If you have questions or need information, contact Geisinger Health Plan.
- NaviNet® for provider information and resources: navinet.navimedix.com
- Instamed® for electronic claim submission and payment transactions: 866-467-8263 or Instamed.com
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.
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
- AtlantiCare TPA: 866-379-4465
- 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
- Performance Guarantee: 844-863-6850
(Bucknell, FEDS, PA Trst, PEBTF, Walmart)
Contact medical management to request precertification/prior authorization for inpatient admissions, outpatient rehabilitation, home health & hospice, SNF, DME, etc.
Call the GHP pharmacy department for formulary exceptions, drug authorization, and prescription drug information.
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
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Terms and conditions
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