Forms

EHP makes many of our forms available for your access through our web site. You can download the files (in Adobe® Acrobat® format) from this page and print the forms for completion. To read these files you must have the Adobe® Acrobat® Reader™ installed on your computer. If you do not have it installed, you may download the program by clicking the icon below.

Provider Information

• Physician Credentailing Requirements
• Behavioral Healthcare Credentialing Requirements
• Physician Extender/Therapist Documentation Requirements
• Hospital/Facility Documentation Requirements
• Recredentialing Form
• EHP Standard Application
• Authorization for Release of Information

Policy and Procedure

• EHP - Provider Office Manual
• Payer Listing (claims/benefits/preauthorization information)

The PA Standard Application is accessed by permission of the Pennsylvania Medical Society at their website.