Addresses
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
Vendor Claims:
Avesis (Dental)
Avēsis Third Party Administrators, LLC
Attention: Dental Claims
PO Box 38300
Phoenix, AZ 85069
Davis (Vision)
Davis Vision
Vision Care Processing Unit
PO Box 1525
Latham, NY 12110
Magellan (Behavioral Health-Medicare/CHIP)
Magellan
PO Box 1869
Maryland Heights, MO 63043
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.).