Coverage profile
Work Geisinger Health Plan across every published route
Use the current payer record to choose the right claim-status, eligibility, portal, phone, or appeals workflow. Substrate only marks routes that are published for this payer.
Claim status
EDI 276/277The Substrate Claim Status Agent can check clearinghouse claim status for your practice with Geisinger Health Plan.
Eligibility
EDI 270/271The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Geisinger Health Plan.
Portal claim status
Browser automationThe Substrate Claim Status Agent can check claim status via the payer portal for Geisinger Health Plan.
Other aliases
Also known as
- 10611
- 10612
- 2559
- 5473
- 75273
- 75273MA
- 9274
- GEISHP
- GEISINGERDIRECT
- GHP22
- TCFAT
- GHP
- GEISINGER
- GEISINGER HEALTH PLAN GOLD
2027 maternity billing research
When does Geisinger Health Plan change OB/GYN billing?
GHP is preparing for the 2027 maternity CPT changes. Continue current maternity billing until formally notified by GHP. The notice states that the coding updates do not change provider contracts or reimbursement methodologies; it does not specify a GHP implementation date.
- Transition start
- See guidance
- Billing start
- Not announced
- Published
- 2026-05-15
- Current As Of
- August 2026
Scope: GHP medical maternity services; GHP expects consistent application across all its plan offerings once implemented. This notice does not establish dental or vision billing requirements.
Maternity CPT coding modernization. Verify the payer source before claim submission.
Frequently asked questions
Geisinger Health Plan payer FAQs
How do I check claim status with Geisinger Health Plan?
Providers check Geisinger Health Plan via EDI 276/277 when the payer ID is accepted. Substrate automates claim status across 3,500+ payers.
Can I automate Geisinger Health Plan portal follow-up?
Yes — portal retrieval is required when 276/277 is missing or stale. See payer portal automation and learn why 276/277 is not enough.
What is the payer ID for Geisinger Health Plan?
The primary payer ID for Geisinger Health Plan is 75273. The correct routing ID can differ by clearinghouse and transaction, so compare the 837P, 837I, 835, 270, and 276 entries before submitting.
What is the provider portal for Geisinger Health Plan?
The provider portal for Geisinger Health Plan is https://apps.availity.com/. Available features depend on the payer and your account.
What are the 837 payer IDs for Geisinger Health Plan?
The 837P and 837I payer ID for Geisinger Health Plan is 75273 via Stedi.
What is the 835 payer ID for Geisinger Health Plan?
The 835 payer ID for Geisinger Health Plan is 75273 via Stedi.
What is the 270 payer ID for Geisinger Health Plan?
The 270 payer IDs for Geisinger Health Plan are 75273 via Stedi and 75273 via Availity.
What is the 276 payer ID for Geisinger Health Plan?
The 276 payer ID for Geisinger Health Plan is 75273 via Stedi.
What state does Geisinger Health Plan operate in?
Geisinger Health Plan operates in PA.
Routing reference
Geisinger Health Plan payer IDs and operating states
Use the payer ID listed for the transaction you are submitting. Verify current routing and enrollment requirements with your clearinghouse.
| Payer name | Geisinger Health PlanSource: Substrate payer directory · data last changed |
|---|---|
| Operating states | PASource: Substrate payer directory · data last changed |
| 837P professional claims payer IDStedi | 75273Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 837I institutional claims payer IDStedi | 75273Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 835 ERA payer IDStedi | 75273Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDStedi | 75273Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDAvaility | 75273Source: Availity payer catalog · catalog dated · matched by payer ID |
| 276 claim status payer IDStedi | 75273Source: Stedi payer catalog · catalog dated · matched by payer ID |
Routing sources and verification
- Substrate payer directoryPayer identity, aliases, operating states, and vendor IDs. Data last changed ; checked .Open payer website ↗
- Stedi payer catalogMatched by payer ID; matched record: Geisinger Health Plan. Source dated .PrimaryPayerId is used as the transaction payer ID when the corresponding Stedi support flag is true.Open current Stedi reference ↗
- Availity payer catalogMatched by payer ID; matched record: GEISINGER HEALTH PLAN. Source dated .The attached API workbook supplies 270 and 276 payer IDs only. It does not supply 837P, 837I, or 835 IDs.Open current Availity reference ↗
- United Clearinghouse payer catalogMatched by payer name; matched record: Geisinger Health Plan. The source did not provide a publication date.The attachment supplies payer names and states only; it does not contain transaction-specific payer IDs.Open current United Clearinghouse reference ↗
Clearinghouse payer IDs are transaction-specific and can change. Confirm the current payer list and the member’s ID card before submission.