EHP Forms

Johns Hopkins Employer Health Programs (EHP) provides immediate access to required forms and documents to assist our providers in expediting claims processing.

• Group Disablility Claim
• Maryland Uniform Consultation Referral
• Maryland Uniform Credentialing
• Maryland Uniform Treatment Plan
• Provider Update Form
• Rejection Review Appeals
• Synagis Prior Authorization
• Pharmacy Prior Authorization Request

PLEASE NOTE: All Forms will need to be faxed to Employer Health Programs (EHP) in order to be processed. See the appropriate fax number on the top of the form for submission. If you have any questions please contact Customer Service at 410-424-4450 or 1-800-261-2393.