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Provider resources

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Welcome! Thanks for the work you do keeping GEHA members healthy and well. Please use the "Filter by Item Title" search below to quickly find the item you're looking for.

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Authorizations/Precertifications

GEHA requires providers to obtain authorization before some services and procedures are performed:
Authorizations for HDHP, Standard and High | Authorizations for Elevate/Elevate Plus

Coverage policies

For services requiring authorization with no coverage policy listed below, please consult UnitedHealthcare's Commercial Medical & Drug Policies and Coverage Determination Guidelines. If GEHA and UnitedHealthcare both have a coverage policy related to the authorization request, then the GEHA policy will apply.

Clinical guidelines

GEHA uses UnitedHealthcare's Clinical Guidelines. The clinical guidelines are intended to inform network providers and GEHA medical plan members of the medical plan's position on the treatment of certain common conditions. These guidelines apply to HDHP, Standard and High medical plan members.

Have questions?

Explore some frequently asked questions about obtaining prior authorization

FAQs

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Provider resources

Provider portal

Authorizations/Precertifications

Coverage policies

Clinical guidelines

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