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Forms and resources for providers

Still faxing?

You can now use Cohere to request authorization for all services, including inpatient, outpatient and behavioral health. 

Don't miss out on timesaving benefits, including automatic approvals and guided submission only available when using the Cohere portal to manage authorizations. Registration only takes a few minutes and unlocks access for all users at your practice organization.

Register with Cohere today!

*The request process for  high end radiology services that require authorization through HealthHelp remains the same.

 

PEBTF referral

Ambulance

Behavioral health

DME

Home health

  • As of Jan. 16, 2023, you can submit prior authorization requests for home health through Cohere Health. Cohere’s online portal is an easy way to get authorization requests reviewed and approved quickly so your patients can get the care they need. Register with Cohere today!

  • Home Health Services Request Form - Available through Cohere.

Inpatient

Medical benefit outpatient drug

Oncology benefits management program

Outpatient rehabilitation

Other outpatient services

  • As of Oct. 1, 2023, you can submit prior authorization requests for most outpatient services through Cohere Health. Cohere’s online portal is an easy way to get authorization requests reviewed and approved quickly so your patients can get the care they need. Register with Cohere today!
  • Outpatient Prior Authorization Form - Available through Cohere.

SNF

Shift care and private duty nursing

  • Shift Care Notification Form - For agencies to submit within five (5) days of any changes in the status of a member receiving shift care services.
  • Private Duty Nursing/Shift Care Form - For prescribing providers referring members for initial shift care/private duty nursing services to relay patient and provider information to GHP Medical Management. 

Additional forms and resources

View pharmacy forms

Related information

Learn more about Geisinger Health Plan.

Interested in joining our network?

We're committed to helping you deliver the best healthcare to patients and members.

Questions? Contact us

If you have questions or need more information, contact Geisinger Health Plan.

Terms and conditions

View GHP’s terms and conditions.

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