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
• GHP Family Fact Sheet
• Blood Lead Level Screening Requirements
• Back-to-school vaccination guide

GHP Family billing guidelines

• General Billing Guidelines (4/15)
• Right From the Start Guidelines (6/17)
• EPSDT Guidelines (8/15)
• Vision Guidelines (10/16)

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 Specialty Vendor Drug List/Request Form
• GHP Family Pharmacy Prior Authorization Form
• Hepatitis C Prior Auth Request Form  
• Buprenorphine (Subutex®), buprenorphine/naloxone (Suboxone®) and Zubslov Prior Authorization Request Form
• Vivitrol Prior Authorization Request Form

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.