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
  
  

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