Two Provider Forms Are Not Available
The Inpatient Admission Form and the Provider Site Feedback Form are unavailable.
If you need to send an inpatient notification to Group Health, please send it via our secure fax number: 206-901-6109.
Effective June 1, 2015, Group Health will reimburse evaluation and management office or home visits with modifier 25 provided to commercial members at 50 percent of the contracted allowed amount when billed with a preventive medicine examination on the same day, by the same provider.
Check out our Clinical Pearls short, straightforward clinical recommendations you can integrate into your daily practice.
HEDIS medical record FAQs, pneumococcal vaccine recommendations, new lung cancer screening guideline, and more.
Drugs Requiring Prior Authorization Approval
Effective May 1, the following drugs require prior authorization before being administered in a physician's office:
Effective April 1, Group Health is changing the medical necessity review criteria for PET scans and bioengineered skin substitutes. These changes may impact coverage of the services.
2015 HEDIS® Medical Review Season
Through mid-May, Group Health will review medical records to measure practice compliance with certain Healthcare Effectiveness Data and Information Set® (HEDIS) measures. Our reviewers may contact your office. We appreciate your help in providing access to requested medical information. More info: Medical Record Review Letter (PDF) and HEDIS Season FAQs (PDF)
General and pre-authorization updates, and medical necessity review criteria changes.
Lantus vs. NPH, ledipasvir-sofosbuvir, update to pneumococcal vaccine schedule, venlafaxine compared to low-dose estradiol.
For questions about your existing account, call OHP technical support at 1-800-973-4797.
Don't have an account? Visit OneHealthPort for more information.
Online Services Demos
Contractually binding information on this site.
Continuing Medical Education
Programs to maintain and enhance professional skills.
Recommendations for clinicians and patients about specific clinical circumstances.
Fraud, Waste, Abuse (FWA) Prevention Training
To complete Group Health's training, review our