Welcome
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Please click here for up-to-date FAQs. On 2/21/24, Jefferson Health Plans was alerted by Change Healthcare about a network outage that is disrupting Change Healthcare’s ability to deliver services. This impacts providers who use Change Healthcare to send member eligibility verifications, 837 files and paper-to-electronic claims scanning. In addition, it impacts InterQual service that we use to determine appropriate levels of care and may cause delays in determinations. Updates to this outage can be found on Change Healthcare's status site here: Optum Solutions Status. Jefferson Health Plans will continue to provide updates as they are received. Update: Some applications are experiencing connectivity issues. Optum Solutions's Status Page Update: Some applications are experiencing connectivity issues. Providers who receive paper checks will experience delays in payment. Checks will not be printed until this incident is resolved. Electronic payments are not affected. Click here for for more information on how to receive electronic payments/remittances. |
Jefferson Health Plans is proud to work with you and the thousands of PCPs, specialists, dentists and vision care and other providers who make up our network.
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Below is a link to our ID Card document, which helps to identify the differences between our products. It is important to note the differences in Member IDs used across our products. Medicaid: 9 characters long, starting with all numerical digits CHIP: 10 characters long, starting with a “3” or a “9” Medicare: 7 characters long, starting with a “5” Individual & Family Plan: 12 characters long, starting with a “J” |
Provider Information & Resources
- Prior Authorization Guidelines and Forms
- Provider Portal
- Formularies
- Provider Manual
- Policy Bulletins
- Clinical Resources
- Clinical Care Guidelines
- Preventative Care Guidelines
- Form and Supply Requests
- Provider Orientation and Training
Expansion Information
More Information
- Are you interested in joining our network? Get started.
- Are you adding a provider to an existing HPP participating provider group? Add a provider.
- Do you need to know more about our credentialing process? Learn more.
- Do you have questions or need assistance? Contact HPP.