Search GHP provider updates

December 23, 2024

PEBTF coverage for allergy serum moves from pharmacy to medical benefit Jan. 1

Tags:

• PEBTF

December 5, 2024

Claims submission now available through Availity Essentials

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• All plans
• Claims
• GHP Updates

November 19, 2024

Report fraud, waste and abuse

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• All plans
• GHP Updates
• Regulatory NCQA

November 19, 2024

2025 Formulary updates

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• All plans
• Pharmacy
• GHP Updates

November 15, 2024

Working with Kyruus Health to validate provider directory information

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• All plans
• GHP Updates
• Regulatory NCQA
• Regulatory Medicare

October 23, 2024

Licensed Social Workers should bill under their supervising practitioner

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• All plans
• Behavioral health
• GHP Updates

October 23, 2024

Behavioral healthcare for Geisinger Health Plan members

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• All plans
• Behavioral health
• GHP Updates

September 26, 2024

We’re simplifying our related hospital admissions payment policy

As of Sunday, Dec. 1, Geisinger Health Plan will pay only the higher DRG claim for related hospital admissions within 30 days.

Tags:

• Commercial and TPA plans
• Geisinger Gold
• GHP Commercial
• GHP Updates
• Marketplace plans
• Operations Bulletin
• Authorizations
• Claims

September 26, 2024

Change Healthcare update

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• All plans
• GHP Updates

September 26, 2024

New payment policy addresses ER level of service accuracy

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• All plans
• Claims
• GHP Updates