GHP Member and Physician Responsibility Matrix

Services

GHP Member & Physician Responsibility Matrix

What You Need To Do	GHP Participating Provider	Non-Participating Provider
Show your ID Card	X	X
Pay only co-insurance and deductibles	X
Pay provider directly for all services		X
File claim with GHP		X
Notify GHP of planned admission		X
Pre-certify planned procedures with GHP		X
What Your Physician Needs To Do	GHP Participating Provider	Non-Participating Provider
File claim with GHP	X
Collect payment for co-insurance and deductibles from GHP	X
Collect payment from GHP member for all services provided		X
Collect payment from GHP member for charges above GHP allowed amount		X
Notify GHP of Planned Admission	X
Pre-certify planned procedures with GHP	X