Public Employees Health Plan (PEHP) New Claim Editing Software

Incident Report for UHIN

Resolved

PEHP’s new claim editing software effective July 1, 2026

As part of the implementation of our new claims payment system, PEHP is also updating the software used in its claims editing application.
Beginning July 1, 2026, PEHP’s new claims editing software will go live. This updated software will incorporate Medicare NCCI edits, which can be customized to align with PEHP’s clinical policies. The new software will support more accurate coding practices without changing PEHP’s existing clinical criteria.

While the new software may apply more edits than our previous system, we do not anticipate any disruption to current claims adjudication processes.

If you have any questions, please contact us via the Message Center in the https://pehpproviders.healthtrioconnect.com/

Posted Jun 29, 2026 - 15:50 MDT

This incident affected: Customer Support and Clearinghouse Platform (Payer Network).