EHP provides immediate access to required forms and documents to assist our providers in expediting claims processing.

Provider Forms Organization Form Description

All Referral Form Johns Hopkins Employer Health Programs Maryland Uniform Consultation Referral Form

All Treatment Plan Form Johns Hopkins Employer Health Programs Treatment Plan Behavioral Health Form (For Purposes of Treatment Authorization)

JHHSC/JHH JH Bayview Medical Center Group Disability Claim Form Johns Hopkins Employer Health Programs Group Disability Claim Form

Broadway Services Inc. Group Disability Claim Form (Salary) Johns Hopkins Employer Health Programs Group Disability Claim Form

All Clinical Prior Authorization Criteria Request Form Specialty Medication Prior Authorization Criteria Request Form Johns Hopkins Employer Health Programs Pharmacy Prior Authorization Form

JHHSC/JHH JH Bayview Medical Center Broadway Services Inc. Dental Claim Form Johns Hopkins Employer Health Programs Dental Claim Form

All Rejection Review Appeals Form Johns Hopkins Employer Health Programs Rejection Review Appeals Form

All Maryland Uniform Credentialing Form Maryland Uniform Credentialing Form

All Maryland Uniform Dental Credentialing Form Maryland Uniform Dental Credentialing Form

All ADA Dental Claim Form ADA Dental Claim Form