Skip navigation


Eligibility and Claims

Claim Submissions Revisions

For PCP/Specialists, Ancillary Providers, Hospitals and Non-Participating Providers:

  • Members are assigned to a single provider rather than a group.
  • When filling out UB-92 and HCFA-1500 claim forms
  • Your Provider ID number is required.
  • Please remember… Claims MUST be filled in properly or they will be rejected and returned to you for re-submission with the proper information. 

For more information

Call the Provider Services Helpline at 215-991-4350 or (toll free) 1-888-991-9023