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INSURER FILING GUIDE

Geisinger Health Plan

Use this public information to prepare your packet, then confirm the route on the insurer's own page.

Get the skill

AT A GLANCE

Claim facts

Member form

Medical claim reimbursement form

Number: 1329138 lew

Revision: 2023-12 (printed in month/year order)

Open the insurer form
Portal uploadNO
Portal pathNO: the current Medical claim reimbursement form publishes only a nonportal route
Mail addressGeisinger Health Plan, P.O. Box 160, Glen Burnie, MD 21060
FaxNot published by the insurer
AttachmentsReceipt of payment with a description of services; itemized bills
Deadline180 days from the date of service; no bill will be paid more than 1 year after service unless legal incapacity prevented timely filing
Outcome and statusMember portal > Check a claim
Processing timeNot published by the insurer
CaveatsThe form requires a separate request for each member. Out-of-network benefits depend on plan type. Medicare Advantage and Medicaid are outside this read.

STEP BY STEP

Filing steps

Source: https://www.geisinger.org/-/media/Member-Portal/PDFs/Forms/Shared/medical-claim-reimbursement-form.pdf?hash=9F1DBD78651DA9CE7F45115DF2117D5A&sc_lang=en

Read date: 10-09-2026

Research steps

  1. Confirm that the plan includes out-of-network reimbursement. The published employer handbook requires filing within 180 days after service and states an outer one-year limit unless legal incapacity prevented timely filing. https://www.geisinger.org/health-plan/broker-refresh/document-repository/-/media/onegeisinger/files/pdfs/brokers/document-repository/more-materials/commercial-adr/employer-resources/employer-administrative-handbook.pdf?hash=[document id, not recorded]&sc_lang=en (employer administrative handbook)
  2. Download and complete the Medical claim reimbursement form, 1329138 lew. Use a separate request for each member. https://www.geisinger.org/-/media/Member-Portal/PDFs/Forms/Shared/medical-claim-reimbursement-form.pdf?hash=9F1DBD78651DA9CE7F45115DF2117D5A&sc_lang=en
  3. Attach proof of payment with a description of services and itemized bills. Sign the member authorization. https://www.geisinger.org/-/media/Member-Portal/PDFs/Forms/Shared/medical-claim-reimbursement-form.pdf?hash=9F1DBD78651DA9CE7F45115DF2117D5A&sc_lang=en
  4. NO PORTAL UPLOAD: the current claim form publishes only a nonportal route. https://www.geisinger.org/-/media/Member-Portal/PDFs/Forms/Shared/medical-claim-reimbursement-form.pdf?hash=9F1DBD78651DA9CE7F45115DF2117D5A&sc_lang=en
  5. In the member portal, select Check a claim to review status. NOT PUBLISHED: processing time. https://www.geisinger.org/health-plan/members/forms

Filing facts

  • Portal upload: NO
  • Portal: Geisinger member portal
  • Portal path: NO: the current Medical claim reimbursement form publishes only a nonportal route
  • Mail address: Geisinger Health Plan, P.O. Box 160, Glen Burnie, MD 21060
  • Fax: NOT PUBLISHED
  • Attach: receipt of payment with a description of services; itemized bills
  • File types: NOT PUBLISHED
  • File size limit: NOT PUBLISHED
  • Maximum files: NOT PUBLISHED
  • One file or separate files: NOT PUBLISHED
  • Confirmation: NOT PUBLISHED
  • Status check: Member portal > Check a claim
  • Processing time: NOT PUBLISHED
  • Member deadline: 180 days from the date of service; no bill will be paid more than 1 year after service unless legal incapacity prevented timely filing
  • Deadline basis: Published employer administrative handbook; controlling plan document may differ
  • Mental health route: Geisinger Health Plan behavioral health

Confirm the address, fax number or portal path on the insurer's own claims page before you send; read on 10-09-2026.

Read on 10-09-2026 from https://www.geisinger.org/-/media/Member-Portal/PDFs/Forms/Shared/medical-claim-reimbursement-form.pdf?hash=9F1DBD78651DA9CE7F45115DF2117D5A&sc_lang=en. Confirm the address, fax number or portal path on the insurer's own claims page before you send.