Thank you for being a valued provider for members in one or more of our health plans: Health Partners Plans Medicaid, Health Partners Plans CHIP, Jefferson Health Plans Medicare Advantage, and/or Jefferson Health Plans Individual and Family Plans.

This letter serves to notify the provider network of an update to billing requirements with regards to provider taxonomy codes. Effective January 1, 2025, all rendering providers are required to submit the Medicare-approved taxonomy in field locator 81 for paper claims or field locator 24J (Loop: 2310B – Rendering Provider Name) on the electronically submitted CMS 1500 claim. 

This requirement applies to all Health Partners Plans/Jefferson Health Plans lines of business (Health Partners Plans Medicaid, Health Partners Plans CHIP, Jefferson Health Plans Medicare Advantage, Jefferson Health Plans Individual and Family Plans).

Claims not billed with the appropriate taxonomy codes will be rejected or denied or may also result in reduced reimbursement.

If you have any questions, please contact the Provider Services Helpline at 1-888-991-9023 (Monday to Friday, 9 a.m. – 5:30 p.m.).