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Provider Manual 2024 Update

Thank you for being a valued participating provider.  The Jefferson Health Plans’ Provider Manual, updated for 2024, has been finalized and is now available on our website at HPPlans.com/manual.

As a reminder, the Provider Manual provides in-depth plan/product information on topics such as:

  • Product/Benefit details for each Jefferson Health Plans’ product (Health Partners Plans Medicaid, Health Partners Plans CHIP, Jefferson Health Plans Medicare Advantage, Jefferson Health Plans Individual and Family)
  • Utilization, Quality Management and Clinical Programs
  • Billing and Reimbursement regulations
  • Guidelines for complaints, grievances and appeals
  • Compliance requirements
  • Much more!

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

 

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