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Johns Hopkins Employer Health Programs (EHP) provides immediate access to required forms and documents to assist our providers in expediting claims processing.
- Behavioral Health Services Referral Form
- Care Management Services Request Form
- Compound Prior Authorization Form
- Group Disability Claim Form
- Maryland Uniform Consultation Referral Form
- Maryland Uniform Credentialing Form
- Maryland Uniform Treatment Plan Form
- Medical Injectable Prior Authorization Form
- Pharmacy Prior Authorization Form
- Pharmacy Compound Prior Authorization Form
- Provider Update Form
- Rejection Review Appeals Form
- Sub W-9 Form
- Synagis Prior Authorization Form
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.