Geisinger Health Plan Contact Directory
22 contact channels across 3 types (Fax, Mailing Address, Phone) for claims, prior authorization, provider services, and more.
Last verified Aug 25, 2026 from the payer's published directories.
Phone
10 rows
| Contact | Purpose | Line of Business | Hours | Notes | Source |
|---|---|---|---|---|---|
| 888-839-7972 | Behavioral Health | All | Monday–Friday 8:00 a.m.–4:30 p.m. | Behavioral health prior authorization / utilization management contact. - prior authorization | View source |
| 844-447-7768 | Claims Status, Eligibility Benefits | All | N/A | Dedicated claims resolution and provider care team line for claims issues and member benefit questions | Provider care team for claims and member benefit questions - For claims issues; connect with claims resolution representative by saying “claims” | Member benefit questions that cannot be resolved via Availity or Instamed; provider-facing | View source |
| 570-271-5555 ext. 52759 | Credentialing Enrollment | All | Weekdays 8:00am – 5:00pm | Enrollment Department phone for enrollment processing information - Enrollment Department (Enrollment Manager phone, includes extension as published) | View source |
| 800-876-5357 | Credentialing Enrollment | Medicaid | Monday–Friday 8:00 a.m.–4:30 p.m. | Provider relations representative for GHP Family Medicaid. - provider relations / contracting | View source |
| 570-271-5633 | Edi Electronic Claims | All | Weekdays 8:30am – 5:00pm | EDI Technical Contact for EDI questions and additional information - EDI Technical Contact – questions or additional EDI information | View source |
| 570-271-5673 | Pharmacy | All | Monday–Friday 8:30 a.m.–5:00 p.m. | Alternate Pharmacy Department number listed on Geisinger provider reference materials. - pharmacy services | View source |
| 800-988-4861 | Pharmacy | All | Monday–Friday 8:30 a.m.–5:00 p.m. | Pharmacy Department contact listed on Geisinger provider reference materials. - pharmacy services | View source |
| 855-552-6028 | Pharmacy | Medicaid | Monday–Friday 8:30 a.m.–5:00 p.m.; Wednesday 8:00 a.m.–8:00 p.m. | Geisinger Health Plan Family Pharmacy Department; prior authorization / formulary exception contact. No separate PBM name was stated in the retrieved source. - pharmacy prior authorization / formulary exception | View source |
| 570-271-6497 | Prior Authorization | Commercial | Monday–Friday 8:00 a.m.–4:30 p.m. | Alternate prior authorization / pre-certification contact on provider reference materials. - pre-certification / prior authorization | View source |
| 800-544-3907 | Prior Authorization, Medical Management | All | Monday–Friday 8:00 a.m.–4:30 p.m. | Prior authorization / pre-certification contact on provider reference materials. | Medical management / prior authorization for inpatient admissions, outpatient rehabilitation, home health and hospice, SNF and DME. - pre-certification / prior authorization | precertification / prior authorization | View source |
Fax
5 rows
| Contact | Purpose | Line of Business | Hours | Notes | Source |
|---|---|---|---|---|---|
| 570-214-9366 | Appeals Disputes | Medicare | N/A | Non-participating provider dispute resolution fax number - Non-participating provider dispute resolution fax | View source |
| 570-271-5516 | Credentialing Enrollment | All | Weekdays 8:00am – 5:00pm | Enrollment Department fax for enrollment processing information - Enrollment Department fax | View source |
| 570-271-5162 | Edi Electronic Claims | All | Weekdays 8:30am – 5:00pm | EDI Technical Contact fax number for EDI information - EDI Technical Contact – fax | View source |
| 570-214-3572 | Medical Management | All | N/A | Prior authorization fax for medical management. - prior authorization requests | View source |
| 570-271-5610 | Pharmacy | Medicaid | N/A | Fax for GHP Family Pharmacy Department prior authorization / formulary exception forms. - pharmacy prior authorization / formulary exception | View source |
Mailing Addresses
7 rows
| Contact | Purpose | Line of Business | Hours | Notes | Source |
|---|---|---|---|---|---|
| Claims Department, Geisinger Health Plan, PO Box 160, Glen Burnie, MD 21060 | Claims Submission | All | N/A | Paper claims and Claim Research Request Forms (CRRFs) | View source |
| Geisinger Health Plan, PO Box 8200, Danville, PA 17821-8200 | Claims Submission | All | N/A | Claim submission address – All Products (legacy address still published in Who to Call guide) | View source |
| Geisinger Health Plan, Attn: Claims, PO Box 853910, Richardson, TX 75085-3910 | Claims Submission, Appeals Disputes | Commercial, Medicare | N/A | GHS TPA medical claim reimbursement form mailing instructions | Non-participating provider dispute resolution mail address - Medical Claim Reimbursement Form mailing instructions (Attn: Claims) | Non-participating provider dispute resolution mail address (Geisinger Gold-related) | View source |
| Geisinger Health Plan, Provider Network Management/Operations Manager, 100 North Academy Ave., Danville, PA 17821-3020 | Credentialing Enrollment | All | N/A | Provider Network Management/Operations Manager address for enrollment application return - Provider Network Management/Operations Manager – enrollment application return address | View source |
| Enrollment Manager, 100 N. Academy Avenue, Danville, PA 17822-3229 | Credentialing Enrollment | All | Weekdays 8:00am – 5:00pm | Enrollment Department mailing address - Enrollment Department mailing address | View source |
| EDI Technical Contact, 100 N. Academy Avenue, Danville, PA 17822-3233 | Edi Electronic Claims | All | Weekdays 8:30am – 5:00pm | EDI Technical Contact mailing address - EDI Technical Contact mailing address | View source |
| GHP Family Attn: Pharmacy Department 32-46 100 N. Academy Avenue Danville, PA 17822 | Pharmacy | Medicaid | N/A | Mailing address for GHP Family Pharmacy Department prior authorization / formulary exception forms. - pharmacy prior authorization / formulary exception | View source |
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Sources
Where this data comes from
Every contact in this directory comes from documents the payers publish themselves, such as provider manuals, quick reference guides, and contact pages, and each payer page shows when its contacts were last verified. You can see all of our data sources and how we process them.
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