Geisinger Health Plan
Also covers / subsidiaries: GHP, Geisinger
Core Payer & Clearinghouse Profile
Electronic Payer ID
10611
Clearinghouse-confirmed; verify the specific line (GHP Family/Medicaid, Geisinger Gold/Medicare).
Timely Filing Limit (TFL)
Varies — confirm via portal / clearinghouse
Appeal Window
Claim reconsideration (CRRF) due within 60 days of the EOP date, via Availity Payer Spaces
Clearinghouse Gateway
Availity, Allscripts, Experian (payer ID 75273)
Provider Services
844-447-7768
Claims Fax
Varies — confirm via portal / clearinghouse
Claims Address
Varies — confirm via portal / clearinghouse
Provider Portal
https://www.availity.com
Pennsylvania plan offering commercial, GHP Family (Medicaid), and Geisinger Gold (Medicare Advantage). Reconsiderations run through Availity with a tight 60-day window.
National EDI Clearinghouse Capabilities
Direct ANSI X12 electronic transaction support verified for Geisinger Health Plan.
Associated Clearinghouse Payer IDs
National clearinghouse networks maintain dedicated routing IDs for specific transaction lines or subsidiaries under Geisinger Health Plan.
| Clearinghouse Name | Electronic Payer ID | Status | Enrollment | Supported Services |
|---|---|---|---|---|
| Geisinger Health Plan | 10611 | Non-Par | None | 837P837I270/271Dental |
| Geisinger Health Plan | 75273 | Non-Par | Required | 837P837I835 ERA |
Resolution Tools for Geisinger Health Plan Claims
Values vary by plan, line of business, and provider agreement. Confirm in the payer portal or with your clearinghouse gateway before submitting electronic claims.
Tired of Chasing Geisinger Health Plan Denials & Delayed Payments?
Aethera's billing specialists work Geisinger Health Plan every day — handling EDI clearinghouse rejects, prior authorizations, payment posting, and 30-day AR aging recovery.