Claims Submission

For paper claims payment, reconsideration or retraction of overpayment, please use the following addresses:

Claims Submission

Jefferson Health Plans strongly recommends submitting claims electronically.

For questions, please email EDI (Electronic Data Interchange): EDI@jeffersonhealthplans.com

Payer #: 80142- Health Partners (Medicaid), KidzPartners (CHIP), Jefferson Health Plans Medicare (HMO), Jefferson Health Plans Individual and Family Paper claims may be submitted to the following address:

Jefferson Health Plans
PO BOX 211123
Eagan, MN 55121

Payer #RP099- Jefferson Health Plans Medicare (PPO) Paper claims may be submitted to the following address:

Jefferson Health Plans
PO BOX 21921
Eagan, MN 55121

Claims Reconsiderations

All lines of business

Jefferson Health Plans
Attn: Claims Reconsiderations
1101 Market St. Ste. 3000
Philadelphia, PA 19107

All claims reconsiderations may be submitted through the provider portal.

Informational Addresses

Please use these addresses to contact a specific department at HPP:

Utilization Management Issues

Jefferson Health Plans
Attention: Medical Appeals
1101 Market Street, Suite 3000
Philadelphia, PA 19107

Provider Disputes & Appeals

Jefferson Health Plans
Attention: Complaints & Grievances
1101 Market Street, Suite 3000
Philadelphia, PA 19107

Physician Demographic and/or Contraction Information

Jefferson Health Plans
Attention: Physician Relations
1101 Market Street, Suite 3000
Philadelphia, PA 19107

Hospital Contract and/or Demographic Information

Jefferson Health Plans
Attention: Hospital Relations
1101 Market Street, Suite 3000
Philadelphia, PA 19107

Ancillary Provider Contract and/or Demographic Information:

Jefferson Health Plans
Attention: Ancillary Provider Relations
1101 Market Street, Suite 3000
Philadelphia, PA 19107

Credentialing Material:

Jefferson Health Plans
Attention: Credentialing Unit
1101 Market Street, Suite 3000
Philadelphia, PA 19107

Vendor Claims:

Avesis (Dental)
Avēsis Third Party Administrators, LLC
Attention: Dental Claims
PO Box 38300
Phoenix, AZ 85069

Davis (Vision)
Davis Vision
Vision Care Processing Unit
PO Box 1525
Latham, NY 12110

Magellan (Behavioral Health-Medicare/CHIP)
Magellan
PO Box 1869
Maryland Heights, MO 63043

Contact Us

If you have questions or need further information, please call our Provider Services Helpline at 1-888-991-9023 (Monday to Friday, 9 a.m. to 5:30 p.m.).