GEHA provider portal, phone and payer ID quick facts
| Provider resource entry point | https://www.geha.com/resource-center/provider-resources |
|---|---|
| Payer contact reference | 1-800-821-6136GEHA Customer Care; use the provider resource center and member-specific claim instructions. |
| Claims payer ID | GEHA currently directs medical and dental electronic claims to 39026. Medicare-primary FEHB/PSHB claims use the described COBA crossover process; verify the member and date-of-service instructions. |
| Eligibility payer ID | 44054 — registry reference; verify the member product, transaction and clearinghouse |
| ERA payer ID | 44054 — registry reference; verify the member product, transaction and clearinghouse |
| Timely filing | 365 days (verify applicability) |
| Prior auth route | Verify the current product policy and delegated reviewer; X12 278 support is not established by a portal link |
| Last reviewed | 2026-04-23 |
- GEHA Customer Care; use the provider resource center and member-specific claim instructions.
- This registry has not established a payer-specific appeal ladder for GEHA. Use the denial notice, plan document, provider agreement, or jurisdictional rule to assign the correct route and deadline. Missing registry evidence does not mean appeal rights are unavailable.
GEHA at a glance
| Legal name | Government Employees Health Association, Inc. |
|---|---|
| Also known as | GEHA Federal, Government Employees Health Association |
| Category | Third-party administrator (TPA) |
| Parent organization | Government Employees Health Association (nonprofit) |
| Claims payer ID | GEHA currently directs medical and dental electronic claims to 39026. Medicare-primary FEHB/PSHB claims use the described COBA crossover process; verify the member and date-of-service instructions. |
| Eligibility (270/271) payer ID | 44054 — registry reference; verify the member product, transaction and clearinghouse |
| ERA (835) payer ID | 44054 — registry reference; verify the member product, transaction and clearinghouse |
| NAIC company code | Not established in this registry |
| States covered | Nationwide (50 states) |
| Members covered | ~2.0 million members |
| Provider resource entry point | https://www.geha.com/resource-center/provider-resources |
| Provider phone | 1-800-821-6136GEHA Customer Care; use the provider resource center and member-specific claim instructions. |
Always verify claims-routing details against the member ID card and the payer's current EDI companion guide before submission.
Timely filing & appeals for GEHA
This registry lists 365 days as an initial-claim reference for GEHA. Confirm the applicable product, provider agreement, start event and current payer instructions. Do not apply this value automatically to out-of-network, secondary, corrected or appealed claims.
| Submission type | Window |
|---|---|
| Initial claim reference | 365 days (verify applicability) |
| Out-of-network initial claim | Verify the member's plan and applicable out-of-network rules |
| Secondary / coordination of benefits | Verify the allowed window and start event; a primary EOB does not automatically restart filing |
| Corrected claim | Verify correction instructions; do not substitute an appeal deadline |
| Reconsideration / appeal | Use the applicable denial or decision notice and the process below |
This registry has not established a payer-specific appeal ladder for GEHA. Use the denial notice, plan document, provider agreement, or jurisdictional rule to assign the correct route and deadline. Missing registry evidence does not mean appeal rights are unavailable.
Source: GEHA provider policy. Always confirm before disputing a TFL denial — payer policies are versioned and product-specific.
Prior authorization with GEHA
Decision deadlines depend on the product, service and urgency. CMS-0057-F generally starts its decision-timeframe requirements in 2026 for Medicare Advantage, Medicaid and CHIP payers subject to the rule: seven calendar days for standard requests and 72 hours for expedited requests. Those requirements exclude drug authorizations and QHP issuers on the federally facilitated exchanges. Other plans, state rules and permitted extensions can differ. Check the applicable policy; a decision deadline is not a guarantee of approval.
CMS-0057-F decision-timeframe requirements and exclusions
Verify GEHA electronic claims (837), eligibility (270/271), remittance (835) and authorization (278) separately for the member product and clearinghouse. Registry flags and routing references are not current transaction-complete approval. Confirm the companion guide, enrollment and applicable source findings below. A blank or unverified field does not establish that the transaction is unavailable. Authorization requirements and submission channels depend on the product, service and delegated reviewer. Verify the applicable policy before scheduling; a portal listing is not proof of X12 278 connectivity.
This registry does not provide a current prior-authorization code list for GEHA. Start with the provider resources or the policy documents below, then confirm the applicable product, service and effective date. A resource link does not establish that a live code-lookup tool is available.
Top denial reasons for GEHA
Per-payer denial benchmarks publish here once the QuickIntell anonymized ETL pipeline ingests sufficient GEHA volume. Until then, see the broader CARC reference for industry-wide remediation guides.
Electronic claims, eligibility & ERA
| Transaction | Registry indication — not verification | Routing reference |
|---|---|---|
| 837P / 837I claims | Listed in registry; verify current scope | GEHA currently directs medical and dental electronic claims to 39026. Medicare-primary FEHB/PSHB claims use the described COBA crossover process; verify the member and date-of-service instructions. |
| 270 / 271 eligibility | Listed in registry; verify current scope | 44054 — registry reference; verify the member product, transaction and clearinghouse |
| 278 prior authorization | Listed in registry; verify current scope | Verify X12 278 routing separately |
| 835 ERA | Verify support and enrollment separately | 44054 — registry reference; verify the member product, transaction and clearinghouse |
Payer IDs vary by clearinghouse — confirm against your clearinghouse payer list (Availity, Change Healthcare/Optum, Waystar) before configuring submitter routing.
Source checks and remaining limits
The latest partial comparison is dated . Retained earlier findings keep their original dates below. This is a partial source check, not a whole-page, clinical or legal review. It does not refresh the legacy review date above.
portal_url
Source comparison: 2026-09-26
Current provider resource center links the dedicated provider portal.
Primary source for portal_urlprovider_phone
Source comparison: 2026-09-26
800-821-6136 is published Customer Care; qualify the role, rather than claiming separate verified provider-only line.
Primary source for provider_phonepayer_ids.claims
Source comparison: 2026-09-26
Official current claims page says medical and dental electronic claims go to 39026, contradicting stored 44054. This is claims-only evidence, with MedicareprimaryCOBA handling separately described.
Primary source for payer_ids.claims
Not checked in this pass: Whole-record approval, legal identity, ownership and complete product coverage; Authenticated transactions and QuickIntell integrations; record_scope: Not verified by the retrieved sources in this bounded comparison; retain explicit uncertainty and do not infer from another field or organization.; timely_filing_days: Not verified by the retrieved sources in this bounded comparison; retain explicit uncertainty and do not infer from another field or organization.; payer_ids.eligibility / payer_ids.era / era_payer_id: No current transaction-specific eligibility/ERA identifier evidence was verified; do not reuse claim identifiers.; electronic_claims_supported / supports_279_271 / supports_278: Not verified by the retrieved sources in this bounded comparison; retain explicit uncertainty and do not infer from another field or organization.; appeal_levels / prior_auth_required_codes_sample / qi_module_coverage: Not verified by the retrieved sources in this bounded comparison; retain explicit uncertainty and do not infer from another field or organization..
Sources used for this guide
Evaluate QuickIntell workflow fit for GEHA
These module references are evaluation starting points, not evidence of a validated connection, supported transaction or customer deployment. Confirm the actual member plan, data access and product scope first.
- QuickRCM
Evaluate claim preparation, follow-up and denial worklists for GEHA; verify the actual plan rules and available connections before implementation.
- QuickAuth
Assess authorization-packet and status workflows for GEHA; confirm product, service, delegated reviewer and permitted submission channels.
- QuickERA
Verify the actual 835 files, posting exceptions and reconciliation requirements for GEHA before evaluating automation. An ERA identifier alone does not establish supported ingestion or posting.
Frequently asked questions about GEHA
Where is the GEHA provider portal?
Use https://www.geha.com/resource-center/provider-resources as a starting point for GEHA provider resources. This link may open a directory or contact page rather than a transaction portal. Select the applicable product and administrator, then verify the available functions, enrollment and access requirements. QuickIntell is not the official payer portal.
What is the timely filing limit for GEHA?
This registry lists 365 days as an initial-claim reference for GEHA. Confirm the applicable product, provider agreement, start event and current payer instructions. Do not apply this value automatically to out-of-network, secondary, corrected or appealed claims.
What is the GEHA payer ID?
Claims: GEHA currently directs medical and dental electronic claims to 39026. Medicare-primary FEHB/PSHB claims use the described COBA crossover process; verify the member and date-of-service instructions.. Eligibility (270/271): 44054 — registry reference; verify the member product, transaction and clearinghouse. ERA (835): 44054 — registry reference; verify the member product, transaction and clearinghouse. Do not substitute a claims ID for an unverified transaction ID. Check current source findings and the member ID card before submitting.
Does GEHA accept electronic claims?
Verify GEHA electronic claims (837), eligibility (270/271), remittance (835) and authorization (278) separately for the member product and clearinghouse. Registry flags and routing references are not current transaction-complete approval. Confirm the companion guide, enrollment and applicable source findings below. A blank or unverified field does not establish that the transaction is unavailable.
How do I appeal a GEHA denial?
This registry has not established a payer-specific appeal ladder for GEHA. Use the denial notice, plan document, provider agreement, or jurisdictional rule to assign the correct route and deadline. Missing registry evidence does not mean appeal rights are unavailable.
How long do GEHA prior authorization approvals take?
Decision deadlines depend on the product, service and urgency. CMS-0057-F generally starts its decision-timeframe requirements in 2026 for Medicare Advantage, Medicaid and CHIP payers subject to the rule: seven calendar days for standard requests and 72 hours for expedited requests. Those requirements exclude drug authorizations and QHP issuers on the federally facilitated exchanges. Other plans, state rules and permitted extensions can differ. Check the applicable policy; a decision deadline is not a guarantee of approval.
What is the GEHA provider phone number?
This registry lists 1-800-821-6136 as a contact reference for GEHA. GEHA Customer Care; use the provider resource center and member-specific claim instructions.
For revenue-cycle teams
Connect payer lookups to your revenue-cycle workflow
Do staff repeatedly move between payer references, eligibility checks, claim status and remittance follow-up?
- Keep this payer's official reference available to the team.
- Identify one repeated administrative task and measure its handling time.
- Evaluate the required access, exceptions and reviewer handoff before expanding automation.
GEHA is an operational reference. Payer decisions remain with the payer. Confirm plan coverage, system access and supported actions during a scoped evaluation.
Download the illustrative workflow worksheet (PDF) · Explore the AI RCM evaluation toolkit · Model the workload and costs
Automate workflows around GEHA requirements
Connect eligibility, prior authorization, pre-submission claim checks, and remittance routing in one governed workflow. Payer and plan configuration is confirmed during implementation.
Disclaimer
This page is operational reference for medical-billing professionals. It is not legal, clinical, or contractual advice. Payer policies change without notice — always verify against GEHA's current published documents before submission. CPT® is a registered trademark of the American Medical Association.