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Claims & Provider Benefit Tool

The Provider Benefit Tool (PBT) helps providers quickly view member eligibility and claims information.

Online Training Modules

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.

 

General Claims Process

Verify Select Health member eligibility by:

1. Checking member ID cards
2. Using the Provider Benefit Tool

Submit claims to us via:

1. Electronic Data Interchange (EDI) transactions
2. 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)

Monitor submitted claim status by using the Provider Benefit Tool.

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.

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