Jefferson Health Plans offers a comprehensive Provider Portal designed to streamline healthcare management and communication for medical professionals. This digital platform serves as a critical tool for providers participating in Health Partners Plans and Jefferson Health Plans networks.
Official Links
- Provider Portal: Health Trio Provider Portal
- Primary Website: https://www.jeffersonhealthplans.com/
What Providers Can Do
The Provider Portal enables healthcare professionals to:
- Submit prior authorization requests
- Access important clinical resources
- Manage patient eligibility and claims
- Retrieve important provider information
- Complete required surveys and documentation
Access and Login
Login Options
Providers can access the portal through multiple platforms:
- CHIP Portal
- Medicaid Portal
- General Providers Portal
Important Note for Prior Authorizations
To submit prior authorization requests, providers must:
- Sign into the Health Trio Provider Portal
- Navigate to the Prior Authorizations page
- Access the MHK platform
Key Features and Resources
Available Resources
- Provider Manual
- Provider Directory
- Formularies
- Policy Bulletin Library
- Form and Supply Requests
- Training and Education Materials
Specific Service Lines
The portal supports multiple healthcare product lines:
- Medicaid
- CHIP (Children’s Health Insurance Program)
- Medicare Advantage
- Individual and Family Plans
Privacy and Security
Jefferson Health Plans emphasizes:
- Compliance with HIPAA regulations
- Secure access protocols
- Protected information management
Customer Support
Providers can contact support for assistance:
- Survey-related inquiries: [email protected]
- General provider support available through portal contact mechanisms
Training and Development
The Provider Portal offers:
- Webinars
- Online Provider Courses
- Credentialing/Recredentialing Resources
Network Information
Jefferson Health Plans provides access to:
- Jefferson Health doctors and hospitals
- Extensive regional provider network
- Comprehensive healthcare coverage options
Current Opportunities
2025 Provider Survey
- Available now
- Requires completion using unique Survey ID
- Faxed communication sent May 13th with details
Unprovided Information
Some specific details were not explicitly available in the source documents, including:
- Exact step-by-step login process
- Comprehensive app download instructions
- Detailed billing portal functionality
The Jefferson Health Plans Provider Portal represents a robust digital platform designed to enhance healthcare professional efficiency, offering secure, comprehensive tools for network providers across multiple service lines.
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Note: This information is current as of August 2025, based on available documentation from Jefferson Health Plans and Health Partners Plans.
FAQ
What insurances does Jefferson Health take?
- AARP Medicare.
- Aetna Better Health CHIP PA.
- Aetna Commercial – Excludes Marketplace Plans.
- Aetna Medicare.
- Ambetter from PA Health and Wellness.
- AmeriHealth Administrators.
- Amerihealth Caritas of PA.
- Blue Card by BCBS.
How do I contact Jefferson Health Plans provider?Provider Services Helpline: 1-888-991-9023 (Mon – Fri, 9:00 a.m. – 5:30 p.m.) Recipient Restriction Program: Call 215-991-4094 for member information. Refer patients by calling the Provider Services Helpline (1-888-991-9023) or emailing [email protected].
How much does the CEO of Jefferson Health make?
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Jefferson Healthhttps://www.jeffersonhealth.orgJefferson Extends Contract with CEO Joseph G. Cacchione, MD Amid …May 28, 2025 — Jefferson Extends Contract with CEO Joseph G. Cacchione, MD Amid Continued Growth and Integration. PHILADELPHIA, PA, May 28, 2025 – Jefferson’s Boar…
Is Jefferson insurance good?… is a well-established insurance company with a strong reputation for providing reliable and comprehensive insurance coverage to individuals and businesses
https://www.healthpartnersplans.com/home/providers/
Welcome to Jefferson Health Plans/Health Partners Plans! Thank you for your interest in joining our provider network. Please complete the Provider Recruitment
https://www.jeffersonhealthplans.com/
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