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 provider orientation
• Cultural competency training
• Covered services (9/18)
• Blood lead level screening requirements (9/18)
• Back-to-school vaccination guide
• Vaccine for children (VFC) program guide (9/18)
• Nutritional counseling guide (9/18)
• WIC program guide (9/18)

GHP Family billing guidelines

• General billing guidelines (6/18)
• Right from the start/Healthy Beginnings guidelines (9/18)
• EPSDT guidelines (9/18)
• Vision guidelines (4/19)

Pharmacy information 

Find out which drugs are covered, locate a pharmacy and download forms for special drugs or prior authorization.

• Formulary and pharmacy search
• GHP Family Opioid Use Prior Auth Form
• GHP Family Pharmacy Prior Authorization Form
• Hepatitis C Prior Auth Request Form  
• Specialty Vendor Drug List

Precertification/prior authorization list

• Outpatient Prior Auth Request Form and Instructions
• Outpatient Rehab Precert Form A (New Case)
• Outpatient Rehab Precert Form B (Updated Case)
• Hepatitis C Center of Excellence

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

• DME Network Precert Form
• DME/P&O Information
• DME Recertification Form
• DME Respiratory Precert Form
• DME Oxygen/CPAP Precert Form
• DME Extra Codes Sheet
• DME Change Form

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.