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

The Health Plan has recently upgraded its security to better protect your personal health information as directed by the U.S. Department of Health and Human Services (HHS) proposed information security guidance. It appears that your browser does not support this enhanced security. Without this capability you are unable to login to the secured section of www.thehealthplan.com.

You need to upgrade your browser to a more recent version that supports Transport Layer Security Protocol (TLS).

Choose one of these links for a free download of these supported browsers:

Internet Explorer

Firefox

Chrome

Opera

Please feel free to contact our Customer Service department for immediate questions about your Health Plan. Please click here for a list of Customer Service phone numbers.

This change was required by the Health Information Technology for Economic and Clinical Health (HITECH) Act passed as part of American Recovery and Reinvestment Act of 2009. TLS helps guard your protected health information by using strong cryptographic methods to prevent eavesdropping, tampering and forgery.

Electronic Data Interchange

1) To begin electronic claim transactions with the Health Plan, please complete and submit the Electronic Data Interchange (EDI) Enrollment Form, either online or by mail or fax. Please use the Health Plan's Payer ID Number (75273) when submitting claims via Emdeon or Relay Health.

Electronic Enrollment Form

Hard Copy Enrollment Form (Interactive PDF)

The hard copy enrollment form can be returned to:

Geisinger Health Plan
CSST/EDI Enrollment 32-27
100 North Academy Avenue
Danville PA 17821-3227

Fax: (570) 271-5341

2) When the EDI Enrollment Form has been processed, you will receive e-mail notification to begin billing electronically, using your National Provider Identifier (NPI). Formatting specifications are outlined in the Health Plan Companion Guide.

3) Please contact the EDI Help Desk if you have any questions or issues.

The Health Plan has contracted with Emdeon and Relay Health, who receives and sends electronic transactions on our behalf. For further information regarding Emdeon, please contact them directly at 877.EMDEON.6 or online at www.emdeon.com or Relay Health at (800) 527-8133 or online at www.relayhealth.com.

The Health Plan strongly encourages its EDI enrollees to ensure that their claim submission software vendor/billing company has taken all necessary steps to confirm all required data elements are captured and populating in accordance with applicable Health Plan Companion Document.

Geisinger Health Plan

Electronic Data Interchange

Find