January 15, 2025

Thank you for being a valued provider for members in one or more of our health plans: Health Partners Plans Medicaid and Health Partners Plans CHIP, Jefferson Health Plans Medicare Advantage, and/or Jefferson Health Plans Individual and Family Plans.

In observance of the Martin Luther King Jr. Holiday on Monday, January 20, 2025, we will not have modified hours of operations.

• Claim Payment Cycle - Claim payment cycle will kick off its normal schedule.
• Provider Services Helpline – Normal business hours. Member eligibility/benefits as well as claim status inquiries can be accessed using the provider portal. They can be reached at 1-888-991-9023.
• Pharmacy Call Center – Normal business hours (8 a.m. – 6 p.m.). All calls received after hours will be forwarded to an outside service center with 24-hour access to an on-call pharmacist. They can be reached at 1-866-841-7659.
• Claims Reconsideration Call Center – Normal business hours. Claims reconsideration requests can be submitted through the provider portal. They can be reached at 1-888-991-9023.
• Utilization Management Call Center - Normal business hours with on-call coverage only (1-866-500-4571). Authorization requests can be submitted through the provider portal.
• Enhanced Member Support Unit (EMSU) (Adult, Pediatric and Baby Partners Care Coordination) – Normal business hours (M-F 8 a.m. - 4:30 p.m.). All calls received after hours will be sent to voicemail throughout the holiday weekend. Voicemail messages will be responded to the next business day. EMSU can be reached at 1-866-500-4571 (prompt 2, then prompt 3).

As always, we thank you for your continuing efforts to improve the health outcomes of our members.