We use the Council for Affordable Quality Healthcare (CAQH) system for credentialing and recredentialing our providers. Visit the CAQH website to register or log in to the CAQH Universal Provider Datasource to ensure that your application is up to date.
Provider organizations who are already contracted by Jefferson Health Plans and/or Health Partners Plans and need to have a new individual provider credentialed must submit a Provider Data Collection Form. We make every attempt to complete each application within 60 days of receipt of a complete application.
If you have questions about this process, please email our credentialing department at credentialing@jeffersonhealthplans.com.
Individual providers are recredentialed within 36 months or less. Providers are notified four months prior to their recredentialing due date. To submit a recredentialing request, please complete a Provider Recredentialing form. To submit the form, or for any questions about the process, please email credentialing@jeffersonhealthplans.com.
Submit completed Provider Data Collection Form via:
Hospital-based providers
Submit completed hospital-based documents via: