer ID
CX080 - Payer ID
PEHP - Payer ID
PEHPU - Payer ID
SX106 - Payer ID
Z1012 - Also listed as PEHP -CHIP
- Also listed as PEHP Health & Benefits
- Also listed as Public Employees Health Plan
Coverage states
Utah.
Enrollment requirements
- Electronic remittance (ERA 835): one click enrollment, typically takes weeks
Workflow Guidance
- Run 270/271 eligibility checks directly; this transaction does not require payer enrollment.
- Complete payer enrollment before submitting 837D, 837I, or 837P claims or expecting 835 remittance files.
- If an ERA is missing, confirm enrollment first, then review whether the claim has reached the remittance workflow.
- Plan an alternative workflow for 276/277 claim status, EFT, coordination of benefits, and 275 attachments; none is supported here.
- Do not treat enrollment-gated transactions as unavailable: 837 claims and 835 ERA become supported after enrollment.
Common questions
Can I verify patient eligibility electronically with this payer?
Yes. Eligibility and benefits are available through 270/271 without completing payer enrollment first.
Is payer enrollment required for electronic claims?
Yes, enrollment is required before sending 837D dental, 837I institutional, or 837P professional claims. Those claim types are supported once enrollment is complete.
Does this payer support electronic remittance advice (ERA)?
Yes, 835 ERA is supported after payer enrollment. If remittance is not arriving, confirm that enrollment has been completed before treating the feature as unavailable.
Can I check claim status or receive EFT electronically?
No. This payer does not support 276/277 claim status or EFT, and it does not offer combined ERA/EFT; 275 attachments and coordination-of-benefits 271 are also unavailable.
Run this payer inside Hero EMR
Hero EMR submits claims, checks eligibility, and posts remittances automatically for the payers it connects to. The first physician is free.
See a demo