See medical and pharmacy information regarding our health plans.
- Provider Service Center Provider Managers can log in to view authorizations, claims, member eligibility, benefits information, and much more.
- Provider Guide See information about benefits, cost sharing and member ID cards for our plan options, including Medicare.
- Operations Bulletins Review provider guide, operations bulletins, formulary information, and more.
- Medical Benefit Policies Review medical benefit policies that apply to our plans.
- Physician Quality Summary PCP's can view the performance ratings for their site and a detailed explanation. (Requires Provider Login)
- Quality / Efficiency Reports View Physician Utilization Reports and Provider Profile Reports. (Requires Provider Login)
- Member Health Alerts Identify Health Plan members at your practice who are due for recommended services.(Requires Provider Login)
- Radiology Pre-certification Prior authorization is required for the following outpatient services:
- PET Scan
- Nuclear Cardiology (MPI)
- Diagnostic Nuclear Medicine
- Stress Echo
See recent editions of Briefly, our newsletter for Geisinger Health Plan participating providers. It is published quarterly and includes clinical and administrative information.
The medical and pharmaceutical policy updates found in the December 2012 Briefly are effective January 1, 2013.