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Claims Forms and Addresses

For paper claims payment, reconsideration, or retraction of overpayment, please use the addresses below.

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Claims Submissions
Medicaid

Jefferson Health Plans
P.O. Box 211123
Eagan, MN 55121

CHIP

Jefferson Health Plans
P.O. Box 211123
Eagan, MN 55121

Medicare HMO

Jefferson Health Plans
P.O. Box 211123
Eagan, MN 55121

Medicare PPO

Pennsylvania:

Jefferson Health Plans 
P.O. Box 21921
Eagan, MN 55121

New Jersey:

Jefferson Health Plans   
P.O Box 211290
Eagan, MN 55121

 

Individual and Family Plans

Jefferson Health Plans
P.O. Box 211123
Eagan, MN 55121

Claims Reconsideration

All lines of business

Jefferson Health Plans
Attn: Claims Reconsideration
1101 Market Street, Suite 500
Philadelphia, PA 19107

Utilization Management Issues

Jefferson Health Plans
Attention: Medical Appeals
1101 Market Street, Suite 500
Philadelphia, PA 19107

Provider Disputes & Appeals

Jefferson Health Plans
Attention: Complaints & Grievances
1101 Market Street, Suite 500
Philadelphia, PA 19107

Physician Demographic and/or Contraction Information

Jefferson Health Plans
Attention: Physician Relations
1101 Market Street, Suite 500
Philadelphia, PA 19107

Hospital Contract and/or Demographic Information

Jefferson Health Plans
Attention: Hospital Relations
1101 Market Street, Suite 500
Philadelphia, PA 19107

Ancillary Provider Contract and/or Demographic Information

Jefferson Health Plans
Attention: Ancillary Provider Relations
1101 Market Street, Suite 500
Philadelphia, PA 19107

Credentialing Material

Jefferson Health Plans
Attention: Credentialing Unit
1101 Market Street, Suite 500
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.).