Geisinger Health Plan® - Electronic Data Interchange (EDI) Help Desk Form for Providers

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EDI Help Desk

Please complete this form if you have a problem with the EDI Submission.


* indicates a required field.


*Provider Name:



Confirmation E-mail Address:



*Contact Name:



*GHP Provider/CDIP Number:



*Tax ID Number:



*NPI Type I (Individual Provider) Number:



*NPI Type II (Group) Number:



*Office/Site Number:



*Provider Phone Number:



*Date of EDI Submission (mm/dd/yyyy):

/ /

*Member GHP ID Number:



*Vendor Name:



*Error Received:



*Patient Control Number on Rejected Claims:



Questions / Issues