Jefferson Health Plans
dentalmedical
Summary
Jefferson Health Plans is a dental and medical payer operating in Pennsylvania. Claims route under payer ID RP099, with 1 alternate ID in use across clearinghouses. Through clearinghouses it supports eligibility checks, claim status inquiries, professional claims, and institutional claims.
At a glance
- Payer ID
RP099Also seen as 10098- Also known as
- Jefferson Health Plans Medicare PPO, Partners Insurance Company Medicare PPO
- Service area
- PA
Clearinghouse transaction setup
Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.
| Transaction | Enrollment | Typical setup |
|---|---|---|
| Eligibility checks (270/271) | Not required | Immediate |
| Claim status (276/277) | Not required | Immediate |
| Professional claims (837P) | Not required | Immediate |
| Institutional claims (837I) | Not required | Immediate |
Common questions
- What is the payer ID for Jefferson Health Plans?
- The payer ID for Jefferson Health Plans is RP099. Alternate IDs seen across clearinghouses include 10098.
- What states does Jefferson Health Plans cover?
- Jefferson Health Plans operates in PA. Coverage can differ by plan and product line, so confirm the specific plan before you file.
- What types of coverage does Jefferson Health Plans offer?
- Jefferson Health Plans covers dental and medical.
- Can I submit claims to Jefferson Health Plans electronically?
- Yes. Jefferson Health Plans is reachable through clearinghouses for eligibility checks, claim status inquiries, professional claims, and institutional claims. Electronic claims are supported for professional (837P) and institutional (837I).
Compiled from public payer resources and clearinghouse catalogs. Details change often, so confirm with the payer before relying on them. Spot something out of date? Tell us and we will fix it.