Individual Medical Provider

Online Pre-Certification

To submit an online pre-certification request please complete all fields. Failure to provide all requested information may delay your request for certification. Please fax supporting clinical information to 717-295-1208.

Please remember that certification of services as medically necessary is not a guarantee of benefit payment.  

Reimbursement of services provided is based on the provisions outline in the benefit plan at the time services are rendered. Patients and providers are encouraged to verify plan benefits through the Benefits Department. The telephone number is located on the back of the Member’s ID Card.