NON GHP PROVIDERS:
If you are a physician’s office (primary, specialty, behavioral health, PT), seeking to contract with GHP, please fill out the below form and complete the Provider Request to Contract Application, save and upload into the below form.
Requests without application will not be considered.
CURRENT GHP PROVIDERS:
If you are a current GHP Provider, and need to update your information, (address, phone, email, etc.), please fill out the below form and complete the Provider Change Request Form, save and upload into the below form with “Information Update” box checked.
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