Contact us
If you have questions or need information, contact Geisinger Health Plan.
Online services
- NaviNet® for provider information and resources: navinet.navimedix.com
- Instamed® for electronic claim submission and payment transactions: 866-467-8263 or instamed.com
Claims
Call the customer care team with claims questions that cannot be resolved through NaviNet® or Instamed®.
- Provider claims: 800-447-4000
Provider account management
Talk to your GHP provider account manager about your contract, pay-for-quality programs and educational opportunities.
- Provider Account Management: 800-876-5357 or GHPAccountMngt@geisinger.edu
Benefits and eligibility
Call for member benefits and eligibility unable to be found via NaviNet.
- HMO/PPO with referral: 800-447-4000
- PPO with no referral/TPA: 800-504-0443
- Geisinger Gold: 800-498-9731
- GHP Family: 855-227-1302
- GHP Kids (CHIP): 866-621-5235
- CCHS TPA: 844-568-5229
- EMHS TPA: 855-863-2429
- St. Luke's TPA: 866-580-3531
- Exchange: 866-379-4489
- Geisinger employees: 844-568-5229
- Wise Foods: 844-260-8028
- AON: 844-390-8332
- Walmart, PA Trust, PEBTF, Office of Personnel (FEHB),
Bucknell University, Evangelical Community Hospital: 844-863-6850 - Behavioral health: 888-839-7972
Medical management
Contact medical management to request precertification/prior authorization for inpatient admissions, outpatient rehabilitation, home health & hospice, SNF, DME, etc.
- Medical management: 800-544-3907
- Non-emergent ambulance: 844-749-5860
- Behavioral health: 888-839-7972
Pharmacy department
Call the GHP pharmacy department for formulary exceptions, drug authorization and prescription drug information.
- Pharmacy department: 800-988-4861
- GHP Family pharmacy: 855-552-6028
Case management
Contact case management for assistance with care coordination.
- Case management: 800-883-6355
- GHP Family Special Needs Unit (SNU): 855-214-8100
- Behavioral health: 888-839-7972
Quality and accreditation
Call for medical record chart review and HEDIS specification questions.
- Quality and accreditation: 866-847-1216
TTY/TDD 711 for the hearing impaired
Related information
Learn more about Geisinger Health Plan.
Clinical guidelines
Clinical guidelines offer providers consistent and appropriate guidance for diagnosis and treatment of specific conditions or diseases.
Terms and conditions
View GHP’s terms and conditions.