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Precert/Prior Auth

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See services requiring precertification/prior-authorization.

Pennsylvania

Pre-Certification/Prior-Authorization List

Completing the GHP Prior Authorization Request Form


West Virginia

Prior Authorization List

This list replaces the applicable section in your Provider Guide. It is subject to change. Changes are communicated via our provider newsletter or Operations Bulletins as necessary.

Members may not be held financially liable for a participating provider's failure to obtain prior authorization/pre-certification.

Prior Authorization Summary List

Prior Authorization Form



Requesting Pre-Certification

To request pre-certification, unless otherwise noted, please contact the Health Services Department at (800) 544-3907, or (570) 271-6497, Monday through Friday, 8 a.m. to 5 p.m.

Radiology Pre-Certification

Review guidance for ordering outpatient MRA, MRI, CT scan, PET scan and nuclear cardiology services

Contacts for Provider
Network Management

If you have questions or need information, please contact your Geisinger Health Plan provider relations representative at
(800) 876-5357.


Who to Call

Important contacts for providers: