Reporting encounter data can pay, even when no payment is expected

Often, providers are reluctant to submit claims and encounter data to GHP Family when no payment is expected — especially when GHP Family is the secondary insurance for patients with more than one insurance plan. 

Be sure to submit claims for all covered services provided to your GHP Family patients, even when no payment is expected. By doing so, you’re acting in accordance with PA Department of Human Services regulations and your agreement with GHP Family, and you’ll also maximize your pay-for-quality incentive payments. Remember, you still earn incentive payments by submitting claims and encounter data for certain covered services that are not reimbursed otherwise.

Have claims questions that can't be resolved through NaviNet or Instamed? Call 844-GHP-PROV (844-447-7768).