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Contact Us

We are committed to being a trusted partner to our provider network.

Our Provider Services Helpline team is here to help our in-network providers and hospital partners. Contact us at 1-888-991-9023 (9 a.m. to 5 p.m.). When calling, use the options below:

  • Medical Providers: #1
  • Pharmacies: #2
  • Join our Provider Network: #3
  • Members: #4
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Contact Specific Provider Departments
Contracting

For initial contracts, changes in group/practice ownership, and Tax ID changes:

contracting@jeffersonhealthplans.com

Clinical Care Management

Refer patients by contacting Clinical Care Management at 1-215-845-4797 or emailing clinicalconnections@jeffersonhealthplans.com.

Provider Data

For general provider demographic updates/changes:

datavalidation@jeffersonhealthplans.com

Provider Education

For general provider education inquiries:

providereducation@jeffersonhealthplans.com

Pharmacy

Pharmacy Department:

1-866-841-7659

To fax prior authorization requests, please use the numbers below:

• Medicare Advantage: 1-866-371-3239
• Individual and Family Plans: 1-833-605-4407


Recipient Restriction Program:

Call 215-991-4094 for member information.

Compliance, Privacy, and Fraud, Waste and Abuse

To report an actual or suspected Compliance, Privacy, or Fraud, Waste or Abuse incident:

Call 1-866-477-4848. You may remain anonymous.

Email one of the following email inboxes:

Compliance@jeffersonhealthplans.com
siutips@jeffersonhealthplans.com
specialinvestigationsunit@jeffersonhealthplans.com

EDI (Electronic Data Interchange) Support

EDI@jeffersonhealthplans.com

Credentialing

Site relocation or closures, NPI and Promise ID Changes:

Credentialing@jeffersonhealthplans.com


Credentialing Status, Correspondence & Enrollment:

Credentialing@jeffersonhealthplans.com
Fax: 215-967-4473


Credentialed Provider Linkages, Terminations and Changes:

DataValidation@jeffersonhealthplans.com
Fax: 267-515-6650


Hospital/Facility Based and Physical/ Occupational/Speech Therapy Linkages, Terminations & Changes:

ProviderData@jeffersonhealthplans.com
Fax: 215-967-9274

Medical Management (Utilization/Prior Authorization)

1-866-500-4571

• Ancillary Services (DME, home health care): prompts 2, 2
• Inpatient/Outpatient Services (prior authorizations): prompts 2, 3
• Non-Par Service Requests: prompts 2, 4
• Physician Peer-to-Peer Hotline: prompts 2, 1


Inpatient Appeals:

Appeals@jeffersonhealthplans.com


Skilled Nursing Facilities and Rehabilitation:

• Medicare: 215-991-4395
• Medicaid: 267-385-3825
• Fax: 215-991-4125

Quality Management and Audits

Quality Management Department:

1-855-218-2314


STARS/HEDIS Initiatives:

Hedis_records@jeffersonhealthplans.com
Fax: 215-967-9230


Care Gaps:

caregap_records@jeffersonhealthplans.com
Fax: 215-967-9230


Audits:

audit@jeffersonhealthplans.com
Fax: 215-967-4477


QOC/Complaints:

quality@jeffersonhealthplans.com
Fax: 267-515-6648