The GEHA Provider Portal is an online platform designed to streamline healthcare administration for providers working with GEHA members. Through the portal, providers can easily access important information such as patient eligibility, benefits, claims status, and prior authorization requirements. It offers a secure, user-friendly interface that helps reduce administrative burden and improves efficiency in managing patient care. With tools for submitting and tracking claims, verifying coverage, and accessing support resources, the GEHA Provider Portal enhances the overall coordination between healthcare providers and GEHA, ensuring timely and accurate service delivery.

Step-by-step: How do I check a patient’s eligibility and benefits?

• Log in to the GEHA Provider Portal with your username and password.
• Go to the “Eligibility & Benefits” section on the main menu or dashboard.
• Enter the patient’s Member ID or Subscriber ID in the search field.
• Provide the patient’s date of birth for verification.

• Enter the patient’s last name as an additional identifier.
• Click the “Search” or “Submit” button to request eligibility details.
• View the patient’s eligibility status and active coverage dates.

• Check the detailed benefits information such as copays, coinsurance, and covered services.
• Print or save the report if you need a copy for your records.
• Log out of the portal once you’ve completed your checks to ensure security.