Find claim-status contacts and document destinations. A billing address, appeal address and original-claim address are not interchangeable.
claims
Paper claims — Medicaid, CHIP, Medicare HMO/D-SNP and Individual/Family Plans
Official page read
Phone
No phone listed for this route
Published hours
Not published in this record
Product, plan and location
Confirm the exact product or service Pennsylvania · New Jersey
Mailing addressJefferson Health Plans
PO Box 21228
Tampa, FL 33622
Paper claims (Payor ID 80142 products)
Payor ID 80142 for EverWell (Medicaid), CHIP, Medicare HMO/D-SNP (PA and NJ) and Individual and Family Plans. Medicare PPO uses separate boxes: PA PPO (Payor ID RP099) PO Box 21247; NJ PPO (Payor ID NJ099) PO Box 21367, Tampa, FL 33622.
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Find claim-status contacts and document destinations. A billing address, appeal address and original-claim address are not interchangeable.
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Claim number, service dates and billed amount
Submission acknowledgement and remittance
Provider billing identifiers
Questions to resolve
Was the claim received and accepted for processing?
What specifically prevents payment or final processing?
Is a corrected claim, reconsideration or appeal the right route?
This is a general administrative checklist, not payer policy or advice about a particular patient. Confirm the current plan instructions.
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