Provider Benefit Tool

1. Verify member eligibility by checking member ID cards or by logging into the Provider Benefit Tool (Need to enroll? See steps below.)
   
   
2. Submit the claim via:
   • Electronic Data Interchange (EDI) transaction
   • U.S. Mail to:
     • P.O. Box 30192 SLC, UT 84130 (for Commercial/Medicaid/CHIP)
     • P.O. Box 30196 SLC, UT 84130 (for Medicare claims ONLY)
        
3. Monitor submitted claim with Provider Benefit Tool.
   
   
4. Once a claim has been paid, providers receive either an electronic remittance advice as an Electronic Data Interchange (EDI) transaction or as a paper remittance advice. Access a Sample Remittance Advice and a Remittance Advice Key for more information.

Enroll now

(for contracted providers and facilities not currently enrolled)

1. Request access by submitting an application and agreement.
2. Email completed documentation.
3. Wait up to 30 days for approval.
4. Log in to PBT.

Enroll a new user

(for contracted providers and facilities already enrolled)

1. Email the login application for each new user.
2. Wait up to 30 days for approval.
3. Log in to PBT.

Training Resources

• How Do I Search for a Member and View Eligibility?
• How Do I Search for a Claim?
• How Do I Search for a Remittance Advice?
• How Do I Search for All Claims within a Date Range?
• For Which Providers Can I View Data?
• How Do I Submit Additional Documentation for Claims?

Frequently Asked Questions

Questions? 

Contact Select Health Provider Development at 800-538-5054 or providerwebservices@selecthealth.org.