smiling call technician with headset talking on the phone

Contact Us

Our teams are available to support our in-network providers and hospital partners. Please refer to the contact information below to connect with the team best suited to address your needs.

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

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

ProviderData@jeffersonhealthplans.com

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