Simple tools and information to help you provide medical care for members.
Claims Submission
Claims should be submitted to the following address:
Geisinger Health Plan
P.O. Box 8200
Danville, PA 17821-8200
Claims Forms & Information
Review information about claims and download forms.
Electronic Transactions
• Electronic Fund Transfers (EFT)
• Electronic Explanation of Payment (835 Transaction)
• Other Electronic Provider Transactions
Claim Form Information
Claim Research Request Form
Forms (Except Claims)
Review and print downloadable forms.
New Provider Application Request Form
Prior Authorization Instructions and Request Form
Formulary Exception / Prior Authorization Request Form
Erythropoietin Stimulating Agent Information and Request Form
Frequently Asked Questions (FAQ's)
Lower Back Pain Certification Criteria
Outpatient Rehab Precertification Forms
More specialty FAQ's are coming soon!
Compliance Program
Geisinger Health Plan's Compliance Program is designed to oversee the development, implementation and maintenance of a compliance and privacy program that meets or exceeds federal and state laws and regulations, as well as contractual and accreditation obligations.
Geisinger Health Plan is committed to ethical and legal conduct that is compliant with all relevant laws and regulations, and to correcting wrongdoing whenever it may occur in the administration of any of our plans.
This commitment encompasses our organization and any of the parties that we contract with to provide services related to the administration of our plans.
Code of Conduct
Compliance Program Information
Sample Identification Cards
Health Care Resources
See resources for additional health and medical information:
Centers for Disease Control and Prevention
CMS Revisions to Consultation Services Payment Policy
Contacts
Find key telephone numbers and addresses of contacts for our health plan.
