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

All claims reconsiderations should 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

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.).