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For GHP Family – Medicaid providers

Here are tools and information you need to provide medical care for GHP Family members.

Resources for billing, prior authorization, pharmacy and more

If you have questions, contact your Geisinger Health Plan provider relations representative at 800-876-5357.

Provider service center
You can electronically transact with GHP Family through NaviNet, a real-time healthcare communications network. If you’re new to NaviNet, sign up for access.

GHP Family provider manual
Download a copy of our complete guide for providers working with GHP Family.

GHP Family news and resources

GHP Family billing guidelines

Pharmacy information 

  • View the Pharmacy Forms page to find out which medications are covered, locate a pharmacy and download forms for special drugs or prior authorization.
  • If you are interested in providing pharmacy services to GHP Family members as a retail, specialty or mail-order pharmacy, please contact PerformRx

Precertification/prior authorization list

    For use by DME, prosthetics, orthotics, audiology, enteral nutrition and other providers:

GHP Family Pay-for-Quality Program
This incentive program encourages and promotes a focus on exceeding all quality of care standards for our GHP Family members.

Contacts
Download our contact sheet with important phone numbers and hours of operation.

GHP Family Member Handbook

Learn more about your coverage