May 21, 2016

Our 2026 Provider Manual has been updated and is now available on our website. Please access it on the Provider Manual page.

As a reminder, the Provider Manual provides in-depth plan/product information on topics such as:

• Product/Benefit details for each Jefferson Health Plans product (Jefferson Health Plans EverWell, Jefferson Health Plans CHIP, Jefferson Health Plans Medicare Advantage, Jefferson Health Plans Individual and Family)
• Utilization, Quality Management and Clinical Programs
• Billing and Reimbursement regulations
• Guidelines for complaints, grievances and appeals
• Compliance requirements
• Much more!